PARMARTH SEVA SAMITI

B-22 Kalyani Kendra, Shiv Vallabh Road, Ashokvan in front of saurashtra Patel hall, Hanuman Tekadi, Borivali East, Mumbai 400066.

Email: parmathgirlshostel05@gmail.com

APPLICATION FORM FOR NEW ADMISSION – APR-2025 TO SEP-2025

Please consider my application for new admission in:

Details of Student

Details of Student's Bank

Details of Articleship / Admission in College

Details of Parent

Details of Local Guardian

DETAILS OF EXAMINATION PASSED

ExaminationMonth and YearMarksPercentage (%)Average (%)
CPT Syllabus Type - Old
CPT/Foundation
IPCC Syllabus - Old
PCC/IPCC (Group-I)
PCC/IPCC (Group-II)

Details of CA Final Exam

ExaminationAppear In (Month and Year)
C.A. Final (Group-I)
C.A. Final (Group-II)

Recommendation by Any Member of Parmarth / Prominent Person

DETAILS OF PAYMENT (APPLICATION PROCESSING FEE)

FEES REFERENCE NO.DATEDNAME OF BANK AND BRANCHAMOUNT(RS)

DECLARATION

1. I declare that the information appearing in the form is true and correct to the best of my knowledge and belief.
2. I further declare that I will abide by all the rules and regulations of the institution.
3. In case of any change in the above information, I will inform the institution immediately in writing within three days.
4. I confirm that I am pursuing and have passed both groups of exams.
5. I have registered/applied for registration as an articled student (Form Nos. 102/103/109).
6. I confirm that I am doing articleship in the Mumbai region, and on change of articleship from the Mumbai region during the course of the term, I will vacate the hostel immediately.

DOCUMENTS TO BE SUBMITTED WITH ADMISSION FORM

  • 1. Attested/True copy of the Articleship registration letter, if received.
  • 2. Attested/True copy of Form Nos. 102 and 103 with acknowledgment by ICAI.
  • 3. Attested/True copy of Form No.109 with acknowledgment by ICAI (in case of transfer).
  • 4. Self declaration in the prescribed form duly signed by the applicant.
  • 5. Letter from donor in the prescribed format, if applied on donor’s seat.
  • 6. Applications in donor category without donor letter may not be considered for admission.
  • 7. Undertaking from local guardian with photo and PAN card copy.
  • 8. Letter from Chartered Accountant firm in the prescribed format.
  • 9. Photo copies of mark sheets of all exams appeared and cancelled cheque of student’s bank account.
  • 10. Attested/True copy of Aadhaar Card or PAN Card for age proof.
  • 11. Latest medical fitness certificate from a doctor and blood group report.
  • 12. 3 recent color photographs (3.5 cm x 2.5 cm).
  • 13. Letter of admission from college/institution (for non-CA students).

FOR OFFICE USE ONLY

Remarks of House Chancellor

Details of Payment (Hostel Fee)