STATEMENT

UNDERSIGNED………….....……………...... ………………….. WITH RESIDENCE IN …………………………...….STREET …………...... ………….…………. NO…………… FLAT……….....…ENTRANCE…………FLOOR……...…APARTMENT…….....….SECTOR...... ,DEPARTMENT…………………..…...... … POSSESSOR OFIDENTITY CARDSERIES…..……..NO………....………ISSUED BY …...... …………………. ON ……………………….., MEMBRE OF THE BODY OF EXPERT AND LICENSED ACCOUNTANTS OF ROMANIA ACCORDING TO EXPERT ACCOUNTANT / LICENSED ACCOUNTANT BOOK NO. …………...…….. / …………....….,

I TAKE IT UPON MYSELF TO DECLARE THAT I DID NOT SUFFERED ANY CONVICTION WHICH, ACCORDING TO THE LEGISLATION IN FORCE, FORBIDS THE RIGHT TO GOVERN AND MANAGE A COMMERCAL ENTITY.

I HEREBY DECLARE THAT ……..…………………… KNOWING THAT FALSE STATEMENT IS PUNISHED ACCORDING TO ARTICLE. 292 FROM PENALE CODE.

Signature,

BODY OF EXPERT AND

LICENSED ACCOUNTANTS OF ROMANIA

SUBSIDIARY

No.______from ______

SUBSCRIPTION APPLICATION

The commercial entity ______

with headquarters on no. ______street______

telephone______fax______represented by ______(general) directorwith accountno.______opened at ______

demands registration as member of the BODY OF BODY OF EXPERT AND

LICENSED ACCOUNTANTS OF ROMANIA

ADDITIONAL DATAE:

a)Activity profile

b)Affiliation to professional associations

We will transfer in CECCAR’s account in the following 30 days the sum of ______representing the registration fee.

We mention that CECCAR subsidiary made available for the entity to consult the international accounting standards and other works edited by the Body according to the activity object of the entity.

Date,Authorizedsignatures,

STATEMENT*)

Concerning the functioning of the accounting expertise entity / accounting entity

  1. Name of the company…………………………Body Registration No.………...... …
  2. Headquarters………………………………………………………………………......
  3. Legal form……………………………………......
  4. Telephone:……………………….fax:…………………….e-mail...... ……………...
  5. Register of Commerce No.……………………..Fiscal Code……………...... ……….
  6. Executive management:

No. / Name
Surname / Function within Entity / Address
Phone / Quality
EC/CA / Part from Records / Job
1.
2.
  1. Shareholders (associates):

No. / Name
Surname / Address
Phone / Main job
Function / Participation
quote / Quality
EC/CA / Part from Records
1.
2.
3.
4.
  1. Employed Staff (with employment record book):

No. / Name
Surname / Function / Quality
EC/CA
/ others / Part from Records
1.
2.
3.

*) Any amendment of the elements within the Statement will be submitted to the Section of expert accountants from CECCAR in 10 days time together with the documents in proof.

  1. Collaborator (with service contract):

No. / Nameand
surname / Main job / Quality
E.C. / C.A. / Part from Records
1.
2.
3.
  1. Activity object:

-

-

-

-

-

-

-

-

-

Undersigned ……………………………….....…...... …from the expertise (accounting) entity with the quality of ……………...... ……………….I declare that I was informed that in the case where all presented about the entity …………………….....……………………will prove to be incomplete or false I shall be liable to the rigour of the law once with the entity exclusion from the Records and with its management.

Date:President (General Director, governor),

………………………….……………………..

THE BODY OF EXPERT AND LICENSED ACCOUNTANTS Annex 3

MEHEDINTI SUBSIDIARY

FORM FOR COMMERCIAL ENTITIES

  1. Identification information

Entity identification number
1.1. /

Entity Name:

1.2. /

C.E.C.C.A.R Authorization No.:

1.3. / Headquarters(street.,no.,residence):
1.4. / Telephone / Fax / E-mail:
1.5. Registration number in Registerof Commerce FiscalCode

1.6. Offices, subsidiaries, branches, agencies, work sites

No. / Name / Address / Telephone/fax
  1. Registeredcapital

2.1. / Total capital (lei RON)
2.2. /

Number of associates/ shareholders

From which:

Expert accountants and/or licensed accountants, members of the Body

2.3 Identification information of the shareholders / associates

No. / Name and surname
(name of the legal person) / Participation rate
(%) / Quality
(EC or CA)
1.
2.
3.
4.
5.
6.
7.
8.

YESNO

2.4. /

Are the shares (social parts) nominative?

  1. The object of activity according to the By-laws

CAEN Code

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

…………………………………………………………………………….

  1. Management Council

4.1 / Total number of members in the management council

From which:

Expert accountants/ Licensed Accountants Shareholders / associates
4.2. /

Identification information of the management council members

No. / Name and surname / Nationality / Address / Quality *) / Function in the management council

*) for the expert accountant quality EC will be filled in, and for the licensed accountant one will be used LA

  1. Participation in other professional bodies

The entity (cabinet) is also part of the following national and international professional bodies:

………………………………………………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………………………

Date:………………………….Authorizedsignature,