Please complete the form belowPlease enable JavaScript in your browser to complete this form.1Basic Details2FinishPersonal InformationFull Name of Entity: *Physical Address: *Postal Address *Member firm Principal Officer full names *FirstLastTelephone (Work) *Mobile number *Email *AML Compliance Officer full names *FirstLastEmail *Contact number *Partners/Directors in the Accountancy professionFull name *FirstLastBICA Membership Number *Full nameFirstLastBICA Membership NumberPartners/Directors NOT in the Accountancy profession:Full name *FirstLast ID Number *Are the Partners/Directors stated above beneficial owners*? *YesNo*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 documentsList of names of beneficial ownersFull name *FirstLast 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 *YesNoNextConditions For RegistrationAn application to register a member firm must comply with the following conditions: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 questionnaireCertified copy of Omang/passportPolice clearance certificateProvide 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 firmShareholders certificateCurriculum Vitae detailing experience and qualificationsQuality control manualRemittance (exclusive of VAT) *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.Submit Renewal Now
