Cost of Application Form : Rs.100/-
POST QUALIFICATION COURSE IN INTERNATIONAL TAXATION- ASSESSMENT TEST
(INTT-AT) - MAY, 2017
CONTROL NO. ROLL NUMBER
(To be affixed by the Office)
APPLICATION FORM
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
"ICAI BHAWAN"
INDRAPRASTHA MARG, NEW DELHI - 110 002
Application Form for Admission to the International Taxation Assessment Test to be held in
accordance with the Chartered Accountants Regulations, 1988.
(Please refer to instructions given in the attached `Notes for Information and Guidance of
Applicants' before filling the form)
Dates of Examination
PaperI-International Tax Transfer Pricing 11th May,2017
(Thursday) Please affix recent
Passport size photograph
(Do not staple)
Paper2- International Tax - Practice 13th May, 2017
(Saturday)
Time of Examination 02.00 PM to 05.00 PM (IST)
Last Date for receipt of 27th February, 2017
application form
Last date for receipt of application 6th March, 2017
form (With late fee of Rs.600/-)
To:
The Secretary
The Institute of Chartered Accountants of India
ICAI Bhawan
Indraprastha Marg
NEW DELHI - 110002
Sir,
I request for permission to present myself at the Post Qualification Course in
International Taxation Assessment Test (INTT-AT) to be held in accordance with Regulation
204 of the Chartered Accountants Regulations, 1988 at
___________________________Centre.
The fee of Rs.--------- is sent herewith in the form of Demand Draft bearing
No_____________Dated_____________Bank____________.
Note: Please add Rs.600/- as late fee if application form is sent so as to reach the Institute's
Headquarters at New Delhi after 27th February, 2017 and upto 6th March, 2017.
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APPLICANT DETAILS IN (BLOCK LETTERS):
Name in Full (IN CAPITAL LETTERS)
Shri/Smt./Ms.
(As appearing on Certificate of Membership)
Father's Name
(As appearing on Certificate of Membership)
Attach a photocopy of the Membership Certificate
City of Professional Address
(for use in Pass Certificate)
Membership Number
Name of Examination
Examination Centre opted
(Please refer to Notes for Information and Guidance
of Applicants instruction No.8)
Specimen Signature of the candidate
1.
2.
DECLARATION
I hereby declare that I have read the "Notes for Information and Guidance of Applicants" published with this
Examination Application Form. I further declare that I am eligible to appear in the INTT-AT to be held in May,
2017 and all the particulars given above are correct and I hereby undertake to abide by the Rules framed by
the Council for the guidance of the candidates appearing in the Post Qualification Course in International
Taxation Assessment Test (INTT-AT). Further, I solemnly affirm that I have completed the Professional
Training conducted by the Committee on International Taxation of the Institute.
Yours faithfully,
Place:_____________
(Signature of the Applicant)
Date:______________
Name____________________________________
Mobile No. ________________________
Email_________________________________
PLEASE FILL IN PLEASE FILL IN
Name & complete Name & complete
address, where the address, where the
Admission Statement of Marks
Certificate (Admit should be sent
Card) should be
sent
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The Institute of Chartered Accountants of India
(Examination Department)
ICAI Bhawan, Indraprastha Marg, New Delhi 110002 INTT-AT
ADMIT CARD (DUPLICATE) Roll No.
INTT-AT EXAMINATION MAY, 2017
LATEST PHOTO
ONLY ( To be filled in by the Candidate in BLOCK LETTERS)
Candidate should affix Name of the Candidate ----------------------------------------------------------
self attested photograph Membership No. -----------------------------------------------------------------
which should be pasted
in this space and not
Centre : City : ---------------------------------------------------------------------
merely stapled. Specimen Signature of the Candidate ----------------------------------------
Venue of the examination :
(To be filled by the office)
Deputy Secretary (Exams.)
The Institute of Chartered Accountants of India
Record of Answer Books tendered at the examination centre
Day & Date of Examination INTT Examination Name of Signature of the Invigilator in
Afternoon Session Papers the confirmation of receipt of answer
(2.00 p.m. to 5.00 p.m.)
(IST) Invigilator book
Paper 1 International Tax
11th May, 2017 (Thursday)
Transfer Pricing
Paper 2
13th May, 2017 (Saturday) International Tax - Practice
__________________________________________________________________________________________
The Institute of Chartered Accountants of India
(Examination Department)
ICAI Bhawan, Indraprastha Marg, New Delhi 110002 INTT-AT
ADMIT CARD Roll No.
INTT-AT EXAMINATION MAY, 2017
LATEST PHOTO ONLY ( To be filled in by the Candidate in BLOCK LETTERS)
Candidate should affix self Name of the Candidate ----------------------------------------------------------
attested photograph which Membership No. -----------------------------------------------------------------
should be pasted in this
space and not merely stapled. Centre : City : ---------------------------------------------------------------------
Specimen Signature of the Candidate ----------------------------------------
Venue of the examination :
(To be filled by the office)
Deputy Secretary (Exams.)
