Annual Audit Independence Confirmation

Annual Audit Independence Confirmation

In accordance with the policies of McDonald Carter, all partners, professional staff, and others involved in or otherwise connected with professional work must complete and sign a statement of independence as a condition of employment.
Name*

First NameSurname
Email*
jane.doe@mcdonaldcarter.com.my
Branch*

Note:

*Beneficial interest includes ownership of shares by yourself, your immediate family or by a closely connected person. The ownership may be direct, or as beneficiary of a trust, or as adirector of a trustee investment or as an investor of an Investment Plan which holds such investments.
The following will normally be regarded as being closely connected with a person:
1. spouse or domestic partner, except in the case of a spouse from whom the person is separated or a shareholding of a spouse or domestic partner of whose financial affairs the person has been denied knowledge.
2. minor children, including stepchildren; and
3. a company in which he/she has a 20 per cent or more interest.
  In all considerations of the independence of a person or firm, regard must be given to the substance of a relationship. The above list is not, therefore, exhaustive.
Do you or anyone closely connected with you, have any beneficial interest* in any client of the firm or in a trust holding shares or investments in any client?*

YesNo
Where the answer is 'yes', please list below the investments held.

Do you or anyone closely connected with you, hold voting rights in any other firm of statutory auditors?*

YesNo
If 'yes', give details.

Have you or anyone closely connected with you, been employed by any audit client of the firm during the last two years or are you currently in substantive negotiations with a view to joiningany audit client?*

YesNo
If ‘yes,’ give details.

Have you or anyone closely connected with you been seconded to or involved in the management, business activities or records of any client?*

YesNo
If ‘yes,’ give details.

Do you or anyone closely connected with you, have a mutual business interest with a client or a principle of a client?*

YesNo
If ‘yes,’ give details.

Do you or anyone closely connected with you, have a loan from or to or given or accepted any guarantee from or to a client?*

YesNo
If ‘yes,’ give details.

Are you or anyone closely connected with you, intending to join, or are currently in substantive negotiations with a view to joining, any client?*

YesNo
If ‘yes,’ give details.

Have you or anyone closely connected with you, accepted any material goods or services on favourable terms, or received undue hospitality, from any client?*

YesNo
If ‘yes,’ give details.

Do you act as a trustee, cheque signatory or in any management or shadow management role for any audit client, or do you have any personal or family connections with any client?*

YesNo
If ‘yes,’ give details.

I have read and understood the independence policy of the firm which stated in the Firm Policy Manual, and MIA Code of Ethics or MICPA Code of Ethics. I declare that I am in compliance with all the codes, except for the matters listed on the independence resolution memorandum (where applicable).
Signature*
Please verify that you are human*
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