18/07/2024, 23:31 Exam Enrollment Intermediate Form
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
(SETUP BY AN ACT OF PARLIAMENT)
Application Details Application Print
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18/07/2024, 23:31 Exam Enrollment Intermediate Form
Intermediate Exam Registration Form (September, 2024)
Student Details
Application No Application Status
EFIN918746 Submitted
Student Registration No Student Name
NRO0397187 AJAY SINGH
Father's Name Date Of Birth
D P YADAV 13/May/1992
Gender Region
MALE NORTH
Country Nationality
IND INDIAN
Differently Abled ? Percentage Of Disability
No Not Applicable
Medical Certificate Date Concession Card No.
Not Applicable Not Applicable
Last Known Contact Details
Mobile Number Email Id
9999921734 singh.ajay2424@[Link]
Last Known Correspondence Address
Address Line 1 Address Line 2
I-65 FIRST FLOOR GALI NO 3
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Address Line 3 Address Line 4
GARHWALI MAHOLLA LAXMI NAGAR
Country State
INDIA DELHI
City Pincode
NEW DELHI 110092
Course Details
Current Course Name Current Course Code
Intermediate CONINT23
Month Year Of Examination Mode Of Registration
September, 2024 Foundation
Route Of Course (Intermediate Flag) Provisional Flag (Y = Provisional)
FOUNDATION N
Reason Of Provisional ( When Flag = Y)
Not Applicable
Study Period (In Months)
106
CA Qualification Details
Course Course Re- Year
Course Course Examination Result
Course Name Registration Registration Of
Code Expiry Date Type Status
Date Date Passing
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FOUNDATION CPT 23/Mar/2014 NA 23/Mar/2017 NA 2015 Passed
INTERMEDIATE CONINT23 31/Aug/2015 01/Feb/2024 01/Feb/2029 GROUP 1 NA Awaited
INTERMEDIATE CONINT23 31/Aug/2015 01/Feb/2024 01/Feb/2029 GROUP 2 NA Awaited
Exemption Details
Do You Have Any Valid Paper Exemption?
No
Medium Details
Medium Opted
English
Group/Centre Details
Applied Group Region
BOTH North
Exam State Exam City
DELHI / NEW DELHI DELHI / NEW DELHI - V
Centre Code Zone
5011 Geeta Colony, Priyadarshani Vihar, Karkardooma,
Vivek Vihar,I.P. Extension
Fee Details ( Based on Selections)
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Examination Fees Late Fees
2700 0
Total Fees
2700
Payment Transaction Details
Payment Mode Payment Date
online 18/Jul/2024
Payment Status (S = Success, F= Fail, P= Pending (Not Payment Transaction Number
Successful))
2022420023290377711
S
Payment Order Id Payment Receipt Number
EFIN91874620240718232936682 E20240718681170
Payment Card Type
DC
Self Declaration
I hereby declare that the particulars stated in this application form are filled by me and not any other person and 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 Intermediate Exam to be held in September, 2024 and I shall abide by the terms and conditions contained therein. 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 Intermediate 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.
Your Photograph And Signature (If Blank, Form can't Be Submitted)
Sr.
Description Documents
No.
Photo
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18/07/2024, 23:31 Exam Enrollment Intermediate Form
Signature
2
Print
a
Version 15.01.01
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