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Format of Form for Intimating the ICAI about Engagements Accepted (after submission of Multipurpose Empanelment Application Form for the Year 2009-10)

MEF No.:

Name of the applicant:

Place of Head Office:

Firm Regn. No./MRN:

Unique Code No.:

1. Association of the concern/any partner/proprietor with Public Sector Banks as Concurrent / internal / income and expenditure or revenue auditor/ stock auditor/ auditor of borrowers accounts etc. (other than as Statutory Bank Branch Auditors and Central Statutory Auditors).


Name

of the

Bank

Name of

the

Branch

Name of

the

partner/

proprietor

Nature of

assignment

Term of

engagement

Date on

which

accepted

2. Details of loan availed (for amounts exceeding Rs.1,000) from Public Sector Banks (including outstanding in respect of credit cards)/any guarantee given in respect of any loan etc.

Name

of the

Bank

Name

of the

Branch

Name of

the

partner/

proprietor

*Amount of

loan/

outstanding/

guarantee

Term of loan availed/

outstanding/guarantee

* Please fill-up the amount of loan/outstanding against credit card/guarantee given as on the date of furnishing this information. No further information is required on account of any change in this amount at a later date. However, details of further loan/outstanding against credit card/guarantee given should be sent to the Institute, if any. 3. Details of acceptance of position as Director on the Board of Public Sector Banks.

Name of the

Bank

Name of the

partner/

proprietor

Date of

Appointment

Term of

Appointment

Date on which

appointment

accepted

The above details should be provided in respect of those engagements which have been accepted after submission of Multipurpose Empanelment Form to the Institute. All details received upto 30th November, 2009 would be compiled and submitted to RBI for their consideration.

The above information should be sent by e-mail at mefpdc@icai.in with a copy by Speed Post /Courier at the below mentioned address:

The Director,

Professional Development Directorate

‘ICAI Bhawan’

The Institute of Chartered Accountants of India

PO Box 7100

Indraprastha Marg

New Delhi- 110002

(Details should be given separately for each Bank)

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