Part I

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					                                                              Part-I

                                                     A. Profile of the Firm

(i)         Name & Address of the Firm:
(ii)        Principal Place of Business:
(iii)       Year of Establishment:
(iv)        Status of the Firm:
(v)         Number of Partners:
(vi)        Details of Partners:

     S.No              Name                   Qualification       Membership              Core           Total experience
                                                                     No.               Competency        (years)
 1
 2
 3
 4
 5
 6
 7
 8


 (vii)      Contact Details

            Contact Person:                                                          Designation:
            Ph:                                Mobile:                               Fax:


                       B.     Strength of the Firm in Accounting and taxation assignments

 (i)        Details regarding Partners having expertise in the areas of Accounting and taxation assignments

  S.No      Name of Partner   Qualification     Membership No.         Description of assignments   Total experience
                                                                              undertaken                 (years)
 1
 2
 3
 4



                    C. Post qualification experience of Partners in accounting and taxation assignment with
                       applicant Firm

 (i)        Details of Partners having post qualification experience of 5 years with the applicant firm

  S.No      Name of Partner   Qualification     Membership No.         Description of assignments   Total experience
                                                                              undertaken            with the applicant
                                                                                                       Firm (years)
 1
 2


                                                              1
                   D. General

(i)         Whether the applicant firm has been black listed/debarred/ disqualified by any regulatory/
              statutory body or Government entity or any International/National agency for corrupt or
              fraudulent practices? (Yes/No)
(ii)          Whether the applicant firm has an adverse litigation history? (Yes/No)

Note:
       1.   ICAI certificate about status of firm as on 30-07-2012 be attached.
       2.   Peer Review Certificate issued by ICAI if any, be attached.
       3.   Copies of the appointment letter in support of experience of the firm be attached.
       4.   The applicant firm is requested to attach Additional Sheets for providing additional
            information, if any.




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