Exam Form May 19.pdf

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The Institute of Chartered Accountants of India FINAL ( Old Syllabus ) EXAMINATION - MAY 2019

CANDIDATE DETAILS Name of Candidate : DIVYANSH SHARMA DOB : 26/06/1994

Gender : Male

Registration No : CRO0478397

Group Applied: First

Applied Date : 08/03/2019

Control No: 1198556060

Medium Opted : English

Landline No: -

Examination Centre : MEERUT Center Code: 445

E Mail : [email protected]

Mobile No : 8650767676

Old Article Registration No. :

Father's Name : PRABODH SHARMA

PIN: 8397 Differently Abled : NO

1198556060

Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 10/06/2017 Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil DETAILS FOR DETERMINING ELIGIBILITY CAT I -

Intermediate : Completed/Completing 3 years of articleship training (including excess leave, if any) as on 30-04-2019

INTERMEDIATE / PE-II / PCE / IPCE / INTERMEDIATE(IPC) PASSING DETAILS Group Name

Exam Passed

MM

YYYY

Roll No

Group I Group II

Intermediate Intermediate

05 11

2014 2015

419608 420861

LAST APPEARANCE DETAILS OF FINAL EXAM Exam Appeared

MM

YYYY

Roll No

Result

First

11

2018

368166

Failed

PASSING DETAILS OF FINAL (IF APPLICABLE) Group EXEMPTION DETAILS Month & Year 05/2018 PAYMENT DETAILS Total Amount: 1800 INR

MM Roll No. 176268

P1 72

P2

YYYY P3

Transaction Date: 08/03/2019

P4

P5

P6

Roll No. P7

Bank Transaction No:

P8

EFFO_CRO0478397_8879963201

ARTICLESHIP DETAILS Articleship Status: Completed Initial Date of Commencement of Articleship: 15/07/2015

Completion / Due Date of Completion of Articleship: 14/07/2018

PRINCIPAL'S DETAILS Membership No.: 074986 Mobile No.: 8650767676

Name: VIMAL KANT AHUJA Email id: [email protected]

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The Institute of Chartered Accountants of India FINAL ( Old Syllabus ) EXAMINATION - MAY 2019

Registration No :CRO0478397

Control No: 1198556060

1198556060 I do hereby certify that the photograph and signature appearing below are that of Mr./Ms DIVYANSH SHARMA. 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:

Signature ______________________________ Name and Membership No.of the Member / Principal with Office Seal

Place: Name Address

: DIVYANSH SHARMA : 755/1 MADHAV PURAM

MEERUT MEERUT UTTAR PRADESH Pincode: 250002, INDIA

Signature of the candidate (Sign within the box with black pen)

DECLARATION BY THE STUDENT I, _____________________ Son/Daughter ______________________ hereby declare that all the details given above, including the photograph and signature, relate to me and are true to the best of my knowledge and belief. I also state that I have read and understood the Guidance Notes related to this exam and confirm the correctness of the uploaded Declaration/Certificate of Service (as applicable) that it relates to MAY 2019 exams. I note that the above details form an integral part of my application for appearing in the examination conducted by the Institute and form the basis for my admission thereto. I have passed Intermediate level exam. I have registered for the Final course or I will be registering for the Final course on or before 01st May 2019. I have already completed my articleship training or I am due to complete my articleship training before commencement of the exam or I am / will be in the last six or twelve months of my articleship training as on the first day of the month in which the exam commences and would be completing the same on or before the prescribed dates. I fulfill the eligibility criteria for appearing in the the CA Final exam to be held in MAY 2019. I understand that: a) It is my duty to report errors/discrepancies, if any, in the details given above to the Examination Dept. of the Institute at the email ID or address in the guidance notes. b) I am aware that my admission to Final exam is based on this declaration and would be rendered invalid and void ab initio if the information given above is found to be false at a later date. Such an act of furnishing false information would be deemed to be an act of unfair means, under Regulation 41 of the CA Regulations 1988 and action initiated thereon which may include cancellation of the relevant result, debarring from appearing in examination/s to be held in future, etc. c) I accept that the decision of the Council of the Institute in this regard will be final and binding on me.