Financial Reporting Council (Established under the Financial Reporting Act 2004) Application for Renewal of Auditor’s Licence     The applicant is advised to refer to the Financial Reporting Act 2004 (Act No. 45 of 2004 published in the Government Gazette No. 118 of 11 December 2004), to the Financial Reporting Council (Licensing of Auditors) Rules 2005 (Government Notice No. 204 of 2005 published in the Government Gazette No. 134 of 24 December 2005), to the Reprint of the Financial Reporting Council (Licensing of Auditors) (Amendment) Rules 2012 (Government Notice No. 165 of 2012 published in the Government Gazette No. 99 of 11 October 2012) and to the Financial Reporting Council (Licensing of Auditors)(Amendment) Rules 2020 (Government Notice No. 222 of 2020). The applicant shall use CAPITAL LETTERS and black ink throughout. The applicant shall return the form, with the appropriate fee, to the Financial Reporting Council (Licensing Section), 3rd Floor, Anglo Mauritius House, Intendance Street, Port Louis by 31 December 2021. A decision on the application is expected to be communicated to the applicant within 6 weeks from the date of submission of the application form. A. PERSONAL DETAILS 1. Title (e.g Mr/Mrs/Ms/Miss) 2. Surname 3. Maiden name (if applicable) 4. First name 5. FRC licence number 6. Principal Place of Business Address for Correspondence 7. Telephone Number 8. Mobile Number 9. Fax 10 E-mail address . Page 1 of 4 7. Practising Details: On your own account In partnership with other persons In a Limited Liability Partnership Name of firm: ……………………………………………………………………………… B. LICENSING CONDITIONS Yes 1. Have you made an arrangement for Continuity of your Practice? 2. Do you have a valid Professional Indemnity Insurance? 3. Have you maintained your professional competence through No Continuing Professional Development during the year? Please state:  No of units in Auditing: ……  No of units in Other Areas: …… 4. Have you been subject to any legal proceedings during the year? If yes, please provide details. 5. Have you received any complaints regarding your practice? If yes, please provide details. C. AUDIT CLIENTS Please tick as appropriate: (i) The category of audit clients you have in your portfolio: Listed Entities Public Interest Entities (PIEs) : Non – Listed Non – PIEs Global Business Companies (GBCs) (ii) Did you sign any Audit Report in the following years? Page 2 of 4 2019 2020 2021 YES NO ---------------------------------------------------------------------------------------------------------------------RENEWAL FEES (Please complete this section) I hereby submit a cheque of MUR 15,000 representing renewal fee for the period 01 January 2021 to 31 December 2022. Cheque No: Bank: D. On signing this application form I confirm that i. ii. iii. I have not been convicted of any offence involving fraud, or other dishonesty, or any other offence such as an economic offence or money laundering or been subject to penalties for tax evasion (whether or not in Mauritius) during the year; the information given in this form is true, accurate and complete to the best of my knowledge and belief and that I will provide any further information the FRC may request; and I understand that a false declaration on this form may lead to sanctions being taken against me and/or may invalidate any decision related to this application. Name (in CAPITAL LETTERS): ………………………………………………………………. Signature: …………………………………Date: ………………………………………………... This document is an integral part of the process of licensing of an auditor. A false or misleading statement on any part of the form may constitute grounds for sanctions being taken against the applicant under section 43 of the Act. The Financial Reporting Council respects the privacy of individuals and will only transmit personal data outside the Council as a necessary part of verification process. The Financial Reporting Council reserves the right to use, verify and make any enquiries relating to the information provided on this form and in relation to any matter concerning this application. Page 3 of 4 ---------------------------------------------------------------------------------------------------------------------FOR OFFICE USE ONLY 1. Is the form complete? 2. The renewal fees of MUR 15,000 have been duly received. 3. Are there any issues pending following last audit practice review? Please state: ………………………………………………………………………………