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Post Qualification Course In International Taxation - Assessment Test (Intt-At) - May, 2019 Application Form
February, 22nd 2019
                 THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
             POST QUALIFICATION COURSE IN INTERNATIONAL TAXATION ASSESSMENT
                                 TEST (INTT-AT) - MAY, 2019
                     (Under Regulation 204 of the Chartered Accountants Regulations, 1988)
                                                Last date: 12th March, 2019 (Without late fee)
                                                 19th March, 2019 (With late fee of Rs. 600/-)
      Cost of Application Form: Rs. 100/-

           NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTS
        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                10th & 12th May, 2019
(2)             Timings of Examination              2.00 P.M. to 5.00 PM(IST)
(3)             Subject:
                Paper ­ I                           International Tax ­ Transfer Pricing
                Paper - 2                           International Tax ­ Practice
(4)             Last Date for receipt of            12th March, 2019 (Without late fee)
                application form at the             19th March, 2019 (With late fee of Rs. 600/-)
                Institute's Headquarters at         (Applications received after 19th March, 2019 will not be
                New Delhi.                          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 advised not   Rs.600/-(Rupees Six Hundred Only) extra as late fee
                to send any fee other than          Rs.100/-(Rupees One Hundred) extra if the examination form is
                examination fee along with the      downloaded from the Institute's website.
                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
                                                    Examination Application Form No.

