Eff D 262463

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The Institute of Chartered Accountants of India

FOUNDATION EXAMINATION - December, 2023

Name of Candidate : HAZEENA BEEVI K M


Gender : FEMALE Foundation Reg. Date : 03/May/2021 Date of Birth : 25/May/1971
E Mail : [email protected] Control No: 2231611548 Registration No: SRO0770156
Course Code : NEWFND
Center Selection
Mobile No : 9645525933
Region : South
Father's Name : KOCHU EBRAHIM
Centre State/UT : KERALA
Application Sequence No : EFFD262463 Center City : THIRUVANANTHAPURAM
Medium Opted : English Centre Code: 2087
Concession Card No.:
Address : H T COTTAGE,EAST ROAD,NEAR KSRTC Centre : THIRUVANANTHAPURAM
BUS
STAND,VENJARAMOOD,VENJARAMOOD P
O,THIRUVANANTHAPURAM,KERALA-
695607,IND

ACADEMIC DETAILS OF QUALIFYING EXAMINATION (I.E., 12TH CLASS EXAMINATION) : Already Passed
Year : 1988 Roll Number : 23527
Board of qualifying examination (i.e., 12th Class examination or equivalent) : OTHERS

Payment Details Transaction Date: 07/Aug/2023 Amount: 1500 INR Bank Transaction No: 20230807010940000895445643811157097
Order Id : EFFD26246320230807230117696
DECLARATION BY THE STUDENT

I HAZEENA BEEVI K M Son/Doughter of KOCHU EBRAHIM hereby declare that I am registered in the Foundation Course on
or before 1st July 2023 and have passed/appeared in the 10+2 examination. I request for permission to appear at the Foundation examination conducted by the
'

Institute of Chartered Accountants of India scheduled to be held in December, 2023 I hereby declare that the particulars stated in this application form are
true to the best of my knowledge and belief. I have read the Guidance Notes for candidates and I shall abide by the terms and conditions contained
therein. In case my candidature is provisional, I will upload Class XII Board exam Admit Card / Mark-sheet before 1st December 2023. 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 Foundation 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.

Explanation of Regulation 25 F and Decision of Council of ICAI

1.The candidate should be registered in Foundation Course with the Board of Studies of the Institute on or before 1st July 2023 for the examination to be held in the
month of December, 2023

2.The candidate should have already appeared in the Senior Secondary (10+2) examination conducted by an examining body constituted by law in India or an
examination recognized by the Central Government or the State Government as equivalent thereto for the purpose of admission to graduation course.

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