ANNUAL FIRM LICENCE RENEWAL FORM Your return has been submitted successfully. Kindly check your email for more information.Step 1 of 8Dear Practitioner, Kindly read the following carefully before completing the 2022 firm re-profiling and re-categorisation form. 1. Completion of this form is mandatory for all firms. 2. After completing and submitting the form you would receive an email (in the email address you indicated on the form) 3. The email will indicate your firm's category and the applicable fee and serves as the invoice to be used to pay your 2022 Firm license renewal fees. 4. Please note that the deadline for submission of the completed form is 31st December 2021. 5. Firms that foresee they cannot meet the 31st December deadline should formally write to the Chief Executive Officer for an extension. Please note that only one-month extension is granted. 6. Firms that fail to meet the 31st December or the extension granted deadline will be sanctioned per ICA Act 2020, Act 1058. RENEWAL OF FIRM LICENCEDoes the firm intend to renew its licence for the year 2022?YesNo Name of FirmName of Managing Partner/PractitionerEmail Address and Telephone number of Managing Partner/PractitionerEmail Address and Telephone numbers of other PartnersState the Reason/s for non-renewalHow will the existing clients be catted for?Please note that you cannot sign any financial statements for the period of non-renewal of your firm's licence. The firm will be sanctioned per ICA Act 2020, (Act 1058) if it is found out that it has signed financial statements or conducted any business in the name of the firm. In any year that the firm wishes to renew its licence, the Institute should be formally notified in December, prior to the year of renewal.DeclartionI declare that the information provided above is true and complete to the best of my knowledgeSigned:Designation: (Managing Partner/Practitioner)Name:Date: Please Provide Your Practice Firm DetailsName of FirmFirm's Physical Locational AddressFirm's Digital/GPS AddressFirm's Email Address (Primary for receipt of invoice)Firm's Email Address (Secondary)Firm's Active Telephone numbers: mobileFirm's Active telephone numbers: landline (where applicable)Does the Firm have a Branch?YesNoIf yes, please provide branch's postal, physical and digital/GPS addressDoes the Firm has international affiliation/collaboration?YesNoIf yes, please provide name of affiliate, country of residence, key contact PARTNERS / PRACTITIONER DETAILSNumber of PartnersName of Key Contact Person (Managing Partner/Managing Practitioner)Email Address of Key Contact Person (Managing Partner/Managing Practitioner)Names, telephone numbers, email addressess of other partners (where applicable) STAFFINGTotal Number of StaffNumber of Qualified StaffNumber of Non-Qualified StaffNumber of Permanent StaffNumber of Non-Permanent Staff EARNINGS PROFILETotal Number of ClientsNumber of Audit ClientNumber of Non-Audit ClientsNumber of Public Interest (PIE) ClientsTotal Actual Firm Income/Revenue for 2020Audit Income GHSNon-Audit Income GHSTotal Firm Income/Revenue for 2021 (estimated as the year has not ended)Annual TurnoverCategoryFeeAudit Income GHSNon-Audit Income GHSAny Revelant Significant Change in the Practice (change in location, partnership structure, inactive/resigned/joined partners etc.)DeclarationI declare that the information provided above is true and complete to the best of my knowledge Consent of Disclosure of Firm InformationTo ensure the Institute achieves its objective of ensuring high standards are maintained within the accountancy profession and to gain public and investors' confidence in the sservices rendered by practitioners and practicing firms, we shall make limited information about your firm and its partners to the public and other public institutions for that purpose. In compliance with International Federation of Accountants (IFAC) Statement of Members Obligation (SMO) 1, I will avail my firm at all times for ICAG Quality Assurance Inspection.Signed:Designation: (Managing Partner/Managing Practitioner)Name:Date: SubmitPowered by ARForms
