Cost and Works Accountants Act, 1959
FORM D : APPLICATION FOR THE ISSUE OR RENEWAL OF A CERTIFICATE OF PRACTICE
[See Regulation 10]
To
The Secretary to the Council of
The Institute of Cost and Works Accountants of India,
12, Sudder Street, Calcutta-16.
Sir,
I have already sent*/ am enclosing a cheque/draft No. ............... dated ................... 17 for Rs. 100 towards the fee for the Certificate of Practice for the period / year ending 30th June ................. which may be issued to me / renewed at an early date.
17 2. I declare that I am not engaged in any other business or occupation besides the profession of Accountancy. If and when I intend to be so engaged, I shall obtain the prior permission of the Council.
17 3. I am engaged in other occupation as ............... and propose to continue to be so engaged in addition to the practice of Accountancy for which the permission has already been obtained/ applied for, vide your / my letter No. ......... dated ..............
4. I undertake that as and when I cease to be in practice I shall duly inform the Council as required by the Cost and Works Accountants Regulations, 1959.
17 5. I hold Certificate of Practice for the period ending 30th June ..............
Yours faithfully,
Place: Signature
Date: Membership Number