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The Institute of Chartered Accountants of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2012
CANDIDATE DETAILS Name of Candidate : MALLIKA YEDUGURI DOB: 16/03/1981 Registration No : SRO0275452 Applied Date: 27/08/2012 Medium Opted : English Exam Applied : IPCC-Both Groups Examination Centre : Hyderabad I Mobile No : 9290572861 Old Article Registration Number: Father's Name: RAGHAVA REDDY Y Registered with Board of Studies for: Group I, Group II of IPCC & ATC (All levels) Gender : Female E Mail : bissu2812@gmail.com Control No: 4242880 Landline No: -

Registration date of IPCC/ATC/Inter/PEE-II/PCC: 14/02/2012 PIN :2812 Physically Challenged :No

ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS Exam Passed CPT MONTH & YEAR 12, 2011 Roll No. 275452

PARTIAL INTERMEDIATE/ PEE-II/ PCE/ IPCE EXAMINATION PASSING DETAILS Exam Passed MONTH & YEAR Roll No.

EXEMPTION DETAILS OF EXEMPTION SECURED IN PCE Month & Year Roll No P1 P2 P3 P4 P5 P6

EXEMPTION DETAILS OF EXEMPTION SECURED IN IPCE/ATE Month & Year PAYMENT DETAILS Total Amount: 1600 INR Transaction Date: 27/08/2012 Bank Transaction No: EFI_SRO0275452_1244425620 Roll No. P1 P2 P3 P4 P5 P6 P7

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The Institute of Chartered Accountants of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2012

Registration No :

SRO0275452

Control No:

4242880

DECLARATION BY THE STUDENT I request for permission to present myself at the Integrated Professional Competence Examination/Accounting Technician Examination to be conducted by the Institute of Chartered Accountants of India in NOVEMBER 2012. I declare that I am eligible to appear in the Integrated Professional Competence Examination/Accounting Technician Examination as I have passed the PEE-I/Foundation/Entrance 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 have registered for IPCC /ATC on or before 01st March, 2012/I was already registered for the erstwhile Intermediate Examination as per the syllabus under paragraph 2 or 2A of Schedule B of the Chartered Accountants Regulations, 1988 or Professional Education (Course II) under sub-regulation (1) of regulation 28A or Professional Competence Course under regulation 28C of the Chartered Accountants Regulations,1988 and have already converted into the Integrated Professional Competence Course (IPCC) / Accounting Technician Course (ATC) and have completed 8 months from the date of registration in Intermediate /PE-II/PCC. I further declare that to the best of my knowledge and belief, the information given above and on the next pages are correct and complete/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. Name Paste firmly with glue or adhessive like fevicol (Do not staple) a recent Signature of the candidate (Sign within the box with black pen) color photograph of size 3.5 X 4.5 cms : MALLIKA YEDUGURI
BALKAMPET B.K.GUDA S.R.NAGAR SECUNDERABAD ANDHRA PRADESH Pincode:500038 INDIA

Address : 7-1-396/8/2 C/O RP SURESH

(I do hereby certify that the photograph affixed above is that of Mr./Ms MALLIKA YEDUGURI) 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) Date: Place: Important: Please do not fold this document while posting Name & Signature of the Member / Gazetted Officer with Membership NO.& Office seal

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The Institute of Chartered Accountants of India

INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2012

Registration No :

SRO0275452

Control No:

4242880

ELIGIBILITY DETAILS TO APPEAR IN INTEGRATED PROFESSIONAL COMPETENCE EXAMINATION, NOVEMBER 2012 Registered For IPCC/ATC on or before 01st March, 2012 based on having passed : CPT and 10+2 exam passed CCT / ITT CERTIFICATE DETAILS Certificate Name Certificate No. Dated

Orientation Completion Details Completion Date :