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APPLICATION FORMS AND NOTICES (AFN) GEN1

(For DFSA use only)

Form GEN1
Application for registration as an
auditor

Name of applicant

Firms are requested to contact the supervision department of the DFSA


(+9714 362 1500) before considering completing an application.

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APPLICATION FORMS AND NOTICES (AFN) GEN1

Purpose of this form


This form must be submitted by an audit firm wishing to apply for registration as an Auditor. An Auditor
means a partnership or company that is registered by the DFSA to provide audit services to Authorised
Firms and Authorised Market Institutions that are Domestic Firms or to Domestic Funds.
In some cases, the DFSA may require additional information in order to complete the processing of this
application. If this is necessary, the DFSA will contact the nominated contact identified in section 1.

Contents
This form consists of seven sections:
1.
2.
3.
4.
5.
6.
7.
8.

Audit firm details


Anti Money Laundering
Fit & proper questionnaire for AMLO
Fit & proper questionnaire for audit firm
Disclosure to DIFCA
Declaration
Payment of Fees
Attachments

Notes for completing this form

Defined terms are identified throughout this form by the capitalisation of the initial letter of a word or
phrase and are defined in the Glossary module (GLO) of the DFSAs Rulebook.

All sections must be completed.

Questions must be fully answered and the use of abbreviations should be avoided.

Do not leave any questions blank if a question is not applicable this should be indicated in the
response section.

Answers must be typed and the form must be signed by a Director/Partner and the Anti Money
Laundering Officer (if different).

Please ensure any supporting documentation is clearly labelled and securely attached.

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1. AUDIT FIRM DETAILS


1.1

Full or proposed name of audit


firm to be registered

1.2

Address of audit firm (include


both office and postal address)
(Please indicate if current or
proposed)

(Note: The office and postal addresses will be the addresses used for service of notices and correspondence. If the
audit firm does not have a U.A.E. address then it will be asked to supply a U.A.E. address where service can be effected)

1.3

Audit firms head office if


applicant is a branch office

1.4

Name of audit firms other


branches and addresses

1.5

Main telephone number of


address in 1.2
(incl. country and area codes)

1.6

Main fax number of address in


1.2
(incl. country and area codes)

1.7

Website address (if applicable)

1.8

Audit firms contact person for


this application
Position/title
Correspondence address
(if different from 1.2 above)
Telephone number:
Fax number
E-mail address

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1.9

Please provide details of any adviser engaged by the audit firm to assist with the preparation
and ongoing support of this application.
Name of the adviser engaged by
the audit firm
Relevant contact person within
the adviser
Contact address

Telephone/Fax number:
E-mail address
1.10

Legal nature of audit firm


(Note: only companies, Limited
Liability Partnerships and General
Partnership may apply)

1.11

Date and place of incorporation


/formation of the audit firm

Note:
Please attach a copy of the applicants certificate of incorporation/company registration/partnership
agreement (as applicable). If in the process of being formed, please state in formation

1.12

Details of ownership of audit firm


(if insufficient space please
attach additional sheets)

1.13 Background and history of audit firm (if insufficient space please attach additional sheets)

1.14 Please detail the resources to be used to conduct DFSA audits (i.e. human and technological
resources, including number of staff, partners, professional staff and other resources, as applicable).
(If insufficient space please attach additional sheets)

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1.15 Please provide your firms approach to ensuring continuing professional development provided for
employees including audit principals (if insufficient space please attach additional sheets)

1.16

Please list the names and details of the Partners / Directors of the audit firm who will be the Audit
Principals for audits of DFSA Authorised Firms and Authorised Market Institutions that are Domestic
Firms or Domestic Funds. (Rule 8.9.3 of Gen requires that Audit Principals as a minimum hold a
Recognised Professional Qualification; have at least 5 years of relevant audit experience of the last
7 years and be a current member in good standing of a Recognised Professional Body)

Audit Principal No.1


Full Name:

Recognised Professional Qualifications:

Details of audit experience:

Recognised Professional Memberships:

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Audit Principal No.2
Full Name:

Recognised Professional Qualifications:

Details of audit experience:

Recognised Professional Memberships:

Audit Principal No.3


Full Name:

Recognised Professional Qualifications:

Details of audit experience:

Recognised Professional Memberships:

If insufficient space or more Audit Principals will be involved please attach a separate appendix or
additional sheets as necessary.
1.17 Please provide details of professional indemnity insurance
Before registration, the audit firm will need to demonstrate that it holds adequate professional
indemnity insurance covering, amongst other things, fraud committed by the audit firms employees.
Please attach a copy of the audit firms insurance certificate or cover note.

