Online Registration Form for Empanelment of Concurrent Auditors

1)Name of the Audit Firm *  
2)Complete communication address of head office *  
State *
City * 
Pincode*  
3)Telephone numbers with STD CodeSTD    Tel.No.
STD    Tel.No.
STD    Tel.No.
Mobile 1 *  
Mobile 2
4)Fax numberSTD    Tel.No.
5)Email address *  
6)Website
7)Other branches of the firm, if any1
2
3
4
5
8)Constitution of the firm as on date *  
9)Is the firm on RBI panel *
10)Is any partner in the firm CISA/DISA qualified *
11)Is any partner in the firm an Ex-banker *
12)Is the firm/associate/sister concern presently conducting any audit activity in CSB *
13)If  "Yes", CSB branch/office and firm's details *
14)Details of banking experience of partner/s *  
15)Date of incorporation of the firm (dd/mm/yyyy) *  
16)Registration no. of the firm with ICAI *  
17)Registration date of the firm with ICAI  (dd/mm/yyyy) *  
18)Registration no. of the firm with RBI
19)Registration date of the firm with RBI  (dd/mm/yyyy)
20)Service Tax Registration number
21)C & AG empanelment number
22)Permanent Account Number (PAN) of the firm
23)Number of partners as on date *    
24)Details of partners (Please fill up only of  maximum 20 Nos)
Sl NoNameMobile NoQualificationCISA/DISA/ISAMembership No         Year          
 
25)Details of audit staff employed (please provide the count in numbers Range between 0 to 999)
   A.Qualified Chartered Accountants *    
   B.Retired/ Ex-Bank Officers *    
   C.Article/ Audit clerks *    
   D.Other Assistants *    
26)Any other particulars to be mentioned