(7)             Filling up of Admit Card           Candidates are required to fill in the relevant columns in the
                                                   Admit Card and submit the same to the Examination Department
                                                   alongwith the examination application form.
Special Note: There will be no change in the examination schedule even if any examination day is declared as a
public Holiday by the Central Government or any State Government.
(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     BADLAPUR             18   BANSWARA
      19    BAREILLY        20     BATHINDA             21   BEAWAR
      22    BEED            23     BELGAUM              24   BELLARY
      25    BENGALURU       26     BERHAMPORE           27   BHAGALPUR
      28    BHARATPUR       29     BHARUCH              30   BHAVNAGAR
      31    BHILWARA        32     BHIWANDI             33   BHIWANI
      34    BHOPAL          35     BHUBANESWAR          36   BHUJ
      37    BIKANER         38     BILASPUR             39   BUNDI
      40    BURHANPUR       41     CHANDIGARH           42   CHANDRAPUR
      43    CHENNAI         44     CHHINDWARA           45   CHITTORGARH
      46    CHURU           47     COIMBATORE           48   CUTTACK
      49    DEHRADUN        50     DELHI / NEW DELHI    51   DHANBAD
      52    DHULE           53     DURG                 54   DURGAPUR
      55    ELURU           56     ERNAKULAM            57   ERODE
      58    FARIDABAD       59     FATEHABAD            60   FIROZABAD
      61    GANDHIDHAM      62     GANDHINAGAR          63   GHAZIABAD
      64    GONDIA          65     GORAKHPUR            66   GUNTUR
      67    GURGAON         68     GUWAHATI             69   GWALIOR
      70    HALDWANI        71     HARIDWAR             72   HISAR
      73    HUBLI           74     HYDERABAD            75   ICHALKARANJI
      76    INDORE          77     JABALPUR             78   JAIPUR
      79    JALANDHAR       80     JALGAON              81   JALNA
      82    JAMMU           83     JAMNAGAR             84   JAMSHEDPUR
      85    JHANSI          86     JHUNJHUNU            87   JIND
      88    JODHPUR         89     JUNAGADH             90   KAITHAL
      91    KAKINADA        92     KANNUR               93   KANPUR
      94    KARIMNAGAR      95     KARNAL               96   KISHANGARH
      97    KOLHAPUR        98     KOLKATA              99   KOLLAM
      100   KOTA            101    KOTTAYAM            102   KOZHIKODE
      103   KUMBAKONAM      104    KURNOOL             105   LATUR
      106   LUCKNOW         107    LUDHIANA            108   MADURAI
      109   MALAPPURAM      110    MANDSAUR            111   MANGALORE
      112   MAPUSA (GOA)    113    MARGAO (GOA)        114   MATHURA
      115   MEERUT          116    MORADABAD           117   MUMBAI
      118   MUZAFFARNAGAR   119    MUZAFFARPUR         120   MYSORE
      121   NAGPUR          122    NANDED              123   NASHIK
      124   NAVI MUMBAI     125    NAVSARI             126   NEEMUCH
      127   NELLORE         128    NIZAMABAD           129   NOIDA
      130   ONGOLE          131    PALAKKAD            132   PALGHAR
      133   PALI MARWAR     134    PANIPAT             135   PANVEL
         136     PARBHANI                137    PATIALA                  138     PATNA
                 PIMPRI-
         139     CHINCHWAD               140    PONDICHERRY              141     PUNE
                                                RAJAMAHENDRAVA
         142     RAIPUR                  143    RAM                      144     RAJKOT
         145     RANCHI                  146    RATLAM                   147     RATNAGIRI
         148     REWA                    149    REWARI                   150     ROHTAK
         151     ROURKELA                152    SAHARANPUR               153     SALEM
         154     SAMBALPUR               155    SANGLI                   156     SANGRUR
         157     SATARA                  158    SATNA                    159     SHIMLA
         160     SHIMOGA                 161    SIKAR                    162     SILIGURI
         163     SIROHI                  164    SIRSA                    165     SIVAKASI
         166     SOLAPUR                 167    SONEPAT                  168     SRI GANGANAGAR
         169     SRINAGAR                170    SURAT                    171     SURENDRANAGAR
                                                THIRUVANANTHAPU
         172     THANE                   173    RAM                      174     THRISSUR
         175     TINSUKIA                176    TIRUCHIRAPALLI           177     TIRUNELVELI
         178     TIRUPATI                179    TIRUPUR                  180     TUTICORIN
         181     UDAIPUR                 182    UDUPI                    183     UJJAIN
         184     VADODARA                185    VAPI                     186     VARANASI
         187     VASAI                   188    VELLORE                  189     VIJAYAWADA
         190     VISAKHAPATNAM           191    WARANGAL                 192     YAMUNA NAGAR
         193     YAVATMAL
(9)    How the application form should         The application form together with a copy of your Membership
       reach the Institute?                    Certificate and Demand Draft towards examination fee, of any
                                               Scheduled Bank, be sent by Speed Post / Registered Post Only
                                               to the Joint 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 Certificate               Members who have already undergone Professional Training
                                             conducted by Committee on International Taxation and have
                                             been issued Eligibility Certificate by them are eligible to
                                             appear in the International Taxation Assessment Test (INTT-AT)
(11)   Admission    to           the   INTT- No candidate shall be admitted to the INTT-AT(Examination)
       AT(Examination)                       unless he/she has undergone Professional Training conducted by
                                             Committee on International Taxation and has been issued
                                             Eligibility Certificate by the Committee on         International
                                             Taxation .
(12)   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, 2019.
(13)                                 
       Record of answer books tendered         The Superintendents of the Examination Centres are being
       at the Examination Centre               advised to issue receipt for the answer books handed over
                                               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 Admit Card with themselves as record of receipt,
                                                     at least till the declaration of result.
(14)          Requirement for passing the            A candidate for the International Taxation Assessment Test
              International Taxation                 (INTT-AT) shall be declared ordinarily to have passed the
              Assessment Test (INTT-AT)              examination if he / she secures at one sitting a minimum of 40
                                                     percent marks in each of the two papers and 50% marks in
                                                     the aggregate of all the papers . No paper-wise exemptions
                                                     will be granted.






(15)          Issue of Statement of Marks            Statement of Marks will be issued to all the candidates normally
                                                     in two weeks time from the date of declaration of result.

(16)          Check-list to ensure correctness of    Candidates are requested to ensure that the Application is filled in
              enclosures to the Application          correctly giving all the required details and the following
                                                     enclosures are annexed securely.
                                                          Demand Draft for Rs...............
                                                          Application Form
                                                          Admit Card with self attested photo
                                                          Address Slip
                                                          Copy of the Membership Certificate
                                                              Before sending the application, candidates are requested
                                                              to arrange serially the pages of application keeping the
                                                              demand draft and admit card on the Top of the Bunch.
(17)          Verification of Answer Book(s)         After declaration of result, a candidate may, if he / she so
                                                     desires, apply to the Joint Secretary (Exams), The Institute of
                                                     Chartered Accountants of India, `ICAI Bhawan', Indraprastha
                                                     Marg, New Delhi - 110002 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.
(18)          Certified Copies/Inspection of         An examinee may seek inspection/certified copies of answer
              Answer book(s)                         books, by sending an application to the Joint Secretary
                                                     (Exams), The 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.

(19)          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 Joint 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.

              For any / all dispute(s) relating to International Taxation Assessment Test (INTT-AT) conducted by
(20)          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.
             INTERNATIONAL TAXATION ASSESSMENT TEST (INTT - AT)


             CONTROL NO.                                                   ROLL NO.