The Institute of Chartered Accountants of India
Record of Answer Books tendered at the examination centre
Day & Date of Examination INTT Examination Name of Signature of the Invigilator in
Afternoon Session Papers the confirmation of receipt of answer
(2.00 p.m. to 5.00 p.m.)
(IST) Invigilator book
Paper 1 International Tax
11th May, 2017 (Thursday)
Transfer Pricing
Paper 2
13th May, 2017 (Saturday) International Tax - Practice
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NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTS OF INTERNATIONAL TAXATION
ASSESSMENT TEST (INTT-AT)
Candidates are advised to carefully read, understand and follow the instructions while filling in the Form and
retain the same for future reference
1 Dates of Examination 11th and 13th May, 2017
2 Timings of Examination
2.00 PM to 5.00 PM (IST)
Paper-1- International Tax Transfer Pricing (100 Marks)
3 Subjects
Paper-2- International Tax Practice (100 Marks)
4 Last date for receipt of 27th February, 2017 (Without late fee)
application at the Institute's 6th March, 2017 (With late fee)
Headquarter at New Delhi (Application received after 6th March, 2017 will not be entertained
under any circumstances. Therefore, candidates sending their
application by Post must send the same at least 3-4 days in advance
of the last date and avoid sending it on the last date for receipt of
application forms).
5 Examination Fee Rs.2000/- (Rupees Two Thousand Only) without late fee
(Note: Candidates are Rs.600/-(Rupees Six Hundred Only) extra as late fee
advised not to send any fee R.100/-(Rupees One Hundred) extra if the examination form is
other than examination fee downloaded from the Institute's website.
along with the Examination
application Form)
6 Mode of payment of fee The Examination Fee should be paid only by way of Demand
Draft which may be of any Scheduled Bank.
Drawn in favour of "The Secretary, The Institute of Chartered
Accountants of India" and should be payable at New Delhi only.
Candidates are advised to furnish the following details on the
reverse of the Demand Draft in their own interest.
Name
Name of the Examination
Membership No.
Centre Opted
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7 Admission Certificate Candidates are required to fill in the relevant columns in the
Admission Certificate and submit the same to the Examination
Department alongwith the examination application form.
8 Examination Centres:-
1 AGRA 2 AHMEDABAD 3 AHMEDNAGAR
4 AJMER 5 AKOLA 6 ALAPPUZHA
7 ALIGARH 8 ALLAHABAD 9 ALWAR
10 AMBALA 11 AMRAVATI 12 AMRITSAR
13 ANAND 14 ANANTAPUR 15 ASANSOL
16 AURANGABAD 17 BAREILLY 18 BATHINDA
19 BEAWAR 20 BELGAUM 21 BELLARY
22 BENGALURU 23 BERHAMPORE 24 BHARATPUR
25 BHARUCH 26 BHAVNAGAR 27 BHILWARA
28 BHIWANDI 29 BHIWANI 30 BHOPAL
31 BHUBANESWAR 32 BHUJ 33 BIKANER
34 BILASPUR 35 BUNDI 36 CHANDIGARH
37 CHENNAI 38 CHITTORGARH 39 CHURU
40 COIMBATORE 41 CUTTACK 42 DEHRADUN
43 DELHI / NEW DELHI 44 DHANBAD 45 DHULE
46 DURG 47 DURGAPUR 48 ELURU
49 ERNAKULAM 50 ERODE 51 FARIDABAD
52 FATEHABAD 53 FIROZABAD 54 GANDHIDHAM
55 GANDHINAGAR 56 GHAZIABAD 57 GORAKHPUR
58 GUNTUR 59 GURGAON 60 GUWAHATI
61 GWALIOR 62 HARIDWAR 63 HISAR
64 HUBLI 65 HYDERABAD 66 ICHALKARANJI
67 INDORE 68 JABALPUR 69 JAIPUR
70 JALANDHAR 71 JALGAON 72 JAMMU
73 JAMNAGAR 74 JAMSHEDPUR 75 JHANSI
76 JHUNJHUNU 77 JIND 78 JODHPUR
79 KAITHAL 80 KAKINADA 81 KANNUR
82 KANPUR 83 KARIMNAGAR 84 KARNAL
85 KISHANGARH 86 KOLHAPUR 87 KOLKATA
88 KOLLAM 89 KOTA 90 KOTTAYAM
91 KOZHIKODE 92 KUMBAKONAM 93 KURNOOL
94 LATUR 95 LUCKNOW 96 LUDHIANA
97 MADURAI 98 MALAPPURAM 99 MANGALORE
100 MAPUSA (GOA) 101 MARGAO (GOA) 102 MATHURA
103 MEERUT 104 MORADABAD 105 MUMBAI
106 MUZAFFARNAGAR 107 MYSORE 108 NAGPUR
109 NANDED 110 NASHIK 111 NAVI MUMBAI
112 NAVSARI 113 NEEMUCH 114 NELLORE
115 NIZAMABAD 116 NOIDA 117 ONGOLE
118 PALAKKAD 119 PALI MARWAR 120 PANIPAT
121 PANVEL 122 PATIALA 123 PATNA
124 PIMPRI-CHINCHWAD 125 PONDICHERRY 126 PUNE
127 RAIPUR 128 RAJAMAHENDRAVARAM 129 RAJKOT
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130 RANCHI 131 RATLAM 132 REWARI
133 ROHTAK 134 ROURKELA 135 SAHARANPUR
136 SALEM 137 SAMBALPUR 138 SANGLI
139 SANGRUR 140 SATARA 141 SHIMLA
142 SHIMOGA 143 SIKAR 144 SILIGURI
145 SIRSA 146 SIVAKASI 147 SOLAPUR
148 SONEPAT 149 SRI GANGANAGAR 150 SRINAGAR
151 SURAT 152 SURENDRANAGAR 153 THANE
154 THIRUVANANTHAPURAM 155 THRISSUR 156 TINSUKIA
157 TIRUCHIRAPALLI 158 TIRUNELVELI 159 TIRUPATI
