Application for Renewal of Member Firm – Non Audit

Kindly NOTE that you will be required to attach the following documents when completing this form.

1Basic Details

2Finish

Personal Information

Full Name of Entity: *

Physical Address: *

Postal Address *

Member firm Principal Officer full names *

First

Last

Telephone (Work) *

Mobile number *

Email *

AML Compliance Officer full names *

First

Last

Email *

Contact number *

Partners/Directors in the Accountancy profession

Full name

First

Last

BICA Membership Number

Full name

First

Last

BICA Membership Number (copy)

Full name (copy)

First

Last

BICA Membership Number

Partners/Directors NOT in the Accountancy profession:

Full name

First

Last

ID Number

Full name (copy)

First

Last

ID Number (copy)

Are the Partners/Directors stated above beneficial owners*? *

Yes
No

*A beneficiary owner ‘means a natural person who, directly or indirectly through any contract, arrangement, understanding, relationship or otherwise, is ultimate beneficiary of a share or other securities in a company’

If NO please list all the beneficial owners below and attach their identity documents

List of names of beneficial owners

Full name *

First

Last

ID Number *

Details of the professional accounting services that the entity provides or intends to provide: *

Please indicate by ticking the box if the firm offers company secretarial services *

Yes
No

Attachments

The firm holds adequate professional indemnity insurance, a copy of which is herewith attached.
The firm and its partners give a written undertaking to be bound by the disciplinary provisions of the rules of the Institute individually.
Fit and proper questionnaire
Certified copy of Omang/passport
Police clearance certificate
Provide a certified copy of registration or certificate of incorporation, as applicable to BICA.
Provide the resolution authorizing the signatory to sign on behalf of the firm
Shareholders certificate
Curriculum Vitae detailing experience and qualifications
Quality control manual

The firm holds adequate professional indemnity insurance, a copy of which is herewith attached.

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The firm and its partners give a written undertaking to be bound by the disciplinary provisions of the rules of the Institute individually.

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Fit and proper questionnaire

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Police clearance certificate; to be only submitted by newly appointed directors/partners

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Provide a certified copy of registration or certificate of incorporation. (only if there are any changes)

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Provide the resolution authorizing the signatory to sign on behalf of the firm

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Provide new shareholders certificate (only if there are any changes of shareholders)

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Curriculum Vitae detailing experience and qualifications (only for newly appointed directors/partners)

Click or drag a file to this area to upload.

Quality control manual to be submitted only If there are new changes, if there are no changes on the manual submitted before, do not submit.

Click or drag a file to this area to upload.

Attched Renewal Application Fee

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Declaration *

I declare that the whole of the information contained in the application is true and complete to the best of my knowledge and belief. I acknowledge that any statement contained therein which is known by me to be false may invalidate this application and any decision reached thereon by the Council of the Institute.