Self-Declaration Form to avail CPE Hours Credit for Unstructured Learning Activities Name: For the Calendar Year 2012 Sandeep Verma Membership No: 514934 Address: 28/18, Bhola Nath Nagar, Shahdara, Delhi - 110032 Contact No. +91 9899314939, +91 9717989998 E-mail id: sandeepvermaca@gmail.com Details of Unstructured Learning Activities Undergone “Type of Particulars Details a Topic Date | Requested CPE hours Web-based Learning : 7 : 3} | modules BS | Self Teaming Modules and - : Courses 2 () Audio- & tapes/video-tapes. 3 (2) Correspondence s courses. a (8) Computer based leaning programmes Reading and Individual | 7. Revenue recognition | 18" Feb.2012 | Shes. Home Study under IFRS ~ By CA.Ashish Gupta (Jan.2012 Journal) 2, Reverse Innovation | 25" Feb.2012 | 3hrs. > & the role of a 2 strategist By 8 CA.Debdatta E Bandyopadhyay (Jan.2012 Journal) Green Audits: A[ 20" Mar.2012 | 3hhrs. Journal) boon to world ~ By CASiddhartha Khurana (Feb.2012XGRL + XBRL for Reporting in Govt. — By CA.Ashok Rao & Uma Shankar Mohanty — (Mar.12 Journal) 10 Apr.2012 2 hes. Service Tax Perspective of Finance Bill, 2012 - By CA. Ashok Batra (Apr 12 Journal) 12" May 2012 Shes. 6 Union Budget - An Economie Perspective- By CA. T. N. Manoharan (Apri2 Journal) 13" May 2012 2hes. IFRS 9: A standard on financial instruement accouting ~ By CA, Shalini Tibe (May12 Journal) 18 June 2012 2 hes, 8 Waiver of term loan, working, income tax act 1961 — By CAKinit Priyakant Shah (June 12 Journal) 16” Aug.2012 & 17™ Aug.2012 Shes. Constituting Agency Permanent Establishment (Aug 12 Journal) 02" Oct 2012 hrs. 10, Revised Schedule VI = By CAdoydeb Bhattacharya (Sep.12 Journal) 10 Oct2012 hrs. ith Tax Planning under MAT ~ By CA.Baljit singh (ct.12 Journal) 12" Nov.2012, Zhe, 2. Carbon Credits — An Aceouting Perspective ~ By CA.Vivek Raju P. (Nov.12 Journal) 25" Dec.2012 Sirs.Group or Bilateral = = Z Discussion on Technical Issues Discussion on Technical Issues ‘Aeting as visiting faculty or - > . guest faculty at various Universities / Management Institutions / Institutions of National Importance Acting as Faculty Participation in CPE > = z ‘Teleconferencing Programmes without supervision of the POU Programmes Providing solutions to 2 = eI questionnaires / puzzles available on Web / Professional Journals, Questionnaires! | Teleconferencing Journals internal Training : = = Programmes being organised by firms of Chartered Accountants with seven or more partners Training Programme Internal ‘Total CPE Hours requested 32 Hours Undertaking 1, CA. Sandeep Verma, hereby declare that [ have undergone the unstructured learning activities as indicated by me in this form above. 1 also confirm that the information given by me for claiming CPE credit hours for each unstructured activity is correct. lw Place: Delhi Signdture of the Member Date: 05.12.2013