APPLICATION FOR APRACTISING CERTIFICATE

APPLICATION FOR A PRACTISING CERTIFICATE

SECTION A - PERSONAL INFORMATION

ICATT No.:

Date of Issue:

Name:

First

Middle

Last

Home Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nationality:

Mailing Address: (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email Address:

Date of Birth:

Gender:

Male
Female

Telephone/Mobile Contact:

Place of employment: (if applicable)

Address of employer: (if applicable)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Position held: (if applicable)

Are you a member in good standing of an IFAC member body approved by Council?:

If YES, please state

Name of IFAC member body:

Date of Admission:

Educational Background:

Educational qualification:

Date of qualification:

Name of educational institution:

SECTION B - PRIOR APPLICATIONS/CERTIFICATES

Have you previously applied for a Practising Certificate from ICATT?:

If “Yes”, please indicate the date of the previous application:

Please indicate the reason for its non-approval:

Are you the holder of a Practising Certificate from another institute?:

If “Yes”, please indicate the name of the Institution:

Please indicate the date that this was received:

SECTION C - STATEMENT OF TRAINING & EXPERIENCE

This applies to applications submitted under ICATT’s Rules and Regulations 2018 which became effective on January 1, 2018.
I have complied with the requirement of Practising Regulations 7.1 and have

obtained at least 2,000 hours of relevant practical experience in the area(s) in which I intend to practice during the period

From

and

been under the supervision of a Supervising Principal(s)

With respect to my approved practical experience, I have attached a completed evaluation report in the required format from my Supervising Principal.

I hereby give authorisation for the Supervising Principal to be contacted directly:

Summary of Training & Experience

CONCURRENT Number of Months

(estimated)*

Accounting

Taxation

Insolvency

Information Technology

Management Consulting

Other

Total Concurrent

EXCLUSIVE Number of Months

(actual)

Accounting

Taxation

Insolvency

Information Technology

Management Consulting

Other

Total Exclusive

Total Number of Months

(concurrent + exclusive)

Accounting

Taxation

Insolvency

Information Technology

Management Consulting

Other

Grand Total Number of Months:

Please note: *Time spent in more than one field over the same time period should be ‘split’ between those fields on a ‘best estimate’ basis.

I intend to engage in Practice in the following areas:

TRANSITIONAL PROVISIONS FOR THE ICATT RULES AND REGULATIONS 2018 VALID UNTIL DECEMBER 31, 2018

Are you currently engaged in Public Practice under the definition provided in Part 1.4 of the ICATT Rules and Regulations 2018?

Do you provide Audit Services?

Are you employed by a Firm?

If Yes:

Name of Firm

Date Employed:

If No:

Are you a sole practitioner?

Please indicate how long you have been engaged in Public Practice?

good - of

Please describe the nature of the services you offer:

NATURE OF SERVICE:

Number of clients excluding Public Interest Entities (PIE):

(Please note by # of reports/returns prepared or issued)

Number of Public Interest Entities (PIEs) Clients:

For approximately how many years/months/ hours have you been providing these services?

Is the time period Concurrent or Exclusive?

Estimated fees earned by Practice Area in the last financial year of your organization:

Select the Add button to insert more services.

Please provide further information on your employment/ experience history (post professional qualification):

NAME OF EMPLOYER/ FIRM:

Estimated date of employment and number of months worked:

Nature of tasks performed/ Areas worked:

Reporting Supervisor:

Final position held prior to leaving, if applicable:

Select the Add button to insert additional employer details.

SECTION D - E

This application must be accompanied by a certificate and report issued by a Supervising Principal.
If your Supervising Principal is an ICATT Member in Practice (MNP), he/she must complete and sign Section D1 and Section E.
If your Supervising Principal is not a member of ICATT, he/she must complete and sign Section D2 and Section E.
The signed sections must be submitted together with the application form.

For the Sections D to E please download the form below and get completed, signed and scanned before filling in the form as these are to be uploaded when submitting this form.

Download Section D-E Form

Upload Completed Form:

Click or drag a file to this area to upload.

SECTION F – FIT AND PROPER DECLARATION

(a) Are there any criminal charges or professional disciplinary proceedings pending against you?

(b) Have you ever been:

(1) Found guilty of a criminal offence?

(2) Adjudged bankrupt?

(3) Subject to disciplinary proceedings by a professional body/registered society?

If you have answered yes to any of the above, please provide details and attach other page(s) as needed:

(c) Has any regulatory body ever refused to issue you with a licence or revoked, cancelled, accepted surrender of, suspended, or refused to renew a professional license/certificate held by you now or previously or ever fined, censured, reprimanded or otherwise disciplined you?

