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    Exam Form

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    rajvardhan995

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    © All Rights Reserved
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    Exam Form

    Uploaded by

    rajvardhan995
    1 views4 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    1 views4 pages

    Exam Form

    Uploaded by

    rajvardhan995

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA

    (SETUP BY AN ACT OF PARLIAMENT)

    Application Details

    Foundation Exam Registration Form (June, 2024)

    Student Details

    Application Number Name


    EFFD514181 HARSH VARDHAN

    Gender Father's Name


    MALE VED PAL SINGH YADAV

    Date Of Birth Registration No


    CRO0816746

    Region Nationality
    CENTRAL INDIAN

    Differently Abled ? Percentage Of Disabilty


    No Not Applicable

    Concessions Medical Certificate Date


    Not Applicable Not Applicable

    Last Known Contact Details

    Mobile Number Email Id


    9956480985 [email protected]

    Exam Details

    Current Course Name Course Registration Date


    Foundation 28/Jan/2024

    Course Code Course Expiry Date


    NEWFND23 28/Jan/2028

    Examination Date
    June/2024

    Provisional Flag (Yes = Provisional) Reason Of Provisional ( When Flag = Yes)


    No None

    Last Known Correspondence Address

    Address Line 1 Address Line 2


    MALARAM COLONY ROAD CHINOR SHAHJAHANPUR

    Address Line 3 Address Line 4


    ON MALARAM COLONY ROAD NEAR CHINOR MARKET SHAHJAHANPUR

    Country State
    IND UTTAR PRADESH

    District City
    SHAHJAHANPUR SHAHJAHANPUR

    Pincode
    242001

    Qualification Details

    Result
    Month and
    CGPA
    Examination Roll No Board/Authority/University year of
    Awaited/Passed Marks Maximum Percentage (Grade)
    examination
    Obtained Marks
    Class X 21244978 CENTRAL BOARD OF AUG 2021 PASSED 287 500 57.40 -
    SECONDARY EDUCATION
    (CBSE)

    Class XII 21722434 CENTRAL BOARD OF MAY 2023 PASSED 424 500 84.80 -
    SECONDARY EDUCATION
    (CBSE)

    Medium Details

    Medium Opted
    English

    Centre Details

    Region Exam State


    Central UTTAR PRADESH

    Exam City Centre Code


    LUCKNOW - II 4059

    Zone
    Alambagh, Singar Nagar, Krishna Nagar, Transport Nagar, Amausi, CCS Airport,
    Mawaiya, Durgapuri, Aminabad, Husain Ganj, Sachivalaya, Hazratganj, IT chauraha,
    Badshah Nagar, Bhoothnath Market, Lekhraj Market, Munshipulia, Ashiyana, Krishna
    Nagar, Aminabad, Aishbagh, Contonment, Sadar, Tiwaripur, Teli bagh, Sarojini Nagar,
    Sharda Nagar, Alinagar Sonhara, Bangla Bazar, Bijnor, Civi lines, Purseni, Rudrawara
    colony, Kanausi, Kasimpur, Viruha, Kathigera, Khujauli, Kumhrava, Lalbagh, Lalkuan,
    LDA colony, Makaria Kalan, Maunda, Nadarganj, Naka Hindola

    Fee Details ( Based on Selections)

    Examination Fees Late Fees


    1500 0

    Total Fees
    1500

    Payment Transaction Details

    Payment Mode Payment Date


    online 23/Feb/2024

    Payment Status Payment Transaction Number


    S 20240223011030000967770757323232595

    Payment Order Id Payment Receipt Number


    EFFD51418120240223125528750 E20240223596411

    Payment Card Type


    online

    Self Declaration

    I hereby declare that all 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 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.

    Your Photograph And Signature (If Blank, Form can't Be Submitted)

    Sr.
    Description Documents
    No.

    1 Photo

    2 Signature

    Print
    Version 15.01.01

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