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1.18 Has the audit firm been inspected / assessed by an independent body or had a peer review in the last
twelve months?
No
Yes
If YES, please provide details below including a summary of the findings and copy of any findings.

1.19 Do the audit firms systems, procedures and controls ensure compliance with the International
Standards on Auditing (ISAs) as issued by IAASB of IFAC (or where applicable Auditing Standards
for Islamic Financial Institutions as issued by AAOIFI)? (Please provide a copy of the firms systems,
procedures and controls. If these are integrated into its internal IT systems then please provide a
summary of how the systems, procedures and controls comply with the IASs or ASIFOs). The DFSA
may wish to inspect the IT systems to verify compliance)
Yes

No

If No, please provide details of where systems, procedures and controls do not comply.

1.20 Does the audit firms system of quality control operate to meet the requirements as set out under
International Standard on Quality Control (ISQC) 1? (Please provide a copy of the firms current
quality control policies and procedures. If the firms quality control policies and procedures are
integrated into its internal IT systems please provide a summary of how the policies and procedures
comply with International Standard on Quality Control (ISQC) 1. The DFSA may wish to inspect the
IT systems to verify compliance)
Yes
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No
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APPLICATION FORMS AND NOTICES (AFN) GEN1


If No, please provide details of where system do not comply.

1.21 Does the audit firm have in place adequate systems, procedures and controls to ensure due
compliance with the Code of Ethics for Professional Accountants issued by the Ethics Standards
Board for Accountants (or where applicable the Code of Ethics for Accounting and Auditors for
Islamic Financial Institutions issued by AAOIFI)? Please provide a copy of the firms current systems,
procedures and controls.Note: If the firms systems, procedures and controls are integrated into its
internal IT systems please provide a summary of how the systems, procedures and controls comply
with the Code of Ethics. The DFSA may wish to inspect the IT systems to verify compliance]
Yes

No

If No, please provide details of where systems, procedures and controls do not comply.
1.22 Do you have a letter of intent (see below) from one of your proposed clients who is or is an applicant
to be licensed by the DFSA as a Domestic Authorised Firm, Domestic Authorised Market Institution
or a Domestic Fund?

Yes

No

If YES please attach a copy.


If NO please obtain the letter of intent before submitting this application.
Registered Auditor status will only be granted to Auditors of DFSA regulated entities. Prior to
registration as an Auditor, an audit firm may market services to regulated firms, but may not
commence the provision of such services.
An audit firm shall not accept a mandate from a regulated entity to provide audit services within the
DIFC (nor accept appointment to a tender panel for the provision of such services) until registered as
an Auditor.
Application for such registration must include written evidence or letter of intent from a regulated
entity of its intention to retain the professional services of the audit firm (or appoint the audit firm to a
tender panel for the provision of such services).

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2. ANTI MONEY LAUNDERING


2.1

Please attach the audit firm's Anti Money Laundering (AML) policies, procedures, systems
and controls. These must be specific to its DIFC activities and comply with the ASP AML
Rules of the DFSA including an overview of the audit firms anti Money Laundering function,
staffing levels, responsibilities and reporting lines. The audit firms procedures should
include, amongst other things, arrangements to:
a) ensure compliance with the UAE Law No.4 and any other relevant UAE federal laws;
b) monitor for, detect and report suspicious customers and Transactions; Note: Audit firms
should ensure the procedures comply with the requirement for Suspicious Transaction
Reports (STRs) to be made in the required format to the Anti Money Laundering Suspicious
Cases Unit (AMLSCU), and a copy provided to the DFSA. Details of the required format of
the report and details for submission can be found on the DFSA website;
c) establish and verify the identity of the customer and any other person on whose behalf the
customer is acting, including that of the beneficial owner; unless exception applies (6.5)
d) provide an audit trail of STRs;
e) determine the duties and obligations of its Anti Money Laundering Officer (AMLO);
f) review the effectiveness of its AML policies, procedures, systems and controls at least
annually;
g) respond to any request for information made by competent U.A.E. authorities or the DFSA;
h) maintain AML relevant documents and records;
i) ensure that it obtains and makes use of findings in relation to names of persons, groups,
organisations or entities, or any other body where suspicion of Money laundering or terrorist
financing exists; Be mindful of Government; regulatory and international findings
j) assess its risks in relation to money laundering and to perform enhanced due diligence
investigations for higher risk products, services and customers;
k) determine whether a customer is a Politically Exposed Person (PEP);
l) establish and maintain an AML training programme and awareness arrangements; and
m) ensure compliance with any other obligation in the DFSA's ASP module.