160 TIRUPUR 161 TUTICORIN 162 UDAIPUR
163 UDUPI 164 UJJAIN 165 VADODARA
166 VAPI 167 VARANASI 168 VASAI
169 VELLORE 170 VIJAYAWADA 171 VISAKHAPATNAM
172 WARANGAL 173 YAMUNA NAGAR
9 How the application form The application form together with a copy of your Membership
should reach the Institute? Certificate and Demand Draft towards examination fee, of any
Scheduled Bank, be sent by Speed Post / Registered Post Only to
the Deputy Secretary (Exams.), The Institute of Chartered
Accountants of India, ICAI Bhawan, Indraprastha Marg, New
Delhi - 110 002.
Candidates are advised to retain the receipt issued by Post
Office till the receipt of Admit Card.
Candidates are advised not to send the application through
courier.
Candidates should not submit / send the application forms to
regional / branch offices of the Institute.
10 Eligibility to appear in the Members who had already undergone Professional Training
International Taxation conducted by Committee on International Taxation and have been
Assessment Test (INTT- issued Eligibility Certificate by them are eligible to appear in the
AT) International Taxation Assessment Test (INTT-AT)
11 Issue of Admit Card The Admit Cards will be sent to the candidates by speed post.
However, details of the Roll No. and centre allotted will be hosted on
the website of the Institute at www.icai.org from 18th April, 2017.
12 Record of answer books The Superintendents of the Examination Centres are being
tendered at the advised to issue receipt for the answer books handed over
Examination Centre through the Invigilator in the form for record of answer books
sent alongwith the Admit Card.
Candidates are, therefore, advised to secure the signature
of the Invigilator concerned while submitting their answer
books and retain the form for record of answer books as
record of receipt till the declaration of result.
13 Requirement for passing A candidate of International Taxation Assessment Test (INTT-AT) shall
the International be declared ordinarily to have passed the examination if he / she
Taxation Assessment Test secures a minimum of 50 percent marks in each of the two papers at
(INTT-AT) one sitting. No paper-wise exemptions will be granted.
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14 Issue of Statement of Statement of Marks will be issued to all the candidates normally in
Marks 10 days time from the date of declaration of result.
15 Verification of Answer After declaration of result, a candidate may, if he / she so desires,
Book(s) apply for verification of his/her answer book(s), necessarily in
his/her own handwriting within one month from the date of
declaration of result. The verification fee is Rs.500/- payable by
way of a demand draft drawn in favour of Secretary, The Institute
of Chartered Accountants of India, payable at New Delhi. There is no
standard application form for verification. Typewritten request will
not be entertained.
16 Certified An examinee may seek inspection/certified copies of answer books,
Copies/Inspection of by sending an application to the Deputy Secretary (Exams), The
Answer book(s) Institute of Chartered Accountants of India, `ICAI Bhawan',
Indraprastha Marg, New Delhi - 110002 in the prescribed format
hosted on www.icai.org within 30 days from the date of declaration
of result alongwith a demand draft for Rs.500/- per paper, drawn
in favour of the Secretary, ICAI, payable at New Delhi.
17 Refund of fee The Fee once paid by a candidate shall not be refunded / adjusted
under any circumstances except where a candidate applies to the
Deputy Secretary (Exams) for the transfer of fee to the next
Examination only, on the ground that he / she was prevented from
attending the Examination on account of circumstances beyond his /
her control provided that application to this effect is not received
after more than fifteen days from the date of examination.
18 For any / all dispute(s) relating to International Taxation Assessment Test (INTT-AT) conducted by
the Institute of Chartered Accountants of India, the Courts at Delhi shall have exclusive Jurisdiction.
PLEASE NOTE:
a) Application should be complete in all respects, otherwise it is liable to be rejected.
b) In the event of furnishing any incorrect information / misrepresentation, the admission shall
become invalid.
c) No correspondence in this regard shall be entertained.
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