Group Name Exam Passed MM YYYY Roll NoGroup I IPCE 11 2011 289069Group II IPCE 11 2014 352574

Group Name MM YYYY Roll No Result

ONLINE FORMThe Institute of Chartered Accountants of India

FINAL EXAMINATION - NOVEMBER 2015

CANDIDATE DETAILS

Name of Candidate : HIMANI SRIVASTAVA

DOB : 16/01/1992 Gender : Female

Registration No : NRO0255037 Group Applied: First

Applied Date : 04/08/2015 Control No: 2158102282

Medium Opted : English Landline No: 011 - 22611572

Examination Centre : Delhi / New Delhi VICenter Code: 511

E Mail : himanisrivastava1992@gmail.com

Mobile No : 9971872198 Old Article Registration No. :

Father's Name: A K SRIOVASTAVA PIN: 1234 Differently Abled : No

Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 06/02/2015

Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil

DETAILS FOR DETERMINING ELIGIBILITY

CAT IV - IPCC: Completed/Completing 3 years of articleship training (including excess leave, if any) as on 31st October, 2015

INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS

LAST APPEARANCE DETAILS OF FINAL EXAM

PASSING DETAILS OF FINAL (IF APPLICABLE)

Group MM YYYY Roll No.

EXEMPTION DETAILS

Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8

PAYMENT DETAILS

Total Amount: 1500 INR Transaction Date: 07/08/2015 Bank Transaction No: EFF_NRO0255037_1195595650

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The Institute of Chartered Accountants of IndiaFINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037 Control No: 2158102282

DECLARATION BY THE STUDENT

I --------------------- Son/Daughter ---------------------- request for permission to present myself at the Final Examination to be held in NOVEMBER2015 conducted by the Institute of Chartered Accountants of India. I declare that facts and information provided in this form are complete andcorrect to the best of my knowledge and belief. I am also aware that my admission shall become invalid if I make a wrong declaration andundertake to abide by the decision of the Council in this regard.

Signature of the candidate(Sign within the box with black

pen)

Paste firmly with glue oradhessive like fevicol

(Do not staple) a recentcolor photograph of size 3.5

X 4.5 cms

Name : HIMANI SRIVASTAVAAddress : FLAT NO 109B POCKET A3

MAYUR VIHAR PHASE IIINEW DELHIDELHI Pincode: 110096INDIA

I do hereby certify that the photograph affixed above is that of Mr./Ms HIMANI SRIVASTAVA who has signed in my presence.The particularsas furnished on this form have been verified by me and found correct with reference to the documents produced before me by the candidate

Signature ______________________________

Date:Name and Membership No.of theMember / Principal with Office Seal

Place:

Enclosures: Certificate of service

Important: Please do not fold this document while posting

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ONLINE FORMThe Institute of Chartered Accountants of India

FINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037 Control No: 2158102282

CERTIFICATE OF SERVICE

1. Articleship 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 the prescribed period of 3 years / 3 1/2 years of practical training(including excess leave if any) on or before 31st October, 2015.

I -----------------------------------------------hereby certify that Shri/Ms----------------------------------------------is presently serving under me as anarticled assistant /audit assistant and his/her due date of completion (including excess leave if any) will be ------------------------------------------------on or before 31st October, 2015,as per deed of articles.

Old Article Regn.No.--------------------------

New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date:---------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:---------------------- ICAI Membership No---------------------

3 (For candidates PE-II and Converted from PE-II to IPCC, Converted from PE-II to PCC or from PE-II to PCC and then IPCC) Forcandidates who are presently in service, serving the last twelve months of training as on 1st Nov, 2015 and due to complete 3 years

/ 3 1/2 years of training (including excess leave, if any)on or before 31st October, 2016.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as anarticled assistant/audit assistant, will be in service as on 1st Nov, 2015 serving the last twelve months of training and his/her due date ofcompletion (including excess leave,if any)will be ---------------------------------------------i.e. on or before 31st October, 2016 as per deed ofarticles.

Old Article Regn.No.--------------------------

New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date:---------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:---------------------- ICAI Membership No--------------------

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ONLINE FORMThe Institute of Chartered Accountants of India

FINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037 Control No: 2158102282

CERTIFICATE OF SERVICE

4 (For PCC or Converted from PCC to IPCC) For candidates who are presently in service, serving the last six months of training as on

1st Nov, 2015 and due to complete 31/2 years of training (including excess leave, if any) on or before 30th April, 2016.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articledassistant/audit assistant, will be in service as on 1st Nov, 2015 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 30th April, 2016 as per deed of articles.

Old Article Regn.No.--------------------------

New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date.-------------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:------------------------ ICAI Membership No--------------------------

5 (For Intermediate and IPCC) For candidates who are presently in service, serving the last six months of training as on 1st Nov, 2015and due to complete 3 years of training (including excess leave,if any)on or before 30th April, 2016.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articledassistant/audit assistant, will be in service as on 1st Nov, 2015 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 30th April, 2016 as per deed of articles.

Old Article Regn.No.--------------------------

New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date.-------------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:------------------------ ICAI Membership No--------------------------

ATTENTION STUDENTSCandidates who have already completed 2 years or 2 years and 6 months or 3 years of training and have taken termination due to any reason are advised, in their

own interest to re-register their balance period of training with the Institute well before the commencement of examination i.e 1st Nov, 2015 so that they are in

service as on 1st Nov, 2015 failing which admission to the examination will not be granted.

To complete 3years or 3 years and 6 months of training (including excess leave taken) on or before 30th April, 2016 or 31st October, 2016 as the case may be.

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.

Relaxation given by Council(Item No 18 of the Special Meeting of the Council held on 2nd February 2011) does not means that the student is exempted from

balance training period.

In other words, as per the decision of the Council Relaxation to the candidates appearing for the first time is that the candidate may or may not be in service on

the 1st day of the month in which Final Examinations are held.

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