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Exam Application form for the International Taxation Assessment Test (INTT-AT) -Nov, 2016
August, 17th 2016
                                                                    Cost of Application Form : Rs.100/-

                                (INTT-AT) - NOVEMBER, 2016

                CONTROL NO.                                             ROLL NUMBER

                                                                                  (To be affixed by the Office)

                                     APPLICATION FORM
                                        "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 before filling the form)

  Dates of Examination

   Paper­I-International Tax ­ Transfer Pricing    9th November, 2016
                                                   (Wednesday)                      Please affix recent
   Paper­II- International Tax - Practice          11th November, 2016           Passport size photograph
                                                   (Friday)                          (Do not staple)

   Time of Examination               02.00 PM to 05.00 PM (IST)

   Last Date for         receipt   of     1st September, 2016
   application form
   Last date for receipt of application   8th September, 2016
   form (With late fee of Rs.600/-)

The Secretary
The Institute of Chartered Accountants of India
ICAI Bhawan
Indraprastha Marg
NEW DELHI - 110002

       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

       The fee of Rs.--------- is sent herewith in the form of Demand Draft bearing

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 1st September, 2016 and upto 8th September, 2016.

(As appearing on Certificate of Membership)

Father's Name
(As appearing on Certificate of Membership)
Attach a photocopy of the Membership 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



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 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).
                                                                                              Yours faithfully,

                                                                                   (Signature of the Applicant)

Mobile No. ________________________

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

                   The Institute of Chartered Accountants of India
                                        [Set up by an Act of Parliament]

                                                    Roll No.

                                                                           (to be affixed by the office)

                      (INTT-AT) - NOVEMBER, 2016

Space for specimen signature of the candidate

                                                                               Please affix your
                                                                                 Passport size
                                                                                (Do not staple)

                                       ADMISSION CERTIFICATE

CA.__________________________________________________is admitted to the Post Qualification
Course in International Taxation Assessment Test (INTT-AT) to be held under the Chartered
Accountants              Regulations,            1988            in           November,             2016
at______________________________________Centre. His/her Roll Number is given above. This
certificate must be brought on each day to the Examination Hall to secure admission. Change of
centre is not allowed. The candidates are allowed to use their personal battery operated portable
calculators in the examination. The calculators can be of any make with only 6 functions, 12 digits and
upto 2 memories and should be noiseless and cordless. A calculator belonging to one candidate shall
not be allowed to be used by another candidate. The Superintendent of the centre will have complete
discretion to disallow the use of a calculator, which does not confirm to the above specifications.

        The address of the Examination Centre is given below:

                                                                            Deputy Secretary (Exams.)
1.      Time Table and form for record of answer books.
2.      Instructions to candidates

"ICAI Bhawan", Indraprastha Marg,             Telephone: 0120-3989398, Ext ­836, 3054836, 3054842, 4953742
Post Box 7112, New Delhi - 110 002                                             E-mail:

                          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                9th and 11th November, 2016

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               1st September, 2016 (Without late fee)
  application at the Institute's         8th September, 2016 (With late fee)
  Headquarter at New Delhi       (Application received after 8th September, 2016 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 of the Examination
                                              Membership No.
                                              Centre Opted

