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Quality Control and Professional Conduct in Auditing

410 Quality control - Declarations on Fitness and Propriety, Independence and Confidentiality Statements Page 1 of 6 Name: The firm is required to obtain confirmation from all staff, principals, external consultants and sub- contractors that they: · Are fit and proper individuals; · Are independent; and · Will comply with confidentiality requirements. The form should be completed and returned to insert principal name by insert date Fitness and Propriety Yes No Have you contravened any provision of legislation, or any regulations made under legislation, relating to seeking an appointment or acting as company independent reviewer? If yes give details: Have you on any occasion, in respect of any matter, given the Association of Chartered Certified Accountants or another professional body false, inaccurate, misleading or incomplete information or failed to co-operate with such a body? If yes give details: Have you at any time been bankrupt, signed a trust deed for creditors or entered into a deed of arrangement or similar in respect of your financial affairs? If yes give details: Extract from the ACCA "ISQC 1: Practical Guidance for Small and Medium Sized Independent Review Firms" 410 Quality control - Declarations on Fitness and Propriety, Independence and Confidentiality Statements Have you at any time been removed from the office of liquidator, trustee, administrative receiver, administrator or supervisor? If yes give details: Yes Page 2 of 6 No Have you ever been disqualified by a court of law from being a director of any company? If yes give details: Have you at any time been excluded from or refused membership of a professional body on disciplinary grounds? If yes give details: Have you at any time been found to have failed to ensure that the experience and competence of your employees and practice associates is adequate, having regard to the nature of the work involved? If yes give details: Have you at any time been a patient subject to compulsory admission to hospital or guardianship under mental health laws or similar legislation? Extract from the ACCA "ISQC 1: Practical Guidance for Small and Medium Sized Independent Review Firms" 410 Quality control - Declarations on Fitness and Propriety, Independence and Confidentiality Statements If yes give details: Extract from the ACCA "ISQC 1: Practical Guidance for Small and Medium Sized Independent Review Firms"