1. Healthcare

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From:
__________________
Chartered Accountants
_________________
_________________
_________________
Ref. No.
Date:
To,
The General Manager
(Internal Audit)
Bank Of Baroda
Central Internal Audit Division
Head Office
10th Floor, Suraj Plaza-1
Sayajigunj
Baroda-390 005.
Dear Sir,
Re:
Application for empanelment for Concurrent Audit-----2015-16
We are submitting the application for empanelment of our firm for
Concurrent Audit in your Bank for following Centres( Please mention the
name of state in bracket)
1.
2.
3.
We enclose herewith our firm’s profile for your perusal.
Thanking you,
Yours faithfully,
For Chartered Accountants
Proprietor / Partner
Encl: as above
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NOTE:
1) No columns of application are to be kept blank.
2) Incomplete applications and / or applications not in format may be rejected without any
further reference.
3) Since large number of applications is received for limited number of vacancies, no
communication will be sent by the Bank and no correspondence will be entertained in
respect of firms, which are not being selected.
4) No Annexure/Extra papers to be enclosed without being called for except copy of
grade suggested by RBI for Statutory Audit be enclosed.
5) The existing Concurrent Auditors which are completing -03- Financial Years as on
31.03.2015 with BOB need not apply as the firms will be under cooling period for minimum
-02- years.
6) The firms which will not be completing -02- years of cooling period as of 31.03.2015
need not apply.
7) Other existing Concurrent Auditors also need not submit their application form to Central
Internal Audit Division. They should send Soft Copy only to the concerned ZIAD.
8) Submit the application through e. mail on [email protected] in WORD
FORMAT (No scanned Copies) followed by Hard Copy on address mentioned at
forwarding copy.
9) Grade suggested by RBI for Statutory Branch Audit as available on website
www.mefcai.org is compulsory for appointment of Concurrent Auditors.
10) Proprietorship Firms and Individual CA are not considered for appointment at Metro and
Urban Centres.
11) Those who have already submitted application form in format other than the following
format are required to submit the same again in this prescribed format.
PROFILE OF THE FIRM FOR EMPANELMENT FOR CONCURRENT AUDIT
BASIC DATA:
Sr.
No.
Particulars
3.
4.
Name of the CA Firm
Centres applied –Distance of the centre 1)
(KM.) from the HO/Branch of the firm to
be mentioned in bracket if it is outside 2)
the city/local place.
3)
Constitution
Address of Head Office
5.
Addresses of Branch Offices
6.
Landline No/s (with STD Code) /
Fax No/s
1.
2.
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Details
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7.
8.
9.
10.
11.
12.
13.
E-mail Address
Date of Establishment
Registration No. of Firm with ICAI
Unique Code No. for Bank Audit
Grade suggested by RBI for Statutory
Branch Audit as available on website
www.mefcai.org
Nature of training attended by the
partners/ staff in connection with
Concurrent audit during last -02- years.
Name & Mobile No. of FCA partner of the
CA Firm for contact
14.
Peer Review if done mention year (YYYY)
and name of institution/s
15.
Whether any disciplinary action by ICAI
instituted/pending against any member of
the firm (if „yes‟ give details)
Whether any assignment given by Bank
of Baroda in past was refused/
discontinued/terminated
Manpower (Nos)
A) Qualified
Professionals:
(i)
Partners ____
(ii) Others
____
B) Articles:_____
C) Details
of
Other
Audit
Staff(including
of
Ex
Bank
Officers/Executives) ______
16.
17.
18.
Out of above
Concurrent Audit
staff
available
for
19.
No. of Audit Staff having CISA/DISA
qualification
with
names.(including
propriter/partner)
19. Particulars of Partners/Proprietor/Individual
Sr.
No.
Name
Page 3 of 6
Qualification
ICAI
Membership No.
Date of
Certificate
of practice
Whether
DISA / CISA
Whether
FCA
or ACA
Mobile
No.
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20. Details of Associate Firms, if any, of the Applicant Firm:
Name
Associate
Firm
of Name of
Partners
Address
Landline No.
(with STD Code)
Mobile No.
EXPERIENCE:
21. Experience of Concurrent Audit of Public Sector Bank including Bank of Baroda (In
applicant firm‟s name):
Name of the Bank
Name of the Branch
Period
22. Details of Current Assignment of Concurrent Audits of Public Sector Bank on hand
(including Bank of Baroda):
Name of the Bank
Name of the Branch
Period
23. Details of Current Assignment of Concurrent Audits of Public Sector Bank on hand
in the name of associate concerns(including Bank of Baroda):
Name of the Bank
Name of the Branch
Period
24. Experience of Concurrent Audit of “Specialized Functions” in Public Sector Bank
i.e. IS Audit (In applicant firm‟s name):
Name of the Bank
Name of the Branch
Period
25. Experience of Statutory Audit of Public Sector Banks (In applicant firm‟s name):
Name of the Bank
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Name of the Branch
Period
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ADDITIONAL INFORMATION:
26. If Firm or partners are having any Credit Facilities / stood as a guarantor with Bank of
Baroda, please furnish necessary details indicating nature of the dealings and the
name of the Bank‟s branch where the account/s is/are maintained:
Name of the partner
Name of
Bank‟s Branch
Nature of Credit
Facilities / guarantee
14 Digit A/c. No.
27. Whether the Firm or any partner has ever been debarred by ICAI/RBI, if yes, details:
Sr.
No.
Name of the partner
Brief reasons for debarment
28. Whether any partner is relative of existing staff member of Bank of Baroda:
Name of Staff & Designation
Name of Branch
Relation
29. Whether any employee of firm is retired Public Sector Bank Employee :
Name of
Employee
Name of
Bank
Last
Designation
No. of Years
of Service
Date of VRS /
Superannuation
Branches served
during last -05Years*
* The employee cannot be deputed for Concurrent Audit of or Bank Branches where he has
served (if he was a employee of our Bank).
30. Whether any partner is retired officer of Public Sector Bank:
Name of Partner
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Name of Bank
Departments
worked
No. of
Years of
Service
Date of VRS /
Superannuation
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31. If any of your client is having credit facilities with our Bank, please furnish name of
the branches:
33. Please furnish the name of borrowers of our Branches, where your firm is a statutory
Auditor/Internal Auditor.
33. Certificate/s
a) I / We hereby confirm that the Firm / any partner is neither Statutory Auditor nor
associate concern (as defined by RBI) of Statutory Auditors of Branches of Bank
of Baroda and we are not disqualified under any of grounds given in Sec. 226 of
the Companies Act, 1956.
b) I / we hereby declare that neither I nor any of our partners/members of my/their
families (family will include besides spouse, only children, parents, brothers,
sisters or any of them who are wholly or mainly dependent on the Chartered
Accountants) or the firm/Company in which I am/they are partners/directors have
been declared as willful defaulter by any bank / financial institution.
c) I / We hereby confirm that I / We am / are not disqualified / ineligible for
appointment at Concurrent Auditor of any Branch / Office of Bank under Sections
139 to 146 of the Companies Act 2013.
d) I / We confirm that the information furnished here are true to the best of my
knowledge.
SIGNATURE
DATE:
P.S. submit the application through e-mail on [email protected] in word
format followed by hard copy on address mentioned on forwarding copy (letter).
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