PROVISIONAL

Group Name Exam Passed MM YYYY Roll No

Group I PE-II 11 2005 44003
Group II PE-II 11 2005 44003
Group Name MM YYYY Roll No Result
Second 5 2011 22245 Failed
Second 11 2010 09289 Failed
ONLINE FORM
The Institute Of Chartered Accountants Of India
FINAL EXAMINATION - NOVEMBER 2011

CANDIDATE DETAILS
Name of Candidate : SHAH ASHISH ASHOKKUMAR
DOB : 18/11/1983 Gender : Male
Registration No : WRO038884 Group Applied: Second
Applied Date : 15/08/2011 Control No: 8726181
Medium Opted : English Landline No: 0265 - 2561267
Examination Centre : Vadodara E Mail : ASHISH_SHAH_CA@YAHOO.CO.IN
Mobile No : 9376977349 Old Article Registration Number : BBP111744
Father's Name: SHAH ASHOKKUMAR
NARSHIDAS
Date of Registration to Final : 19/04/2006
STATUS OF COMPLETION OF ARTICLE TRAINING
CAT II - PE-II : Completed/Completing 3 years of articleship training (including excess leave, if any) as on 31st October, 2011

INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS
LAST APPEARANCE DETAILS OF FINAL EXAM
PASSING DETAILS OF FINAL (IF APPLICABLE)
Group MM YYYY Roll No.
Group I 11 2007 07741
EXEMPTION DETAILS
Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8
ELIGIBILITY CERTIFICATE DETAILS
Eligibility Certificate No. Dated:
PAYMENT DETAILS
Total Amount: 1250 INR Transaction Date: 30/08/2011 Bank Transaction No: EFN_WRO038884_1224859007
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PROVISIONAL
The Institute Of Chartered Accountants Of India
FINAL EXAMINATION - NOVEMBER 2011

Registration No : WRO038884 Control No: 8726181

DECLARATION BY THE STUDENT
I request for permission to present myself at the Final Examination to be held in November, 2011 conducted by the Institute of Chartered
Accountants of India. I declare the facts and information provided above 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
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 : SHAH ASHISH ASHOKKUMAR
Address : 11, NANDGAM SOC
NR VRUNDAVAN BUS STOP
WAGHODIA ROAD
VADODARA
GUJARAT
Pincode: 390019
INDIA

Date:
Name and Signature of the
Principal with Membership No
Place:
(I do hereby certify that the photograph affixed above is that of Mr./Ms SHAH ASHISH ASHOKKUMAR) 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)
Enclosures: Certificate of service
Important: Please do not fold this document while posting
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PROVISIONAL
ONLINE FORM
The Institute Of Chartered Accountants Of India
FINAL EXAMINATION - NOVEMBER 2011

Registration No : WRO038884 Control No: 8726181
CERTIFICATE OF SERVICE
1. Article Ship 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 3 years / 3
1/2
years of training (including excess leave if any) on
or before 31st October, 2011.
I -----------------------------------------------hereby certify that Shri/Ms----------------------------------------------is presently serving under me as an
articled assistant /audit assistant and his/her due date of completion (including excess leave if any) will be -----------------------------------------
-------on or before 31st October, 2011,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---------------------
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For candidates who are presently in service, serving the last twelve months of training as on 1st November, 2011 and due to
complete 3 years / 3
1/2
years of training (including excess leave, if any)on or before 31st October, 2012.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an
articled assistant/audit assistant, will be in service as on 1st November, 2011 serving the last twelve months of training and his/her due
date of completion (including excess leave,if any)will be ---------------------------------------------i.e. on or before 31st October, 2012 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:---------------------- Membership No--------------------------
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PROVISIONAL
ONLINE FORM
The Institute Of Chartered Accountants Of India
FINAL EXAMINATION - NOVEMBER 2011

Registration No : WRO038884 Control No: 8726181
CERTIFICATE OF SERVICE
4
For candidates who are presently in service, serving the last six months of training as on 1st November,2011 and due to
complete 3
1/2
years of training (including excess leave, if any) on or before 30th April, 2012.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled
assistant/audit assistant, will be in service as on 1st November , 2011 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, 2012 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 candidates who are presently in service, serving the last six months of training as on 1st November, 2011 and due to complete 3
years of training (including excess leave,if any)on or before 30th April, 2012.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled
assistant/audit assistant, will be in service as on 1st November, 2011 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, 2012 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 STUDENTS
Candidates who have already completed 2 or 3 years of training and have taken termination due to any reason are advised, in their own
interest to register their balance period of training with the Institute well before the commencement of examination i.e 1st November, 2011
so that they are in service as on 1st November, 2011 failing which admission to the examination will not be granted.
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.
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