FORM F002 - 2024 FIRM REPROFILING AND RECATEGORIZATION FORM Prevent Duplicate EntryForm Submission is restrictedYour return has been submitted successfully. Kindly check your email for more information.Step 1 of 7Dear Practitioner, Kindly read the following carefully before completing the 2025 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 will receive an email (in the primary email address you indicated on the form) 3. The email will indicate your Firm's category and the applicable fee and serves as invoice to be used to pay your firm's licence renewal fees for 2025. 4. Please note that the deadline for submission of the completed form is 31 December 2025. 5. Note that failure to meet the 31 December deadline will result in your firm's licence not being renewed. RENEWAL OF FIRM LICENCE Please Provide Your Practice Firm DetailsName of Firm*Date of IncorporationFirm's Licensed Number*Firm's Tax Payer Identification Number (TIN)*Firm's Physical Locational Address (if changed)Firm's Postal Address*Firm's Digital/GPS Address*Firm's Email Address (Primary for receipt of invoice)*Firm's Email Address (Secondary)Firm's Active Telephone numbers: mobile*Firm's Active telephone numbers: landline (where applicable)Does the Firm have a Branch?*YesNoIf yes, please provide branch's postal, physical and digital/GPS address*Does the Firm has international affiliation/collaboration?*YesNoIf yes, please provide name of affiliate, country of residence, key contact*Attach a scanned copy of a valid Tax clearance certificate (TCC) for both the firm and the practitioner/partners holding a practising licence to renew your firm and your individual practice* Upload% Completed0Attach a current copy of the firm's Professional Indemnity insurance (PII)* Upload% Completed0 DETAILS OF MANAGING PRACTITIONER / PARTNERSName of Managing Practitioner / Managing Partner*Email of Managing Practitioner / Managing Partner (if changed)*Telephone Number of Managing Practitioner / Managing Partner (if changed)*Number and other partners where applicableName of Partner 1Email Address Partner 1Phone Number Partner 1Percentage ShareholdingName of Partner 2Email Address Partner 2Phone Number Partner 2Percentage ShareholdingName of Partner 3Email Address Partner 3Phone Number Partner 3Percentage ShareholdingName of Partner 4Email Address Partner 4Phone Number Partner 4Percentage ShareholdingName of Partner 5Email Address Partner 5Phone Number Partner 5Percentage ShareholdingIs any of the partners a politically Exposed Person (PEP)?YesNoIf yes, please indicate the name of the partnerAre any of the partner's directors of another company?YesNoIf yes, please indicate the name of the partnerPlease attach details of other partners if there are more Upload% Completed0 STAFFINGTotal Number of Staff*Number of Qualified Staff*Number of Non-Qualified Staff*Number of Permanent Staff*Number of Non-Permanent Staff* EARNINGS PROFILETotal Number of Clients*Number of Audit Client*Number of Non-Audit Clients*Number of Public Interest (PIE) Clients (Per ICAG's Definition)*Number of Regulated Clients*Number of Listed Clients*Do any of your clients have Politically Exposed Persons (PEP)?If yes, please indicate the name of the clientTotal Actual Firm Income/Revenue for 2023*Total Actual Audit Income for 2023 GHS*Total Actual Non-Audit Income for 2023 GHS*Estimated Total Firm Income/Revenue for 2024 (estimated as firm might not have prepared its financial statements for 2023)*Estimated Audit Income for 2024 GHS*Estimated Non-Audit Income for 2024 GHS*Annual Turnover*Category*Fee*Any Revelant Significant Change in the Practice (change in location, partnership structure, inactive/resigned/joined partners etc.)Attach Documentary Evidence of Change Where Appropirate Upload% Completed0Declaration*I declare that the information provided above is true and complete to the best of my knowledgeAny misrepresentation will be referred to the Disciplinary Committee of Council for the appropriate disciplinary measures to be taken against the firm Firm's Anti-Money Laundaering and Combating the Financing of Terrorism and Proliferation (AML/CFT&P) Details:Name of Anti-Money Laundering Reporting Officer (AMLRO)*Date appointedDate employed in the firmDoes the firm have an Anti-Money Laundering (AML) policy?YesNoDoes the firm have the policy to develop and implement effective risk-based AML/CFT&P compliance programs that enable adequate indentification, monitoring, and reporting of suspicious activities to the Financial Intelligence Centre (FIC)?Did the firm provide any of the AML/CFT & P regulated services (i.e. Accountant and Trust of Company Service Provider) mentioned in the AML Framework?YesNoIf your answer to question "f" above is "Yes", please indicate the AML/CFT regulated services performed by the firm: (Accountant / Trust or Company Service Provider / Both) (Please specify, check all that apply)Tick all that appliesThe buying and selling of real estateBuying and selling of business entitiesThe managing of client money, securities or other assestsThe opening or managment of bank, savings or securities accountsThe organisation of contributions necessary for the creation, opertaCreating, operating or management of companies, trust etcActing as a formation agent of legal personsActing as a director or secretary of a company, a partner od a partnershipArranging for another person toact as a director or secretary of another company, a partner of a partnershipActing as a trustee of an express trust or performing the equivalent funtion for a clientArranging for another person to act as a trustee of an express trust or perform the equivalent function for a clientConsent of Disclosure of Firm InformationI hereby agree and consent to the Institute of Chartered Accountants, Ghana to disclose or to provide my information to the public as a firm engaged in public prcatice of accountancy. I further agree that any duplication and any copy, photocopy, electronic data, or facsimile which have been made as a copy from this original consent declaration by means of photcopying, image scanning, or recording in whatever forms shall be deemed as evidence of my consent with the same effect as its original. In compliance with International Federation of Accountants (IFAC) Statement of Membership Obligation (SMO) 1, I will avail my firm at all times for ICAG Quality Assurance Inspection.Single LineSigned (Initials):*Designation: (Managing Partner/Managing Practitioner)*Name:*Date:* Submit2024 FIRMS RE-PROFILING AND RE-CATEGORISATION FORMConfirm