Cost of Application Form : Rs.100/-
POST QUALIFICATION COURSE IN INTERNATIONAL TAXATION- ASSESSMENT TEST
(INTT-AT) - NOVEMBER, 2016
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 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/-)
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 1st September, 2016 and upto 8th September, 2016.
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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
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 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,
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
[Set up by an Act of Parliament]
Roll No.
(to be affixed by the office)
POST QUALIFICATION COURSE IN INTERNATIONAL TAXATION ASSESSMENT TEST
(INTT-AT) - NOVEMBER, 2016
Space for specimen signature of the candidate
Please affix your
recent
Passport size
photograph
(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.)
Encl:
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: isa_examhelpline@icai.in
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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 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
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 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
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 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 www.icai.org from 17th October, 2016.
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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 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) Examination
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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