If yes, please provide details and attach other page(s) as needed:

(d) I confirm that I meet the provisions under clause 9.1 of the Practising Regulations:

SECTION G - CONTINUOUS PROFESSIONAL DEVELOPMENT (CPD) DECLARATION

Each member applying for a Practising Certificate must meet the CPD requirements as outlined in the Part 4 of ICATT’s Rules and Regulations 2018 .
Members must obtain at least 50 CPD units per calendar year of acceptable CPD learning activities which are relevant to their work. A minimum of 50 percent of the CPD
units earned must be verifiable.

(a) Have you undertaken related CPD units in the last year and made a declaration in accordance with the rules?

(b) If No, please explain?

SECTION H - PROFESSIONAL INDEMNITY INSURANCE

Members in public practice must hold Professional Indemnity Insurance (PII) to cover professional liability. PII is not applicable to an employee of a firm/organization.

Are you an employee of a firm?

If you answered No, please tick as appropriate:

Checkboxes

The name of my insurer and the policy number is provided below
I enclose evidence that I have applied for a policy and undertake to provide details on issuance

If you practice in more than one firm, please provide additional PII details for each firm.

Firm Information

Name of insurance company:

Policy number:

Date of expiration:

Select the Add button to insert another Firm details.

SECTION I - CONTINUITY OF PRACTICE

This relates to a holder of a certificate who is a sole practitioner in his firm. For all of the period during which a certificate is held the member must enter into and
keep in force a written agreement with another auditor/partner, firm of auditors or a limited liability company (LTD). A continuity of practice agreement is not
applicable to an employee applying to hold an audit certificate.

Are you an employee of a firm?

If you have answered No,

Have you made arrangements for continuity of practice in the event of death, incapacity or suspension of your certificate?

If Yes, please provide details:

Name of firm/LTD:

Address of firm/LTD:

Name of Auditor:

ICATT Number:

Country of Residence:

Select the Add button to insert additional Auditor details.

SECTION J – DECLARATION OF APPLICANT

I confirm that I have read the Notes at the end of this section and I declare that:

In signing ICATT’s Application for Reinstatement of Membership, I confirm that I will abide by the provisions of ICATT’s Rules and Regulations 2018, the Code of Ethics, and
relevant standards as adopted by ICATT (and/or any subsequent regulations replacing or amending, in full or part, these regulations)
I have met the ethical, educational and experience requirements and have provided evidence of this in the required manner and format.
I understand that my Application for Reinstatement of Membership may be refused if I have not demonstrated that my experience and knowledge is up to date.
I will use the designation ‘Chartered Accountant’ and the designatory letters ‘CA’ only while I remain a member of ICATT.
I understand that if I engage in any public practice activities as defined by the Rules of ICATT, I will need to hold an ICATT Auditing or Practising Certificate.
I acknowledge my duty to the public to ensure that the quality of my knowledge and service is maintained after qualification; I therefore accept my responsibility to
undertake adequate continuing professional development.
I agree to pay the reinstatement fees and any penalties due and understand that I will be invoiced on the approval of my application. I am aware that a failure to pay
fees due to ICATT by January 1st by each year may lead to removal from the register of members.
I have included everything ICATT needs to know, and there is nothing else I should bring to ICATT’s attention at the present time.
The information provided in this form is true, accurate and complete to the best of my knowledge and belief. I understand that a false declaration on this form may lead
to disciplinary action against me and/or may invalidate any decision related to the application.

NOTES:
The ICATT Rules and Regulations 2018, the Code of Ethics, and/or any relevant standards as adopted by ICATT outline the details of the events which could lead to
disciplinary action. These events include (but are not limited to) the following: Incompetence in carrying out work; breach of ICATT’s Rules or Regulations;
disciplinary action against you by another professional body or regulator; bankruptcy or insolvency; failure to satisfy a judgment debt without reasonable excuse
within three months; criminal conviction and/or caution; civil finding of acting fraudulently or dishonestly as a party or witness in civil proceedings; misconduct –
this includes (but is not limited to) any act or omission which brings, or is likely to bring, discredit to you, a relevant firm, ICATT or the accountancy profession.

SECTION K - METHOD OF PAYMENT TO ICATT

The Annual Subscription is due on January 2nd of each year immediately following registration.

Linx payments are made at ICATT Office only.
Bank Draft / Cheque (Please make cheque or bank draft payable to ICATT).
Bank Deposit FCB A/C# 015006099670 (Place your name & reg. no. is on the receipt and be faxed to 627-7087)
Online Banking via First Citizens Bank Limited or ICATT online payment at www.icatt.org