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BFIA March2023
BFIA March2023
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Participant’s Introduction
Your name
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All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
OUTLINE
I. Fraud and Fraud Risk
II. Fraud Awareness
III. Fraud Prevention and Detection
IV. Fraud Risk Assessment
V. Fraud Investigation
VI. Wrap-Up
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
1
FRAUD AND
FRAUD RISK
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OBJECTIVES
1. To define fraud and fraud risk
2. To describe the different
myths relating to fraud
3. To identify the applicable IIA
standards in relation to fraud
and fraud risk
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6
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
2008 2005
2002 2003
1998 2002
2001 2003
2008
2009
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laws. Any violation will lead to civil or penal action.
2017 2018
2019
2019
R&L Investments
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All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
What is Fraud?
“Any illegal act characterized by deceit,
concealment, or violation of trust. These
acts are not dependent upon the threat of
violence or physical force. Frauds are
perpetrated by parties and organizations
to obtain money, property, or services; to
avoid payment or loss of services; or to
secure personal or business advantage”
Institute of Internal Auditors’ International Professional Practices Framework
(IIA – IPPF)
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What is Fraud?
“
Fraud is any intentional act or
omission designed to deceive
others, resulting in the victim
suffering a loss and/or the
perpetrator achieving a gain.”
- Managing the Business Risk of
Fraud: A Practical Guide
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
Fraud Risk
• The vulnerability that an organization faces
from individuals capable of combining all
three elements of the fraud triangle is fraud
risk.
• Fraud risk can come from sources both
internal and external to the organization.
• Risks that are present before management
action are described as inherent risks.
• The risks that remain after management
action are described as residual risks.
• Objective: make residual risks significantly
smaller than inherent risks.
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11
Fraud Risk
Factors influencing an organization’s
risk:
• Nature of the business it is in
• The environment in which it operates
• The effectiveness of its internal
controls
• The ethics and values of the company
and its employees
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All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
13
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laws. Any violation will lead to civil or penal action.
14
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
15
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laws. Any violation will lead to civil or penal action.
16
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
17
International Standards for the
Attribute Diligence
Standards • 1220: Due Professional Care
Internal Auditing
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18
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
19
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Centre for Professional Development Basics of Fraud for Internal Auditors
21
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22
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
23
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laws. Any violation will lead to civil or penal action.
24
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
2
FRAUD AWARENESS
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laws. Any violation will lead to civil or penal action.
25
OBJECTIVES
1. To identify different categories, classifications,
and examples of fraud schemes
2. To identify different warning signs of fraud
3. To understand the motivation of committing of
fraud
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All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
Types of Fraud
• Internal fraud or occupational fraud
• External fraud
• Fraud against individuals
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laws. Any violation will lead to civil or penal action.
27
Types of Fraud
• Internal fraud or occupational fraud
The use of one’s occupation for personal
enrichment through the deliberate misuse
or misapplication of the organization’s
resources or assets
• External fraud
• Fraud against individuals
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laws. Any violation will lead to civil or penal action.
28
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
Types of Fraud
• Internal fraud or occupational fraud
• External fraud
External fraud against a company covers a
broad range of schemes. This type of fraud
is perpetrated by anyone outside the
organization like customers or vendors.
29
Types of Fraud
• Internal fraud or occupational fraud
• External fraud
• Fraud against individuals
Numerous fraudsters have also devised
schemes to defraud individuals (e.g.
identity theft, Ponzi schemes, phishing
schemes)
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Centre for Professional Development Basics of Fraud for Internal Auditors
Categories of
Occupational Fraud
Fraudulent financial
statements
Corruption
Asset misappropriation
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31
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
Corruption
Conflict of
Bribery interest
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laws. Any violation will lead to civil or penal action.
33
Asset Misappropriation
Fraudulent disbursements
Skimming
Payroll fraud
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34
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Centre for Professional Development Basics of Fraud for Internal Auditors
Diversion
Tax evasion
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laws. Any violation will lead to civil or penal action.
