Foundation Declaration

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FOUNDATION EXAMINATION – MAY 2018

DECLARATION BY THE STUDENT

I Son/Daughter of

hereby declare that I am registered in the Foundation Course


on/before 31-Dec-2017 or have converted to Foundation Course from CPT course and have passed 10+2
examination.

I request for permission to appear at the Foundation examination conducted by the Institute of Chartered
Accountants of India scheduled to be held in May 2018. 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 Foundation Exam to be held in May, 2018 and I shall abide
by the terms and conditions contained therein. I understand that my admission to Foundation and result thereof shall
be provisional and subject to verification of my fulfilling the eligibility requirements in terms 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 Foundation Exam 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.

Sign of Candidate: Sign of Parent/Guardian:

Attestation by Member of ICAI /Head of the Educational Institution /Gazzetted Officer with Seal

I do hereby certify that I have verified and satisfied that


the candidate named above is registered for Foundation course with the Board of Studies of the Institute on or before
31st December,2017 / Converted to Foundation from the CPT on or before 01-02-2018 and has already passed in
12th class examination and is eligible to appear in Foundation Exam. The particulars as furnished have been verified
by me and found to be correct with reference to the documents produced before me by the candidate.

Date: Place:

Membership No. of the Member of ICAI (if applicable)

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

Telephone Number:

Office Seal

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