                                                                                          (To be affixed by the Office)




                                 POST QUALIFICATION COURSE IN
                      International Taxation Assessment Test, May, 2019
             The Institute of Chartered Accountants of India
                      (Please fill in the form carefully as per instructions attached)
I.     I.     DEMAND DRAFT DETAILS
                                       DD          MM       YEAR                                 (Specimen Signature of the candidate)
      1) DATE

      2) AMOUNT (Rupees)                            Downloaded Form             without Late Fee           With Late Fee

      3) DRAWEE BANK

      4) DEMAND DRAFT NO.

      5) PAYABLE AT                    N   E   W    D   E   L   H   I
                                                                    I


II.    II.     APPLICATION DETAILS (IN BLOCK LETTERS)

      1) NAME (MR/MS.):
         (as appearing on
         Certificate of Membership)
      2) FATHER'S NAME (Shri)
         (as appearing on Certificate
         of Membership) Attach a
         photocopy of the membership certificate
      3) CITY OF YOUR PROFESSIONAL ADDRESS                                                                                         (
         for use in Pass Certificate)
      4) MEMBERSHIP NO.                                                      5) GENDER     MALE                        FEMALE

      6) CENTRE OPTED
                                                                                                     D D M M                YEAR
      7) ELIGIBILITY CERT. NO.                                      & DATE OF ISSUE
      8) ADDRESS FOR
          COMMUNICATION
         (IN BLOCK LETTERS)




               CITY                                                                           PIN

                                               STATE

                   TEL.: STD CODE                                       MOBILE NO.

             9) E- MAIL ADDRESS
       I request for permission to present myself for the International Taxation Assessment Test to
be held in May, 2019 conducted by the Institute of Chartered Accountants of India. I solemnly
affirm that the above facts and information are complete and correct to the best of my knowledge
and belief. I also undertake to abide by the Chartered Accountants Regulations, 1988 framed by
the Council for the guidance of candidates appearing for the International Taxation Assessment
Test .

Encls.: 1. Demand Draft.     Yes    No
                             x
        2. Copy of evidence of Membership.                       any No
                                                                  For
                                                                  Yes  / all dispute(s) relating to International Taxation Assessm
                                           (20) No by the Institute        For any  of /   Chartered
                                                                                              all dispute(s)Accountants
                                                                                                                    relating to   of International
                                                                                                                                        India, the Courts    Taxa
                                                                      Ye
        3. Admit Card Proforma.           Yes              Jurisdiction.
                                                            (20)           by    the      For    any
                                                                                         Institute     /
                                                                                                       of  all  dispute(s)
                                                                                                             Chartered            relating
                                                                                                                                Accountants    to    Internation
                                                                                                                                                     of   India,
                                                     Ye For      any /    all  dispute(s)        relating     toof International          Taxation        Assessm
        4. Address slip.
                                                                       (20)Jurisdiction.  by
                                                                                           (Fullthe   Institute
                                                                                                  Signature           of Chartered
                                                                                                                     Candidate)              Accountants          o
                            Yes       No
                                           (20)NOTE:       by   the    For   any
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                                                                                    of   all   dispute(s)
                                                                                           Chartered
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                                      PLEASE
                                      Ye   For any     /  all  dispute(s)
                                                                       by the
                                                           Jurisdiction.      relating
                                                                                    Institute to International
                                                                                                  of Chartered          Taxation
                                                                                                                           Accountants Assessment
                                                                                                                                                of India,  Test th
                                                                                                                                                                 (I
                                                       (20)
                             (20)     a)  Application For
                                           by the PLEASE   should
                                                             any   /be
                                                      Institute NOTE: allcomplete
                                                                           dispute(s)
                                                                   of Jurisdiction.       in  all respects,
                                                                                             relating     to     otherwise
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                                                                        Chartered Accountants of India, the Courts at Delhi s     it is  liable
                                                                                                                                     Taxation      to  be    rejec
                                                                                                                                                     Assessmen
                                      b)  In
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                                      PLEASE      NOTE:
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                                                      Jurisdiction.
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                                      a) sx       PLEASE
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                         PLEASE NOTE:             a) Application
                                      b) In the eventsx                should
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                                                                              Date...........................
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                                             sx




                                                                                                                          P. T. O
HOW TO FILL- IN THE APPLICATION FORM
I              1.     Kindly write the date of issue of demand draft.

               2.     Write amount of fee paid. Please also () the relevant box. (Fee is Rs. 2000/- without

                     late fee and Rs. 2600/- with late fee. Please add Rs. 100/- if the form is downloaded

                    from the Institute's website).

