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'*' indicates mandatory fields.
Online Application for empanelment of firm as third party Auditor
1. Name of the Establishment and address
1.1. Name of Organisation * 1.2. Door No. *
1.3. Locality * 1.4. District *
1.5. Mandal * 1.6. Village *
1.7. Pin Code * 1.8. Telephone Number/Contact Number *
2. Date of Commencement of the establishment *        (Clear Date)
3. Email Address *      
4. Status of the Establishment/Firm *      
5. Names of Technical Auditors*
S.No. Name Age Qualifications Experience
(1)
6. Names of Labour Law Auditors*
S.No. Name Age Qualifications Experience
(1)
7. Whether registered with the Registrar of Companies/ Registrar of Firms under LLP Act* :
Registration Number:   Registration Date: (Clear Date)
8. Furnish copies of Audited Balance Sheet and Profit and Loss Account for the last three years
S.No. Balance Sheet Profit and Loss Account Sheet
(1)*
(2)
(3)
9. If you are registered as a third party auditor with other states/center organizations/Statutory bodies/furnish their names, sate of empanelment
S.No. Name Date of empanelment
(1) (Clear Date)

Note: Balance sheet for last three years has to be furnished at the time of interview


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