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          36   CHANDIGARH     71    JAMMU           106   MYSORE              141   SIKAR
      2    AHMEDABAD     37   CHENNAI        72    JAMNAGAR        107   NAGPUR              142   SILIGURI
      3    AHMEDNAGAR    38   CHITTORGARH    73    JAMSHEDPUR      108   NANDED              143   SIRSA
      4    AJMER         39   CHURU          74    JHANSI          109   NASHIK              144   SIVAKASI
      5    AKOLA         40   COIMBATORE     75    JHUNJHUNU       110   NAVI MUMBAI         145   SOLAPUR
      6    ALAPPUZHA     41   CUTTACK        76    JIND            111   NAVSARI             146   SONEPAT
      7    ALIGARH       42   DEHRADUN       77    JODHPUR         112   NEEMUCH             147   SRI GANGANAGAR
      8    ALLAHABAD          DELHI / NEW
                         43   DELHI           78   KAITHAL         113   NELLORE             148   SRINAGAR
       9   ALWAR         44   DHANBAD         79   KAKINADA        114   NOIDA               149   SURAT
      10   AMBALA        45   DHULE           80   KANNUR          115   ONGOLE              150   SURENDRANAGAR
      11   AMRAVATI      46   DURG            81   KANPUR          116   PALAKKAD            151   THANE
      12   AMRITSAR      47   DURGAPUR        82   KARIMNAGAR      117   PALI MARWAR         152   THIRUVANANTHAPURAM
      13   ANAND         48   ELURU           83   KARNAL          118   PANIPAT             153   THRISSUR
      14   ANANTAPUR     49   ERNAKULAM       84   KISHANGARH      119   PANVEL              154   TINSUKIA
      15   ASANSOL       50   ERODE           85   KOLHAPUR        120   PATIALA             155   TIRUCHIRAPALLI
      16   AURANGABAD    51   FARIDABAD       86   KOLKATA         121   PATNA               156   TIRUNELVELI
      17   BAREILLY      52   FATEHABAD       87   KOLLAM          122   PIMPRI-CHINCHWAD    157   TIRUPATI
      18   BATHINDA      53   FIROZABAD       88   KOTA            123   PONDICHERRY         158   TIRUPUR
      19   BEAWAR        54   GANDHIDHAM      89   KOTTAYAM        124   PUNE                159   TUTICORIN
      20   BELGAUM       55   GANDHINAGAR     90   KOZHIKODE       125   RAIPUR              160   UDAIPUR
      21   BELLARY       56   GHAZIABAD       91   KUMBAKONAM      126   RAJAMAHENDRAVARAM   161   UDUPI
      22   BENGALURU     57   GORAKHPUR       92   KURNOOL         127   RAJKOT              162   UJJAIN
      23   BERHAMPORE    58   GUNTUR          93   LATUR           128   RANCHI              163   VADODARA
      24   BHARATPUR     59   GURGAON         94   LUCKNOW         129   RATLAM              164   VAPI
      25   BHARUCH       60   GUWAHATI        95   LUDHIANA        130   REWARI              165   VARANASI
      26   BHAVNAGAR     61   GWALIOR         96   MADURAI         131   ROHTAK              166   VASAI
      27   BHILWARA      62   HISAR           97   MALAPPURAM      132   ROURKELA            167   VELLORE
      28   BHIWANDI      63   HUBLI           98   MANGALORE       133   SAHARANPUR          168   VIJAYAWADA
      29   BHIWANI       64   HYDERABAD       99   MAPUSA (GOA)    134   SALEM               169   VISAKHAPATNAM
      30   BHOPAL        65   ICHALKARANJI   100   MARGAO (GOA)    135   SAMBALPUR           170   WARANGAL
      31   BHUBANESWAR   66   INDORE         101   MATHURA         136   SANGLI              171   YAMUNA NAGAR
      32   BHUJ          67   JABALPUR       102   MEERUT          137   SANGRUR
      33   BIKANER       68   JAIPUR         103   MORADABAD       138   SATARA
      34   BILASPUR      69   JALANDHAR      104   MUMBAI          139   SHIMLA
      35   BUNDI         70   JALGAON        105   MUZAFFARNAGAR   140   SHIMOGA

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
                                     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 Practical Training conducted
     International      Taxation    by Committee on International Taxation and have been issued
     Assessment Test (INTT-         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 from 17th October, 2016.

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 at a minimum of 50 percent marks in each of the two papers
     (INTT-AT)                    at one sitting. No paper-wise exemptions will be granted.

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 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) Examination
     conducted by the Institute of Chartered Accountants of India, the Courts at Delhi shall have
     exclusive Jurisdiction.

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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