1/2 The Institute of Chartered Accountants of India INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2021 (New Syllabus) CANDIDATE DETAILS Name of Candidate : ABDUR RAHMAN K J DOB: 22/03/2000 Gender : Male Registration No : SRO0632482 E Mail : Nizaam.mohd@gmail.com Applied Date: 11/04/2021 Control No: 1214574726 Medium Opted : English Landline No: - Exam Applied : Intermediate Group-I / ATE Examination Centre : CHENNAI - VI Center Code: 2020 1214574726 State of Exam Centre/UT : TAMILNADU Mobile No : 9842309580 Father's Name: KATHER JAMALI M Registration date of Intermediate/ATC: Group I/ATC : 20/02/2019 Group II : 20/02/2019 PIN : 1234 Date of commencement of articleship training: Nil Differently Abled : NO ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE) Exam Passed MONTH & YEAR Roll No. CPT 12, 2018 211989 PARTIAL INTERMEDIATE (PASSED ON OR AFTER NOVEMBER 1994)/ ERSTWHILE INTERMEDIATE/ IPCE/ PEE-II/ PCE/ INTERMEDIATE(IPC) / INTERMEDIATE EXAMINATION PASSING DETAILS Exam Passed MONTH & YEAR Roll No. EXEMPTION SECURED IN INTERMEDIATE(IPC) / INTERMEDIATE/ATE Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8 PAYMENT DETAILS Total Amount: 1500 INR Transaction Date: 11/04/2021 Bank Transaction No: EFIN_SRO0632482_9050036631 DETAILS FOR DETERMINING ELIGIBILITY (i)(a) Registered For Intermediate on or before 01st September, 2020 based on having passed : CPT & 10+2 exam passed 2/2 The Institute of Chartered Accountants of India INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2021 Registration No : SRO0632482 Control No: 1214574726 DECLARATION 1. I ABDUR RAHMAN K J son/daughter of KATHER JAMALI M request for permission to present myself at the Intermediate Examination to be held in MAY 2021 by the Institute of Chartered Accountants of India and hold valid registration for appearing in Intermediate Examination to be held in MAY 2021. 2. I declare that I am eligible to appear in the Intermediate Examination as I have passed the PEE-I / Foundation /Entrance Examination and have completed eight months study course in Intermediate; Or 3. 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 Govt. and have registered for Intermediate on or before 01st September, 2020 ; Or 4. I had already registered for the erstwhile Intermediate Examination as per syllabus under Paragraph 2 or 2A of Schedule B of Chartered Accountants Regulations 1988 or Professional Education (Course II) under subregulation (1) of regulation 28A or Professional Competence Course under Regulation 28 C of the Chartered Accountants Regulations, 1988 and have already converted into the Intermediate; Or 5. I registered for Intermediate course/ATC under the Direct Entry Scheme, under the Graduate/Post Graduate category and completed/would be completing 9 months of article ship including 8 months of study course as on 01st May, 2021 ; Or 6. I converted to Intermediate under the Direct Entry Scheme, under the Graduate/Post Graduate category from erstwhile Intermediate or PE-II or PCC or IPCE or Intermediate (IPC) and completed/would be completing 9 months of articleship( including 8 months of study course) as on 01st May, 2021; Or 7. I registered provisionally for Intermediate Course/ATC till 31st July, 2020 and completed/would be completing 7.5 months of articleship as on 01st May, 2021 & also completed Orientation Course and IT training on or before 31st December, 2020; Or 8. I registered for Intermediate under Direct Entry Scheme, having passed the Intermediate level examination of the Institute of Cost Accountants of India/The Institute of Company Secretaries of India, on or before 01st September, 2020 and completed or would be completing 8 months study course as on 01st May, 2021 ; Or 9. I converted to Intermediate from erstwhile Intermediate/PE-II/PCC /IPCE or Intermediate (IPC), under the Direct Entry Scheme, having passed the Intermediate Level examination of The Institute of Company Secretaries of India/Institute of Cost Accountants of India, and completed/would be completing 8 months of study course, as on 01st May, 2021 ; Or 10. I registered for erstwhile Intermediate (IPC) course through CPT route and appeared in the erstwhile Intermediate (IPC) Examination in one or both groups but did not qualify both the groups or either of the groups and converted to erstwhile Intermediate (IPC) under the Direct Entry Scheme and now converted to Intermediate and commenced / would be commencing practical training on or before 30th April, 2021./ I registered for Intermediate course through CPT/FOUNDATION route and appeared in the Intermediate Examination in one or both groups but did not qualify both the groups or either of the groups and now converted to Direct Entry Scheme and commenced / would be commencing practical training on or before 30th April, 2021. 11. I have registered for the group(s) / level in which I wish to appear in MAY 2021. 12. I declare that the facts and information provided in this form 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 a situation. ABDUR RAHMAN K J Address : NO 6 ABBUSALI STREET Name : SAI SRUTHI APARTMENTS, EXCEL BUILDING CHENNAI TAMILNADU, Pincode: 600092 INDIA Signature of the candidate (Sign within the box with black pen) I do hereby certify that the photograph and signature appearing above are that of Mr./Ms ABDUR RAHMAN K J. 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: Important: Please do not fold this document while posting Name & Signature of the Member of ICAI/ Principal / Gazetted Officer with Membership NO.& Office seal