2.2 Anti Money Laundering Officer (AMLO)

2.2.1 Family name/other names


2.2.2 Date of birth (DD/MM/YYYY)
2.2.3 Place of birth

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2.2.4 Passport(s) number(s)

2.2.5 Please state the country(ies) and


place(s) of issue of the applicants
passport(s)
Please attach a copy of all passports held by the AMLO, including copies of any current visas.

2.2.6 Job title/level within the firm


Please attach a detailed job description clearly outlining the AMLOs role and responsibilities within the firm and attach
details of the AMLOs employment record for the previous 10 years highlighting any experience relevant to the role of AMLO.

2.2.7

Residential address

2.2.8

Dates resident at above address


(from/to)
Previous address if less than 3
years at above address

2.2.9

2.2.10

Contact details

Telephone
Fax
E-mail

2.2.11

What steps will be taken by the audit firm to ensure that the AMLO will be fully aware of his or
her duties and be able to carry out these duties effectively? Please provide details.

2.2.12

Do another jurisdiction's laws or Regulations prevent or inhibit the audit firm from complying
with the U.A.E. Law No.4 or the DFSA Rules?
Yes

No

If Yes, please give full details

Note: Should such an event arise in the future audit firms are obliged to notify DFSA in writing promptly

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3. FIT & PROPER QUESTIONNAIRE FOR AMLO


3.1

Please complete the following questionnaire in relation to the proposed AMLO


Answers must be provided to every question.
Yes

Has the applicant AMLO:


(i)

been convicted or found guilty by any court of competent jurisdiction in


respect of any offence, other than a minor road traffic offence?

(ii)

ever been the subject of disciplinary procedures by a government body or


agency or any self Regulatory organisation or other professional body?

(iii)

contravened any provision of Financial Services legislation or of Rules,


Regulations, statements or principle or codes of practice made under or
by a Financial Services Regulator or other supervisory body?

(iv)

been refused or restricted the right to carry on a trade, business or


profession requiring a licence, registration or other authority?

(v)

been dismissed or requested to resign from any office of employment?

(vi)

been concerned either individually or with the management of a Body


Corporate who or which has been or is currently the subject of an
investigation into a allegation of misconduct or malpractice?

(vii)

received an adverse finding in a civil action by any court of competent


jurisdiction of fraud, misfeasance, or other misconduct, whether in
connection with the formation or management of a corporation or
otherwise?

(viii)

received an adverse finding in an agreed settlement in a civil action by


any court or tribunal of competent jurisdiction resulting in an award
against an individual in excess of $10,000 or awards that total more than
$10,000?

(ix)

been the subject of an order of disqualification as a Director or otherwise


to act in the management or conduct of the affairs of a corporation by a
court of competent jurisdiction or Regulator?

(x)

been a Director, or Partner or concerned in the management of a


company or Partnership which has gone into insolvent liquidation whilst
the individual was connected with that company, Partnership or within
one year of such a connection?

(xi)

been the subject of complaint in connection with a Financial Service or


Accounting Service which relates to his integrity, competence or financial
soundness?

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APPLICATION FORMS AND NOTICES (AFN) GEN1

(xii)

been censured, disciplined, publicly criticised by or the subject of a court


order at the instigation of a Financial Services Regulator or any officially
appointed inquiry?

If you have answered Yes to any questions, please provide appropriate details of the matter below.

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4. FIT & PROPER QUESTIONNAIRE FOR AUDIT FIRM


4.1

Please complete the following questionnaire in relation to the audit firm


Answers must be provided to every question.
Yes

Has the audit firm:


(i)

been convicted or found guilty by any court of competent jurisdiction in


respect of any offence?

(ii)

ever been the subject of disciplinary procedures by a government body or


agency or any self Regulatory organisation or other professional body?

(iii)

contravened any provision of Financial Services legislation or of Rules,


Regulations, statements or principle or codes of practice made under or
by a self regulatory body, Financial Services Regulator or other
supervisory body?

(iv)

been refused or restricted the right to carry on a trade, business or


profession requiring a licence, registration or other authority?