35
Skimming
Larceny
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Centre for Professional Development Basics of Fraud for Internal Auditors
Fraudulent Disbursements
Check and
Register
Billing schemes payment
disbursements
tampering
• Shell company • Forged maker • False voids
• Non-accomplice • Forged • False refunds
vendor endorsement
• Personal • Altered payee
purchases • Authorized
maker
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37
Fraudulent Disbursements
Expense reimbursement
Payroll schemes
schemes
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laws. Any violation will lead to civil or penal action.
38
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
39
Unauthorized reproduction and/or use of IIAP virtual seminar videos and materials is against copyright, intellectual property and data privacy 40
laws. Any violation will lead to civil or penal action.
40
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
41
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laws. Any violation will lead to civil or penal action.
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Centre for Professional Development Basics of Fraud for Internal Auditors
OPPORTUNITY
FRAUD
TRIANGLE
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43
Fraud Triangle
The best and most widely accepted
model for explaining why people commit
fraud
44
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Centre for Professional Development Basics of Fraud for Internal Auditors
Pressure
“Source of heat for the fire” (Lister,
2007)
45
Opportunity
Created by ineffective control or
governance system (internal control
weaknesses)
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Centre for Professional Development Basics of Fraud for Internal Auditors
Rationalization
Justification that the unethical behavior
is something other than a criminal
activity
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47
Fraud Diamond
First presented by David T. Wolfe and
Dana R. Hermanson in the CPA Journal
(2004)
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Centre for Professional Development Basics of Fraud for Internal Auditors
FRAUD
DIAMOND
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49
Capability
Having the necessary traits or skills and
abilities for the person to commit fraud
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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51
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laws. Any violation will lead to civil or penal action.
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All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
53
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Centre for Professional Development Basics of Fraud for Internal Auditors
Demotion
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laws. Any violation will lead to civil or penal action.
55
Inventory shrinkage
Frequent complaints
Multiple payments
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56
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
Concealing Fraud
Other than committing the fraud per se,
fraudsters exert effort in concealing or covering
up the fraudulent act.
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Concealing Fraud
Physical documents
Electronic documents
or files
58
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Centre for Professional Development Basics of Fraud for Internal Auditors
3
FRAUD PREVENTION
AND DETECTION
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OBJECTIVES
1. To describe the three lines of defense
2. To describe the typical roles and
responsibilities for fraud prevention
and detection
3. To understand the different fraud
preventive and detective controls
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60
All rights reserved. Institute of Internal Auditors Philippines, Inc.
Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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laws. Any violation will lead to civil or penal action.
61
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Centre for Professional Development Basics of Fraud for Internal Auditors
•To comply with professional standards and to plan and perform the
audit of the organization’s financial statements to obtain reasonable
assurance about whether the financial statements are free of material
External misstatement and whether the misstatements were caused by error or
Auditors fraud
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63
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64
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Institute of Internal Auditors Philippines
Centre for Professional Development Basics of Fraud for Internal Auditors
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65
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Centre for Professional Development Basics of Fraud for Internal Auditors
IT IS A HUMAN
INTERVENTION
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Fraud Prevention
TRUST IS NOT
ENOUGH!!!
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Centre for Professional Development Basics of Fraud for Internal Auditors
Fraud Prevention
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69
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70
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Centre for Professional Development Basics of Fraud for Internal Auditors
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Group Work
CASE STUDY: Healthcare Fraud
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Group Work
CASE STUDY: Healthcare Fraud
Suggested answer
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Group Work
CASE STUDY: Healthcare Fraud
Suggested answer
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Centre for Professional Development Basics of Fraud for Internal Auditors
Anti-Fraud Policy
It is a critical tool in
communicating the organization’s
stance and processes in respect to
fraud and how it will be dealt with.
