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. 		Date:

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. __________________

Declaration:
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
 
Place:Name: