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Date Submitted: 05/28/2013 06:41 AM
QUESTIONNAIRE
PART A - PROFILE OF PRACTICE UNIT (PU)
1. Name of practice unit
2. PU No.
3. Address
4. Status
||Partnership||Proprietorship|||Limited Liability Partnership|||Practicing in Individual Name||
5.|Date of establishment of the PU||||||||||||||||||||||||||||||||||
|||d|||d||m||m||y||y||y||y||||||||||||||
|||||||||||||||||||||||||||||||||||||
6.|Firm registration number|||||||||||||||||||||||||||||||||||
|(Membership no., in case of an individual practising in own name)|||||||||||||||
|Period under review1||||||||||||||||||||||||||
7.||From:|d||d||m|m||y||y||y||y|To:|d|d|m|m|y|y|y|y|||
||||||||||||||||||||||||||||||||||||||||
8. Contact Person for Peer Review
9. Particulars about the constitution of the PU during the period under review (as per Form 18 filled with the ICAI):
|Name of partner|Membership|Association|Professional|Predominant|Details of Changes|
||||no. of|with PU unit|experience|function (eg audit,||||
||||partner|(in years)|in practice|tax, consulting)||Joined|Left|
||||||||||||(Year)|(Year)|
|||||||||||||
||||||||||||||
||||||||||||||
||||||||||||||
10.|Particulars of Chartered Accountants Employed|||||||
|Name (s)|||Membership no.||Association with||Experience|
||||||||||the practice unit||(in years)|
||||||||||(in years)||||
||||||||||||
||||||||||||||
||||||||||||||
||||||||||||||
11.|Details of Other Employees||||||||||
|Particulars|||||||Number||||
|(a) Semi-Qualified Assistants||||||||||
|(b)|Articled Assistants|||||||||||
||||||||||||||
|(c)|Administrative Staff|||||||||||
|(d)|Others|||||||||||
||||||||||||||
||||||||||||||
1 Refer Para 3.3 of Statement on peer Review (Revised) issued by the Institute
12|If the PU has any branch offices, furnish the following details|||
|S. No|Member in Charge|Membership No||Address|Tick if turnover|
||||||Exceeds|
||||||Rs. 10 Lacs|
|||||||
|||||||
|||||||
13|Gross receipts of the...