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    The Institute of Chartered Accountants of India - Common Proficiency Test - June, 2015

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    pradeep
    This document contains the registration details of Shivam Tripathi for the Common Proficiency Test (CPT) to be held in June 2015 by the Institute of Chartered Accountants of India. It provides his personal details like name, gender, date of birth, address and contact information. It also mentions the details of his 12th class examination, including the year of passing, percentage of marks obtained and education board. The document contains his registration number for CPT, selected test center and payment details. Shivam Tripathi has declared that he has not passed CPT before and fulfills the eligibility criteria to appear for this examination. Photographs and signatures of the candidate have also been pasted with appropriate attestation

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    The Institute of Chartered Accountants of India - Common Proficiency Test - June, 2015

    Uploaded by

    pradeep
    17 views1 page
    This document contains the registration details of Shivam Tripathi for the Common Proficiency Test (CPT) to be held in June 2015 by the Institute of Chartered Accountants of India. It provides his personal details like name, gender, date of birth, address and contact information. It also mentions the details of his 12th class examination, including the year of passing, percentage of marks obtained and education board. The document contains his registration number for CPT, selected test center and payment details. Shivam Tripathi has declared that he has not passed CPT before and fulfills the eligibility criteria to appear for this examination. Photographs and signatures of the candidate have also been pasted with appropriate attestation

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    Original Title

    CRO0551844-CPPrt

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    This document contains the registration details of Shivam Tripathi for the Common Proficiency Test (CPT) to be held in June 2015 by the Institute of Chartered Accountants of India. It provides his personal details like name, gender, date of birth, address and contact information. It also mentions the details of his 12th class examination, including the year of passing, percentage of marks obtained and education board. The document contains his registration number for CPT, selected test center and payment details. Shivam Tripathi has declared that he has not passed CPT before and fulfills the eligibility criteria to appear for this examination. Photographs and signatures of the candidate have also been pasted with appropriate attestation

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    The Institute of Chartered Accountants of India - Common Proficiency Test - June, 2015

    Uploaded by

    pradeep
    This document contains the registration details of Shivam Tripathi for the Common Proficiency Test (CPT) to be held in June 2015 by the Institute of Chartered Accountants of India. It provides his personal details like name, gender, date of birth, address and contact information. It also mentions the details of his 12th class examination, including the year of passing, percentage of marks obtained and education board. The document contains his registration number for CPT, selected test center and payment details. Shivam Tripathi has declared that he has not passed CPT before and fulfills the eligibility criteria to appear for this examination. Photographs and signatures of the candidate have also been pasted with appropriate attestation

    Copyright:

    © All Rights Reserved
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    THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA - COMMON PROFICIENCY TEST - JUNE, 2015

    Name of Candidate : SHIVAM TRIPATHI


    Gender : MALE

    CPT Reg. Date : 01/01/2015 Revalidation Date : 06/01/2015 Date Of Birth : 05/05/1997

    E Mail : [email protected]

    Control No:

    264841

    Registration No:CRO0551844

    Center Selection

    Mobile No : 8791674725 Landline No : -

    Region : NORTHERN REGION

    Father's Name : VIJAY KUMAR TRIPATHI

    Centre :DELHI / NEW DELHI - V

    Question Paper Booklet Language : ENGLISH

    PIN :2574 Centre Code: 510

    Address S/O SHRI VIJAY KUMAR TRIPATHI


    CHAMBER NO 51 1ST FOOR,

    Details of Latest Previous appearances in CPT :

    BLOCK NO 1 OPP BAR BHAWAN COURT COMPOUND

    MM : YYYY : Roll No.:

    DEHRADUN - 248001
    UTTARAKHAND , INDIA

    ACADEMIC DETAILS OF QUALIFYING EXAMINATION (I.E., 12TH CLASS EXAMINATION) : ALREADY APPEARED

    Year : 2015

    Roll No : 5809164

    % of Marks secured in 12th class Examination :

    Board of qualifying examination (i.e., 12th Class examination or equivalent) : CBSE


    Payment Details

    Transaction Date:

    20/04/2015

    Amount: 500 INR

    Bank Transaction No : EFC_CRO0551844_1140082669

    DECLARATION BY THE STUDENT


    I SHIVAM TRIPATHI Son/Daughter of VIJAY KUMAR TRIPATHI hereby declare that I have not already passed CPT examination in any earlier attempt and request for permission to
    present myself at the Common Proficiency Test conducted by the Institute of Chartered Accountants of India. I hereby declare that the particulars stated in this application form are true
    to the best of my knowledge and belief. I have read the Guidance Notes for candidates and satisfied myself that I am eligible to appear in ensuing CPT to be held in June, 2015 and I
    shall abide by the terms and conditions contained therein. I understand that my admission to CPT and result thereof shall be provisional and subject to verification of my fulfilling the
    eligibility requirements in terms of Regulation 25D (as explained below) of the CA Regulations, 1988 and decision of the Council of ICAI. In the event of suppression or distortion of any
    fact made in this application form, I understand that I shall be denied the opportunity to appear in CPT and if already admitted / appeared, my admission / result acquired shall be
    liable for outright cancellation. I also understand that the decision of the Institute in this regard shall be final and binding upon me and I shall abide by the same.
    Date:

    _____________

    Sign of Candidate:

    ______________________________

    Sign of Parent / Guardian:

    ______________________________

    Candidate's photograph

    Candidate's photograph

    Paste firmly with glue or

    Paste firmly with glue or

    adhessive like fevicol


    (Do not staple) recent color
    photograph of size 3.5 X
    4.5 cms

    adhessive like fevicol

    Signature of the Candidate

    (Do not staple) recent color

    (Sign within the box with blue/black pen

    photograph of size 3.5 X

    only in the same style as signed in the

    4.5 cms

    CPT course Registration Form)

    ATTESTED PHOTO OF CANDIDATE

    NON ATTESTED PHOTO OF CANDIDATE

    Dated : 18/04/2015

    I do hereby certify that the photographs affixed above are that of MR./MS SHIVAM TRIPATHI Son/Daughter of VIJAY KUMAR TRIPATHI, who has signed in my presence. I have
    verified and satisfied that the candidate named above is registered for CPT course with the Board of Studies of the Institute on or before 1st April, 2015 and has already
    passed/already appeared / will be appearing in 12th class examination in April / May, 2015 and is eligible as per Regulation 25 D(as explained below). The particulars as furnished
    have been verified by me and found correct with reference to the documents produced before me by the candidate.

    Name and membership No.of the Member of ICAI /Head of

    Date:
    Place:

    the Educational Institution /Gazzetted Officer with Seal


    Signature of Member of ICAI/Head of Educational Institution /Gazzetted Officer

    Tel No._________________________

    Important: Please do not fold this document while posting


    Explanation of Regulation 25 D:
    1. The candidate should be registered for CPT course with BOS of ICAI on or before 1st April, 2015 and if registered on or before 1st April, 2012, he should have already
    applied for revalidation of registration in terms of Board of Studies Announcement No. BOS/Announcement/227/13 dated 22nd January,2013 hosted on www.icai.org.
    2. The candidate who has passed 12th class or equivalent examination or appeared in 12th class or equivalent examination or will be appearing in 12th class or equivalent
    examination in April / May, 2015 will be eligible to appear in CPT exam to be held in June, 2015.

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