Application format for seeking certified copies/inspection of evaluated answer books (Necessarily in examinee's own handwriting)
The Deputy Secretary (Exams)
The Institute of Chartered Accountants of India
ICAI Bhawan, Indraprastha Marg
New Delhi 110 002.

Dear Sir
I hereby apply for the following:
Name of the candidate:

Contact no : STD Code:           Land line No:
Mobile:                               E-mail:
Address for correspondence:
Student Registration No :

Examination : CPT/Intermediate(IPC)/ATE/Units/Final/ISA-AT/IRM/ITL&WTO/MAC/CMC/TMC

   Month:             Year:              Roll No:
Particulars of answer books, of which, you wish to seek(select One):Certified CopiesInspection

PaperNo. Name of the Subject

Details of Fees paid (for Offline Application): DD No : _________________________Date: ____________

Drawn on : __________________ For Rs. __________________

I hereby declare and affirm that the details mentioned above relate to me only and are true to the best of my knowledge and belief.
I hereby declare that I have read and understood the terms and conditions of the scheme framed by the ICAI regarding providing inspection/certified copies of evaluated answer books and that I shall abide by them in letter and spirit.
I am seeking inspection/certified copies of my evaluated answer books for my own academic guidance and shall not use them, for any other purpose.
I understand that the certified copies so obtained by me shall be for my exclusive use. I shall be the sole custodian of the copies of the evaluated answer books as and when they are made available to me by the Institute and I shall not under any circumstances part with the custody/possession of the same and shall not use the same for any other purpose/s.

Date: Signature of candidate