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The Institute Of Chartered Accountants Of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING
TECHNICIAN EXAMINATION -May, 2011

CANDIDATE DETAILS

Name of Candidate : SARIKA SAINI

DOB: 01/01/1989 Gender : Female

Registration No : CRO0278969 E Mail : manishjainmzn@gmail.com

Applied Date: 25/02/2011 Control No: 9917951

Medium Opted : English Landline No: -

Exam Applied : IPCC Group-I only

Examination Centre : Muzaffarnagar Mobile No : 9897307600

Old Article Registration Number:

Father's Name: NEM CHAND SAINI

Registered with Board of Studies for: Group I and Group II of IPCC Registration date of IPCC/ATC/Inter/PEE-II/PCC: 27/07/2009

ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS

Exam Passed MONTH & YEAR Roll No.

CPT 01, 2009 162870

PARTIAL INTERMEDIATE/ PEE-II/ PCE/ IPCE EXAMINATION PASSING DETAILS

Exam Passed MONTH & YEAR Roll No.

EXEMPTION DETAILS OF EXEMPTION SECURED IN PE-II/PCE

Month & Year Roll No P1 P2 P3 P4 P5 P6

EXEMPTION DETAILS OF EXEMPTION SECURED IN IPCE/ATE

Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7

PAYMENT DETAILS

Total Amount: 1000 INR Transaction Date: 25/02/2011 Bank Transaction No: EIP_CRO0278969_1235411495
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The Institute Of Chartered Accountants Of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING
TECHNICIAN EXAMINATION -May, 2011

Registration No : CRO0278969 Control No: 9917951

DECLARATION BY THE STUDENT

I request for permission to present myself at the Integrated Professional Competence Examination/Accounting Technician Examination to be
conducted by the Institute of Chartered Accountants of India. I declare that I am eligible to appear in the Integrated Professional Competence
Examination/Accounting Technician Examination as I have passed the PEE-I/Foundation/Entrance Examination/ I have passed the Common
Proficiency Test (CPT) as well as Senior Secondary (10+2 Examination) or an examination recognized as equivalent thereto by the Central
Government and have registered for IPCC /ATC on or before 2nd August, 2010/I was already registered for the erstwhile Intermediate
Examination as per the syllabus under paragraph 2 or 2A of Schedule B of the Chartered Accountants Regulations, 1988 or Professional
Education (Course II) under sub-regulation (1) of regulation 28A or Professional Competence Course under regulation 28C of the Chartered
Accountants Regulations,1988 and have already converted into the Integrated Professional Competence Course (IPCC) / Accounting
Technician Course (ATC) and have completed / will be completing 9 months of registration in Intermediate /PE-II/PCC before 1 st May, 2011.I
further declare that to the best of my knowledge and belief, the information given above and on the next pages are correct and complete/I am
also aware that my admission shall become invalid if I make wrong declaration and undertake to abide by the decision of the Council in such a
situation.

Name : SARIKA SAINI

Address : D/O SH. NEM CHAND SAINI

Paste firmly with glue or
VILL. + POST - KAKRA
adhessive like fevicol
TEHSIL - BUDHANA
(Do not staple) at recent
MUZAFFARNAGAR
color photograph of size
Signature of the candidate UTTAR PRADESH
3.5 X 4.5 cms
(Sign within the box with black pen) Pincode:251318
INDIA

(I do hereby certify that the photograph affixed above is that of Mr./Ms SARIKA SAINI) who has signed in my presence.The particulars as
furnished on this form have been verified by me and found correct with reference to the documents produced before me by the candidate)

Date:

Place:

Name & Signature of the Member / Gazetted Officer with

Important: Please do not fold this document while posting
Membership NO.& Office seal
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The Institute Of Chartered Accountants Of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING
TECHNICIAN EXAMINATION -May, 2011

Registration No : CRO0278969 Control No: 9917951

ELIGIBILITY DETAILS TO APPEAR IN INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION MAY, 2011

Registered For IPCC/ATC on or before 2nd August 2010 based on having passed : CPT and 10+2 exam passed

CCT / ITT CERTIFICATE DETAILS

Certificate Name Certificate No. Dated

ITT SRE/016/009 24/03/2010

Orientation Completion Details

Completion Date : 17/12/2009