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ONLINE FORM
The Institute of Chartered Accountants of India FINAL EXAMINATION - MAY 2013
CANDIDATE DETAILS Name of Candidate : PARIDHI DAMMANI DOB : 23/12/1991 Registration No : CRO0288828 Applied Date : 11/02/2013 Medium Opted : English Examination Centre : Indore III Mobile No : 9977200044 Father's Name: RAJENDRA DAMMANI DETAILS FOR DETERMINING ELIGIBILITY CAT IV IPCC: Serving the last 6 months of articleship training (including excess leave, if any) as on 01-05-2013 Gender : Female Group Applied: Both Control No: 8320917 Landline No: E Mail : paridhidammani@yahoo.com Old Article Registration Number : CRO0288828 Date of Registration to Final : 28/02/2011 PIN: 2344 Physically Challenged : No

INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS Group Name Group I Group II Exam Passed IPCE IPCE MM 5 11 YYYY 2010 2010 Roll No 043588 159006

LAST APPEARANCE DETAILS OF FINAL EXAM Group Name MM YYYY Roll No Result

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

ELIGIBILITY CERTIFICATE DETAILS Eligibility Certificate No. PAYMENT DETAILS Total Amount: 2250 INR Transaction Date: 11/02/2013 Bank Transaction No: EFF_CRO0288828_1231569997 Dated:

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The Institute of Chartered Accountants of India

FINAL EXAMINATION - MAY 2013

Registration No : CRO0288828

Control No: 8320917

DECLARATION BY THE STUDENT I request for permission to present myself at the Final Examination to be held in MAY 2013 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 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 Address : : PARIDHI DAMMANI D/O SH. RAJENDRA DAMMANI 7/2 MAHESH NAGAR INDORE MADHYA PRADESH Pincode: 452002 INDIA

(I do hereby certify that the photograph affixed above is that of Mr./Ms PARIDHI DAMMANI) 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: Enclosures: Certificate of service Important: Please do not fold this document while posting Name and Signature of the Principal with Membership No

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ONLINE FORM
The Institute of Chartered Accountants of India FINAL EXAMINATION - MAY 2013

Registration No : CRO0288828 Control No: 8320917

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, 2013. 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, 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 ICAI Membership No---------------------

3 For candidates who are presently in service, serving the last twelve months of training as on 1st May, 2013 and due to complete 3 years / 3 1/2 years of training (including excess leave, if any)on or before 30th April, 2014. I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled assistant/audit assistant, will be in service as on 1st May, 2013 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, 2014 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 2013

Registration No : CRO0288828

Control No: 8320917

CERTIFICATE OF SERVICE 4 For candidates who are presently in service, serving the last six months of training as on 1st May, 2013 and due to complete 3 1/2 years of training (including excess leave, if any) on or before 31st October, 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, 2013 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, 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 ICAI Membership No--------------------------

5 For candidates who are presently in service, serving the last six months of training as on 1st May, 2013 and due to complete 3 years of training (including excess leave,if any)on or before 31st October, 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, 2013 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, 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 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, 2013 so that they are in service as on 1st May, 2013 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.