8/4/2019 NRO0195120-PCE

1/2

Exam Passed MM YYYY Roll No.

CPT 11 2007 052315

Passed the Common Proficiency Test (CPT) Conducted by ICAI and Senior Secondary Examination (10+2 examination) conducted by an examining body

constituted by Law in India or an examination recognized by the Central government as equivalent thereto and have worked for not less than 15 months as an

articled assistant or as an audit assistant or partly as an ar ticled assistant and partly as a audit assistant as on 1st August, 2011.

Exam name CBSE Roll No. 05673703 Month & Year of Exam 3 2006

Shall be completing 100 Hours Information Technology Training Programme on or before commencement of the exam

Group Name Exam Passed MM YYYY Roll No

ONLINE FORM

The Institute Of Chartered Accountants Of India

PROFESSIONAL COMPETENCE EXAMINATION - NOVEMBER 2011

CANDIDATE DETAILS

Name of Candidate :ALANCE

Registration Number : NRO0195120 Control No: 9909345

Applied Date: 14/08/2011 Group Applied: Second

Medium Opted : Hindi Landline No: -

Examination Centre : Ghaziabad E Mail : jitesh195252@gmail.com

Mobile No : 9997854426 Old Article Registration Number :

Father's Name: DHANPAL DOB : 15/09/1989 Gender : Male

Date of Registration to PCE : 15/04/2008

FOUNDATION/ PEE-I/CPT - STREAM CANDIDATE PASSING PARTICULARS

ELIGIBILITY DETAILS TO APPEAR IN PROFESSIONAL COMPETENCE EXAMINATION NOVEMBER, 2011

PARTIAL INTERMEDIATE /PEE-II/PCE EXAMINATION PASSING DETAILS

EXEMPTION DETAILS

Month & Year Roll No. P1 P2 P3 P4 P5 P6

ELIGIBILITY CERTIFICATE DETAILS

Certificate Name Certificate No Date

Articleship Training Certificate (15 Months as on 1st February, 2011)

IIT/CCT Certificate on or before 2nd Nov, 2011

OTHER ELIGIBILITY CERTIFICATE DETAILS

Certificate Name Certificate No Month Year

PAYMENT DETAILS

Total Amount: 1000 INR Transaction Date: 21/08/2011 Bank Transaction No: EPC_NRO0195120_1056051617

1

8/4/2019 NRO0195120-PCE

2/2

The Institute Of Chartered Accountants Of India

PROFESSIONAL COMPETENCE EXAMINATION - NOVEMBER 2011

Registration Number : NRO0195120 Control No: 9909345

DECLARATION BY THE STUDENT:

I request for permission to present myself at the Professional Competence Examination to be conducted by the Institute of Chartered

Accountants of India in November, 2011. I declare that I am eligible to appear in the Professional Competence Examination as I have obtained

Eligibility Certificate for Both Groups of Intermediate/PE-II/I have Passed the PEE-I/Foundation Examination/ 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

Government and thereafter completed 15 months practical training as an articled assistant or as an audit assistant on 1st August, 2011/ I am a

PEE-I passed candidate directly admitted to Professional Competence Course(PCC) and thereafter completed 15 months practical training asan articled assistant or as an audit assistant as on 1st August, 2011. I further declare that I have completed 250 hours Compulsory Computer

Training/100 Hours Information Technology Training as specified by the Institute/I shall be completing 100 hours Information Technology

training Programme on or before 2nd November, 2011. CCT / ITT Certificate No.................................Dated......................enclosed / I shall be

sending a copy of the CCT / ITT Certificate to the Additional Secretary (Exams.), ICAI, C-I, Sector-1, Noida-201301 (U.P.) by 30th November,

2011. I declare that the facts and information provided by me 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.

Signature of the candidate

(Sign within the box with black pen)

Paste firmly with glue or

adhessive like fevicol

(Do not staple) a recent

color photograph of size 3.5

X 4.5 cms

Name : ALANCE

Address : B-160, NEW PANCHWATI

OPP: PAWAN CINEMA

G.T.ROAD

GHAZIABAD

UTTAR PRADESH

Pincode: 201001

INDIA

1. I do hereby certify that the photograph affixed above is that of Mr./Ms. ALANCE 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.

2. For candidates who are presently in practical training as an articled assistant or as an audi t assistant or partly as an articled assistant and

partly as an audit assistant. I hereby certify that he/she is presently serving under me as an articled assistant / audit assistant, and has

completed more than 15 months of articled training as on 1st August, 2011.

Date:

Place:

Important: Please do not fold this document while postingName & Signature of the Member / Principal with Membership

No.& Office seal

2