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Anti-Fraud Policy
1. Express definition of what constitutes
a fraudulent action
2. Delegation of responsibilities for the
overall management of fraud
3. A statement that all appropriate
measures to prevent fraud shall be
taken
4. Formal procedures which employees
should follow in case a suspected
fraud occur
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Anti-Fraud Policy
5. Notification that all instances of
suspected fraud will be investigated and
reported to the appropriate authorities
6. An unequivocal statement that all fraud
offenders will be prosecuted and that the
police will be assisted in any
investigation that is required
7. A statement that all efforts will be made
to recover wrongfully obtained assets
from fraudsters
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Anti-Fraud Policy
8. Encouragement to employees to report
any suspicion of fraud
9. The steps to be taken in the event a fraud
is discovered and who is responsible for
taking action including:
• procedures staff should follow
• assigning responsibility for an instant
response to the occurrence
recovering funds
• dealing with the media
• preserving evidence and reporting to the
police
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Centre for Professional Development Basics of Fraud for Internal Auditors
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Centre for Professional Development Basics of Fraud for Internal Auditors
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81
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82
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Centre for Professional Development Basics of Fraud for Internal Auditors
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83
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Centre for Professional Development Basics of Fraud for Internal Auditors
Internal audit
Management review
External audit
Admission or confession
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85
Fraud Detection
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Whistleblowing Policy
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Whistleblowing Policy
The policy is designed to ensure that one
can raise concerns about wrongdoing or
malpractice within the company without
fear of victimization, subsequent
discrimination, disadvantage or
dismissal.
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89
Whistleblowing Policy
1. Demonstrate trustworthiness
2. Give options for coming forward
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Whistleblowing Policy
ANONYMITY
VS
CONFIDENTIALITY
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Whistleblowing Policy
1. Demonstrate trustworthiness
2. Give options for coming forward
3. Maintain clear escalation and
dissemination plan
4. Single-hotline and third-party
hotline considerations
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Centre for Professional Development Basics of Fraud for Internal Auditors
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4
FRAUD RISK
ASSESSMENT
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OBJECTIVES
1. To discuss the importance of fraud risk
assessment
2. To determine the key elements of fraud
risk assessment
3. To understand the fraud risk
assessment process
4. To perform fraud risk assessment
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95
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Centre for Professional Development Basics of Fraud for Internal Auditors
Internal audit
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97
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101
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Group Work
• Identify three (3) fraud risks in your
assigned business process
• Prepare a fraud risk assessment
• Be ready to share your group’s output
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5
FRAUD
INVESTIGATION
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OBJECTIVES
1. To differentiate audit and fraud
investigation
2. To know how to conduct fraud
investigation
3. To determine the elements of a
fraud investigation report
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Investigation
protocols
Evaluating an
allegation
Receiving an
allegation
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Conducting an Investigation
The investigation team may need to include
members of different departments or
disciplines to provide the knowledge and skill
sets required
Security or Loss
Legal Counsel External Auditors
Prevention Personnel
IT Personnel /
Fraud Accountants or
Computer Forensic
Investigators Forensic Accountants
Specialists
Internal Management
HR Personnel
Auditors Representative
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Conducting an Investigation
• Investigations may need to be conducted
timely due to legal requirements, to
Time sensitivity mitigate losses or potential harm, or to
institute an insurance claim
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Conducting an Investigation
Legal • Involving legal counsel early in the process
or, in some cases, in leading the
Privileges
investigation, will help safeguard work
product and attorney-client communications
evidence
legal proceedings.
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Conducting an Investigation
• The investigation team should be
removed sufficiently from the
Objectivity issues and individuals under
investigation to conduct an
objective assessment
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Conducting an Investigation
Gathering evidence
Documenting and
Identifying the
preserving
perpetrators
evidence
Determining the
techniques used to
perpetrate the
fraud
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Interview Process
The fraud investigator must:
• Prepare well in advance of the statement.
• Listen carefully to the interviewee, while
at the same time watching for nonverbal
behavior that is inconsistent with the
interviewee’s words.
• Control the statement parameters and
the surroundings.
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Components of an Interview
• Orientation
• Summarizing
• Closure
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6
WRAP UP
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Questions?
OLIDAN CEASAR C. GALVEZ, CPA
Managing Partner
gn.occgalvez@gmail.com
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Thank you!
References:
Anti Fraud Risk and Control Workbook by Peter D. Goldmann
Managing the Business Risk of Fraud: A Practical Guide
International Professional Practices Framework
Internal Auditing and Fraud – IPPF Practice Guide
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www.facebook.com/galveznicdaoconsulting
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