Application Form

    1. Name and Address
    Name of the auditor/ audit firm
    Contact person
    Address
    Phone number
    Fax number
    E-mail
    Website
    2. Registration
    Date and place of registration
    License (type and no.
    3. Partners
    Names of partners/shareholders
    Number of partners with national audit license
    4. Employees
    Number of employees with audit license
    Number of employees with MBA
    Number of employees with BA
    Other employees
    Total number of employees
    5. Services
    Which kind of services do you provide?
    To which type of clients do you mainly provide your services?
    Big companies? Sector?
    Small and medium-sized enterprises? Sector?
    Individuals? Sector?
    Non-profit organisations? Sector?
    Government agencies? Sector?
    What do your clients appreciate most in your services?
    6. Quality Policy
    Do you have regular peer audits?
    Is there a requirement for continuous professional education?
    How do you internally ensure the quality of your audits?
    7. Membership
    Are you a member of a national professional body? Which one?
    Are you a member of an international network? Which one? Which one?
    8. International Experience
    Which languages are spoken by your partners/ employees?
    Have you already had assignments in other countries? Which countries?
    9. EMPACTA
    How did you learn about EMPACTA?
    Which benefit do you expect from your membership in EMPACTA?
    Please provide the following annexes, if available:
    copy of registration
    copy of license
    last peer audit report
    copy of membership document (in professional body or network)
    Yes I declare that I have read and that I acknowledge the mission statement of EMPACTA.
    Place, date
    Electronic Signature (enter your full name)