           3.        Write name of the Bank,

           4.        Write numbers of the Demand Draft.

           5.         Demand Draft should be drawn in favour of "The Secretary, The Institute of Chartered

                    Accountants of India" and payable at New Delhi only.

    II     1.        Kindly write your name exactly as recorded in the Register of Members i.e. as appearing

                    in the Membership Certificate.

           2.        Write the name of your father exactly as appearing in the Membership Certificate.

                    Married female members are also required or write Father's Name only.

           3.        Write the name of the place you belong to for use in the pass certificate issued to all the

                    pass candidates.

           4.        Write your membership number. Kindly take special care to write your correct membership

                    number.

           5.        Tick the appropriate box.

           6.       Write the name of a city from amongst the list of examination centres as given in Col. 8 of

                    "Notes for Information and Guidance of Applicants" from where you wish to write the INTT-AT

                (Examination).

          7.        Write the No. and Date of Eligibility Certificate as recorded on the Eligibility Certificate issued

                    to you by the Committee on International Taxation.

           8.       Write your complete postal address, very clearly in Capital Letters for mailing Admit Card, Pass

                Certificate, Correspondence, if any.

          9.        Write Your E-mail address for our records / use.

          10.       Write your Phone No. also under your address in column no. 8.






Enclosures :    Please attach (i) demand draft (ii) copy of evidence of being a member of ICAI (iii) Admit card
                proforma and (iv) Address Slip
                Please tick in relevant boxes.
                         Address Slip

PLEASE                        PLEASE
FILL IN                       FILL IN

Name          &               Name     &
complete                      complete
address,                      address,
where       the               where the
Admission                     statement
Certificate                   of marks
(Admit Card)                  should be
should       be   PIN:        sent         PIN:
sent
   INTT-AT                       SPEED POST / REGISTERED


                           To
                           The Joint Secretary (Examinations)
                           The Institute of Chartered Accountants of India
                           ICAI Bhawan
                           Indraprastha Marg
                           New Delhi - 110002


From : _________________

_______________________

_______________________

_______________________
                                                        THE INSTITUTE OF CHARTERED ACCOUNTANTS O F INDIA
                                                                              (Examination Department)
                                                            ICAI Bhawan, Indraprastha Marg, New Delhi ­ 110002                      INTT-AT

                                       ADMIT CARD (DUPLICATE)                                                            Roll No.
                                       INTT-AT EXAMINATION ­ May, 2019
     LATEST PHOTO
         ONLY                                     ( To be filled in by the Candidate in BLOCK LETTERS)

    Candidate should affix            Name of the Candidate ----------------------------------------------------------
    self attested                     Membership No. -----------------------------------------------------------------
    photograph which
    should be pasted in
                                      Centre : City : ---------------------------------------------------------------------
    this space and not                Specimen Signature of the Candidate ----------------------------------------
    merely stapled.
                                      Venue of the examination :
                                      (To be filled by the office)

 Joint Secretary (Exams.)
The Institute of Chartered Accountants of India


         Record of Answer Book tendered at the examination centre
    Day & Date of Examination    INTTAT Examination Papers        Name of the                             Signature of the Invigilator in confirmation of receipt
    Afternoon Session                                             Invigilator                             of answer book
    2.00 p.m. to 5.00 p.m. (IST)
                                 Paper ­ 1 International Tax ­
    10th May, 2019 (Friday)      Transfer Pricing
                                 Paper ­ 2
    12th May, 2019 (Sunday)      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, 2019
     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            Centre : City : ---------------------------------------------------------------------
  in this space and not             Specimen Signature of the Candidate ----------------------------------------
  merely stapled.

                                    Venue of the examination :
                                    (To be filled by the office)
Joint Secretary (Exams.)
The Institute of Chartered Accountants of India


      Record of Answer Book tendered at the examination centre
 Day & Date of Examination      INTT AT Examination Papers                         Name of the            Signature of the Invigilator in confirmation of receipt
 Afternoon Session                                                                 Invigilator            of answer book
 (2.00 p.m. to 5.00 p.m.) (IST)
                                Paper ­ 1 International Tax ­
 10th May, 2019 (Friday)        Transfer Pricing
                                Paper ­ 2
 12th May, 2019 (Sunday)        International Tax - Practice

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