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Application No. Rv0000280 REGISTRATION NO. 11021001606

Thorat Pravin Laxman is applying for revalidation as a student of the Institute of Cost Accountants of India. He provides his registration number, name, address in Pune, Maharashtra, date of birth, email, mobile number, group, and institute name. He paid 1,011 rupees via transaction number 94254107 at HDFC bank on August 5, 2015 for the revalidation application. He declares that the provided particulars are correct to the best of his knowledge.

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0% found this document useful (0 votes)
116 views1 page

Application No. Rv0000280 REGISTRATION NO. 11021001606

Thorat Pravin Laxman is applying for revalidation as a student of the Institute of Cost Accountants of India. He provides his registration number, name, address in Pune, Maharashtra, date of birth, email, mobile number, group, and institute name. He paid 1,011 rupees via transaction number 94254107 at HDFC bank on August 5, 2015 for the revalidation application. He declares that the provided particulars are correct to the best of his knowledge.

Uploaded by

thorat82
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CMA BHAWAN, 12 SUDDER STREET, KOLKATA-700016


FORM OF APPLICATION FOR REVALIDATION

To
The Secretary to the Council of
THE INSTITUTE OF COST ACCOUNTANTS OF INDIA
CMA Bhawan, 12, Sudder Street, Kolkata - 700 016

APPLICATION NO. RV0000280


REGISTRATION NO. 11021001606
Sir/Madam,
I beg to apply for Revalidation as a student of the Institute of Cost Accountants of India, The required particulars are furnished below:

Name in Full :

THORAT PRAVIN LAXMAN

Address :

A-1,SHIVRATNA IMAGE DHYARI NARHG ROAD NEAR IARI CO OPP FOHIGH BILLSS

State : MAHARASHTRA
Date of Birth :

City : PUNE

Pin Code : 411041

25/06/1979

Email : [email protected]

Mobile : 8983248638

Group : Group-IV

Institute Name : WESTERN INDIA REGIONAL COUNCIL

Payment Details
Payment Mode

Transaction/Instrument No

Transaction/Instrument Date

Drawn on/Bank

Debit/Credit

94254107

05/08/2015

HDFC

Deposited Branch

Amount
1011

I hereby declare that particulars furnished above are correct and complete to the best of my knowledge.

Place : PUNE

Signature:

Date : 02/05/2014

https://cmaicmai.in/studentfacility/WebPages/Master/Revalidation/RevalidationApplPrint.as... 8/5/2015

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