10/6/2020

SYLLABUS - 2016
The Institute of Cost Accountants of India
(Statutory body under an Act of Parliament)
APPLICATION FOR INTERMEDIATE EXAMINATION OF DECEMBER-2020

Application No : 220115
Registration No : 03201084022
Old Registration No :

Name : ROHIT JHA Gender : Male

Address : Line 1: 60H/6 RAKHAL DAS AUDDY ROAD
Line 2 :
Line 3 :
City : KOLKATA Pin : 700027
Mobile No. : 8961710662 Email : ROHITJHA793@GMAIL.COM
Phone No. : 0 Group : Gr I- Gr II
Physically Challenged : No Date Of Birth: 29/03/2001
Qualification: Medium : English
Exam Center Code: 311 Center Opted : HOWRAH
Mode Of Coaching : Oral

Payment Details :

I have made payment through card/Net banking with transaction no. 202028051825759 dated 06/10/2020 for Rs. 2427 to The Institute of Cost Accountants Of India

I declare that to the best of my knowledge and belief the information given above are correct and complete in all respect. In the event of being found otherwise, I shall
be abide by the decision of the Institute to summarily reject my application/ withhold my result. I also undertake to make the payment, which is non refundable and
agree to abide by the rules and regulations framed by the council for the guidence to the candidates appearing for the examination.

Candidate's Signature :

Date: 06/10/2020 Registration No : 03201084022

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