(v)

received an adverse finding in an agreed settlement in a civil action by


any court or tribunal of competent jurisdiction resulting in an award
against or payment in excess of $10,000 or awards that total more than
$10,000?

(vi)

been censured, disciplined, publicly criticised by or the subject of a court


order at the instigation of a Financial Services Regulator or any officially
appointed inquiry?

No

If you have answered Yes to any questions, please provide appropriate details of the matter below.

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5. Disclosure of information to the Dubai International Financial Centre

Authority (DIFCA)
The provision of certain information by the DFSA to the DIFCA under the following consent will assist the
DIFCA in exercising its functions and powers. It is not mandatory to provide consent and should you not
wish to provide consent, we ask that you consider keeping the DIFCA informed of the progress of your
application.
I consent

/ I do not consent

to disclosure of the following information by the DFSA to DIFCA:

1.

The fact of the filing of this application, together with the name of the applicant;

2.

The fact (if applicable) that this application is still being reviewed by the DFSA; and

3.

The outcome of this application. An outcome may include a decision by the DFSA to approve this
application, in principle or otherwise, or to reject the application or the withdrawal of the application.

6. DECLARATION
6.1 Declaration by the audit firm (senior partner or equivalent)
6.1.1 I declare that, to the best of my knowledge and belief, having made due enquiry, the information
given in this form is complete and correct. I understand that it is an offence under Article 66 of the
Regulatory Law 2004 to provide to the DFSA any information which is false, misleading or deceptive
or to conceal information where the concealment of such information is likely to mislead or deceive
the DFSA.
6.1.2 I declare my understanding that the DFSA may request more detailed information (including but not
limited to, personal, educational, employment and financial information) should it be deemed
necessary to adequately assess the fitness and propriety of the firm or any person connected to the
firm. I consent to the DFSA contacting any previous employers, educational institutions,
professional organisations or any other organisation, to verify any information contained in this form.
6.1.3 I declare that the firm, the Audit Principals and its Employees are fit and proper to perform the audit
services.
6.1.4 I confirm that I have the authority to make this application, to declare as specified above and sign
this form for, or on behalf of, the applicant. I also confirm that I have the authority to give the
consent specified above.
6.1.5

For the purposes of complying with DIFC Data Protection Law 2007, I understand that any
Personal Data provided to the DFSA will be used to discharge its regulatory functions under the
Regulatory Law 2004 and other relevant legislation and may be disclosed to third parties for those
purposes.

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Name of a Director/Partner

/
Signature of a Director/Partner

Date

Name of the AMLO if different from above

/
Signature of the AMLO if not signed above

7.

Date

Fees

Applications will not be processed until the relevant fee is paid in full to the DFSA. Details of the application
fees are contained in the Fees module of the DFSA Rulebook.
Please make the payment by Bank transfer in US Dollars to the account listed below. Cheques or bank
drafts will not be accepted.
Account name

Dubai Financial Services Authority

Account number

020-683751-100

Bank details

HSBC Bank Middle East


PO Box 66
Dubai, UAE

Swift code

BBMEAEAD

Reference to be quoted

Application fee [applicant name]

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8. ATTACHMENTS
Section

Document

Attached?

1.10

Certificate of Incorporation/Company Registration/Partnership


Agreement

N/A

1.7

Professional Indemnity Insurance Certificate

N/A

1.22

Letter of Intent from Authorised Firm or Authorised Market


Institution

N/A

1.18

Copy of findings

N/A

1.19

Copy of systems, procedures and controls in relation to


International Auditing Standards / Auditing Standards for Islamic
Financial Institutions

N/A

1.20

Copy of quality control policies and procedures

N/A

1.21

Copy of systems, procedures and controls in relation to Code of


Ethics

N/A

2.1

Anti Money Laundering procedures

N/A

2.2.5

Copy(ies) of passport(s)

N/A

2.2.6

AMLO job description

N/A

2.2.6

AMLO employment details for the last 10 years

N/A

Fit & Proper questionnaire AMLO

N/A

Fit & Proper questionnaire Audit Firm

N/A

Other

Please list

N/A

N/A

Please return completed form to:


DUBAI FINANCIAL SERVICES AUTHORITY
SUPERVISION DEPARTMENT
LEVEL 13, THE GATE BUILDING
DUBAI INTERNATIONAL FINANCIAL CENTRE
PO BOX 75850
DUBAI, UAE

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