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ONLINE FORM
The Institute of Chartered Accountants of India FINAL EXAMINATION - MAY 2012
CANDIDATE DETAILS Name of Candidate : VELAYUDHAM UDAY KIRAN DOB : 27/11/1986 Registration No : SRO0225812 Applied Date : 06/02/2012 Medium Opted : English Examination Centre : Visakhapatnam Mobile No : 9642974877 Father's Name: SAMUEL V Gender : Male Group Applied: Both Control No: 8700656 Landline No: E Mail : kiran.inferno2786@gmail.com Old Article Registration Number : Date of Registration to Final : 11/02/2010 PIN: 4877

STATUS OF COMPLETION OF ARTICLE TRAINING CAT V PCC or Converted from PCC to IPCC: Completed/Completing 3 1/2 years of articleship training (including excess leave, if any) as on 30th April, 2012

INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS Group Name Group I Group II Exam Passed PCE PCE MM 11 11 YYYY 2009 2009 Roll No 28937 28937

LAST APPEARANCE DETAILS OF FINAL EXAM Group Name Both MM 11 YYYY 2011 Roll No 176077 Result Failed

PASSING DETAILS OF FINAL (IF APPLICABLE) Group EXEMPTION DETAILS Month & Year 11/2011 Roll No. 176077 P1 P2 P3 P4 063 P5 P6 P7 P8 MM YYYY Roll No.

ELIGIBILITY CERTIFICATE DETAILS Eligibility Certificate No. PAYMENT DETAILS Total Amount: 2250 INR Transaction Date: 06/02/2012 Bank Transaction No: EFF_SRO0225812_1240602006 Dated:

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The Institute of Chartered Accountants of India

FINAL EXAMINATION - MAY 2012

Registration No : SRO0225812

Control No: 8700656

DECLARATION BY THE STUDENT I request for permission to present myself at the Final Examination to be held in MAY 2012 conducted by the Institute of Chartered Accountants of India. I declare the facts and information provided above are complete and correct to the best of my knowledge and belief. 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 situation. Name Address Paste firmly with glue or adhessive like fevicol (Do not staple) a recent Signature of the candidate (Sign within the box with black pen) color photograph of size 3.5 X 4.5 cms : : VELAYUDHAM UDAY KIRAN S/O SAMUEL D.NO.7-1-50 BESIDE KOTAK SALESIAN SCHOOL CHINNA WALTAIR VISAKHAPATNAM ANDHRA PRADESH Pincode: 530017 INDIA

Date: Place:

Name and Signature of the Principal with Membership No

(I do hereby certify that the photograph affixed above is that of Mr./Ms VELAYUDHAM UDAY KIRAN) 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) Enclosures: Certificate of service Important: Please do not fold this document while posting

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ONLINE FORM
The Institute of Chartered Accountants of India FINAL EXAMINATION - MAY 2012

Registration No : SRO0225812 Control No: 8700656

CERTIFICATE OF SERVICE 1. Article Ship Completion Declaration Old Article Reg No : New Unique Regn. No:

I -----------------------------------hereby declare that I have completed the prescribed period of 3 years / 3 1/2 Years of practical training (including excess leave, if any) on ------------------ as an Articled / Audit assistant. A certified true copy of the confirmation later dated ---------------issued by the Institute's office in this regards is enclosed Date: ---------------------Place :-------------------------------------------------Signature of the Candidate

2. For candidates who are presently in service and due to complete 3 years / 3 1/2 years of training (including excess leave if any) on or before 30th April, 2012. I -----------------------------------------------hereby certify that Shri/Ms----------------------------------------------is presently serving under me as an articled assistant /audit assistant and his/her due date of completion (including excess leave if any) will be -----------------------------------------------on or before 30th April, 2012,as per deed of articles. Old Article Regn.No.-------------------------New Unique Regn.No.-------------------------Date:---------------------Place:----------------------------------------------------------Signature of the articled/audit assistant ------------------------------Signature of Principal/Member ICAI Membership No---------------------

3 For candidates who are presently in service, serving the last twelve months of training as on 1st May, 2012 and due to complete 3 years / 3 1/2 years of training (including excess leave, if any)on or before 30th April, 2013. I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled assistant/audit assistant, will be in service as on 1st May, 2012 serving the last twelve months of training and his/her due date of completion (including excess leave,if any)will be ---------------------------------------------i.e. on or before 30th April, 2013 as per deed of articles. Old Article Regn.No.-------------------------New Unique Regn.No.-------------------------Date:---------------------Place:----------------------------------------------------------Signature of the articled/audit assistant ------------------------------Signature of Principal/Member Membership No--------------------------

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ONLINE FORM
The Institute of Chartered Accountants of India FINAL EXAMINATION - MAY 2012

Registration No : SRO0225812

Control No: 8700656

CERTIFICATE OF SERVICE 4 For candidates who are presently in service, serving the last six months of training as on 1st May, 2012 and due to complete 3 1/2 years of training (including excess leave, if any) on or before 31st October, 2012. I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled assistant/audit assistant, will be in service as on 1st May, 2012 serving the last six months of training and his/her due date of completion (including excess leave, if any)will be ---------------------------------------------i.e. on or before 31st October, 2012 as per deed of articles. Old Article Regn.No.-------------------------New Unique Regn.No.-------------------------Date.-------------------------Place:------------------------------------------------------------Signature of the articled/audit assistant ------------------------------Signature of Principal/Member ICAI Membership No--------------------------

5 For candidates who are presently in service, serving the last six months of training as on 1st May, 2012 and due to complete 3 years of training (including excess leave,if any)on or before 31st October, 2012. I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled assistant/audit assistant, will be in service as on 1st May, 2012 serving the last six months of training and his/her due date of completion (including excess leave, if any)will be ---------------------------------------------i.e. on or before 31st October, 2012 as per deed of articles. Old Article Regn.No.-------------------------New Unique Regn.No.-------------------------Date.-------------------------Place:------------------------------------------------------------Signature of the articled/audit assistant ------------------------------Signature of Principal/Member ICAI Membership No--------------------------

ATTENTION STUDENTS
Candidates who have already completed 2 or 3 years of training and have taken termination due to any reason are advised, in their own interest to register their balance period of training with the Institute well before the commencement of examination i.e 1st May, 2012 so that they are in service as on 1st May, 2012 failing which admission to the examination will not be granted. A candidate who is otherwise eligible to appear in the Final Examination shall not be required to be in the service of articles/audit training on the first day of the month in which the final examination is held.However such relaxation shall be confined only to first of such permissible examination (i.e the Final Examination in which a student shall become eligble to appear in the Final Examination for the first time only but not thereafter), irrespective of whether he is from the stream of Professional Education Examination - II(PEE-II) or Professional Competence Examination (PCE) or Integrated Professional Competence Examination (IPCE) under the provisions of Regulation 29 C of the Chartered Accountants Regulations 1988.