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Form - D Application For The Issue of Certificate of Practice See Reg. 10, 13 & 14

This document is a Form D application for the issuance or renewal of a Certificate of Practice by the Institute of Company Secretaries of India. It requests the applicant's name, membership number, date of birth, professional address, phone numbers, email, and any changes to qualifications. For renewal applications, it also requests details of any previously issued, surrendered or cancelled Certificates of Practice. The applicant declares that they will engage in the profession of Company Secretary only on a full-time basis, are not enrolled as an advocate or hold other professional certificates, and will adhere to limits on the number of compliance certificates issued in a year.

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64 views

Form - D Application For The Issue of Certificate of Practice See Reg. 10, 13 & 14

This document is a Form D application for the issuance or renewal of a Certificate of Practice by the Institute of Company Secretaries of India. It requests the applicant's name, membership number, date of birth, professional address, phone numbers, email, and any changes to qualifications. For renewal applications, it also requests details of any previously issued, surrendered or cancelled Certificates of Practice. The applicant declares that they will engage in the profession of Company Secretary only on a full-time basis, are not enrolled as an advocate or hold other professional certificates, and will adhere to limits on the number of compliance certificates issued in a year.

Uploaded by

parulshiny
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
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FORM D APPLICATION FOR THE ISSUE OF CERTIFICATE OF PRACTICE See Reg.

10, 13 & 14
To The Secretary to the Council of The Institute of Company Secretaries of India ICSI HOUSE, 22, Institutional Area, odi !oad, New Delhi 110 003 Sir, I furnish "elo# my particulars $i% &em"ership 'um"er ACS( $ii% 'ame in full( $in "loc) letters% Surname $iii% *ate of +irth( $i,% -rofessional Address( $,% -hone 'os. $!esi% $Off.% $,i% &o"ile 'o( Email id( $,ii% Additions to or chan/e in 0ualifications, if any( NIL 1. Su"mitted for $tic) #hiche,er is applica"le%( $a% Issue 2222 $"% !ene#al 222222 $c% !estoration 222222

'ame

2.

$a% -articulars of Certificate of -ractice issued 3 surrendered3Cancelled earlier Sl. 'o. Certificate 'o. NA of -ractice *ate of issue of CNA *ate of surrender 3 Cancellation of C-

NA

4. i. I state that I shall "e en/a/ed in the profession of Company Secretary only on #hole5time "asis and not in any other profession, "usiness, occupation or employment. I am not enrolled as an Ad,ocate on the rolls of any +ar Council and do not hold certificate of practice from any professional "ody includin/ ICAI and the IC6AI. I state that as and #hen I cease to "e in practice, I shall duly inform the Council and shall surrender forth#ith the certificate of practice as re0uired "y the Company Secretaries Act, 1789, and the re/ulations made thereunder, as amended from time to time. I here"y underta)e that, I shall adhere to the mandatory ceilin/ of not more than ei/hty companies in a//re/ate in a calendar year in terms of the Guidelines for Issuing Compliance Certificate and :ours faithfully, -lace(

ii.

iii.

$Si/nature%

Encl. *ate( 22222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222 ; Applica"le in case rene#al or restoration of Certificate of -ractice

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