Zs wey weer TT Jas conven ore &e Madhya Pradesh Gramin Bank (eer rere. UreT Ge er alts afar a ge TET) wHadl cer ee (wid awe wi — caniRM/ aga afterai — RBA) @ ve wy Males og fasrfer fie 08.04.2024 mea eM uP ty, get oraters, sche waadl ear WMeret at Myfad arcst & TER Wy tH weit & wradih crear uke vel d fore wa /ara wt /afwat 8 oaetwa omfad am 81 age wi /atas de Patt orl A yet wr a ay ordet SH wer oft ot fe Praferfat va/g—Aar va oR feria 24.04.2024 aH seo IS A oe ate 24 ea EP aT INT AT A SAIC Waa) GEOR FA (CA FIRM) &Y | UPAR —% 50.00 ‘UPAR —% 50.00 os | Rca a | ats @ afte ois 8 on fit ‘ord or rae wert | fhe area are | rare arefh ay free | sa /oRafia umarait & fer urarait & fer wire 7 aaa ada (7. aad dwron AL wad caren A [waka wee A faq tea o ws Sear | Pret arr | meee of ee) rere of ee | rg aT fig fara ore, Fre ters | at at verte att | weet Ber ater | aterm os et 3 fare Concur | ade (Concurrent Awdity | FFA HT GH reat ore «(2 eter dene |e on dons at ad siete oe at ‘auditor | 7 ail. arka ef, | 8 arka ef, fre aH) wet ag wa at ater z rar fe ora ar at Tam a at oT ad & fay oat | wramees | ata write / arartt 01 a & fy fro oem | waft festa | ante de & wie srg Psat arts | minted | darter or age aed] Pega Bt jaerame | site tar [at wad dat gh ay | smart | afer or arpa a Rye at or aT [or Rafer [sal Pat ce [od oe ge wa eT! eet frat mea ot 2 ad ar aides at 2 at ar weed der | aaah Sa ster | wrath Sar der aT afer arama dt | genre eh fee agate fom on [a A aay oe [wT ae a ae wae an tite ae | dota | ade der afta vtirat & ae 4 Prat | Reacat or | aka Ria a | fier a ahd gw ee oR er TO | Sor ae woe | ode a orig te fomger fea eras | a gost gar | ghar aneere: & rem) wR orate maT & wa Aeron A aed wt arreron [Sot aan a ow [wl tom 8 ons eee See | a amare ue | 5 shberrer wee | shbarrer weer aT eS eee | fem oy | er sey | safety der steel dh een @ | wer ge aR EN orrat, went 3 afta area rie Geaot eas | ‘aerer saree 4) OA erent ferret oft | wed Ber area wma wrt 2s wae @ Head Office: 208, C21 Business Park, C21 Square, Opp- Hotel Radiecion Blu, MR-10 Indore (MP) 452010 ‘Website: wivw.mpabsco.in TON Free No, 1800 233 6295: i i i oe 9 ii ai agit geily m yg a vile agitdeesy i hb ie ai? i * wa afta Pret Al woe cot aren eran et me 2a a8 een ? naar en wi wl ae after wel ei fe ae feel ora oF Sr eral cet wee} waorgae % ud | Waa crear Wet eq GH, SHA Vee 1956 aI 226 } oa Wa eT aed asi wal A aad caro wal oT UAE ork ef ud wit ores af A Rafe 4 fee we wi a) wad cea when dq Pyar fer ore tah oF frei se ent wake sider eg Aya fear wer et ae wF sera Taar feeex od, waadl car War eg are vs ore fae at & fora Praga we St oT Ma S| Wile eat Wea GF sea Gad wes /aioaex w faeeq ae 21d orf alg mara at wig wrfard Ht ag /cifder ve eter ened | afta oA a ge onera er eee va char afea | Head Office: 204, G21 Business Park, C21 Square, Opp- Hotel Radission Blu, MR-10 Indore (MP) 452070 ‘Website : wsmpab.co.in Tol Free No. 1800 233 6295Engagement of Concurrent Auditor to Madhya Pradesh Gramin Bank for Concurrent Audit Work BIO-DATA CUM APPLICATION FORMAT ‘The application should be accompanied with latest address proof, Copy of PAN Card, Copy of ICAI Registration. Particulars Details ‘Name of the Firm ‘Constitution RBI Unique code & Category (HO) (Communication) Branches (District Name) Prefer District ron tc Concuren Ani ‘E-mail ID ‘Contact Person & Number ‘Date of formation / Establishment Registration No. of Firm -FRN (Copy to be enclosed) PAN No firm (Copy to be enclosed) ‘Name & Mobile no. of FCA Partner ‘Name & Mobile no. of Experienced Partners Manpower (Professionals Nos.) Past Experience of the Firms details (Statutory Audit & Concurrent Audit) Copy to be Enclosed Particulars Experience in Years Concurrent Audit_| Statutory Audit 7 Particulars of Partners 18 Others may Enclosed Pariners ICAI Membership Certificate Detail Profile of Firm With Enclosure Authorized Seal & Signature Head Office: 204, C21 Business Park C21 Square, Opp- Hotel Radission Blu, MR-10 Indore (MP) 452010 Website : wirwmpab.co in Toll Free No, 1800 233 6298arfger sifenfat (RBA) By ver | et ae card a ala / fore rah areas uit waa Wo sted 4 aatta went Tweed [oaae sae or fey arat | sicberor wa tag ‘AAT TET Concurrent Audit | SEA, ARI aire 3 ae aH safer | Part are |e 2. eed den aten & orerat | RE ws a WEN! Yo we Retired | TH eee Qe mar a ara awe |S oT a poo ae Bank | stderr page -F wae| ed Hames Bray | Sted at om wh Ry Auditor | aan 3 Wa SY amt Te oer oer een | ort (ea) | are aoa ere FoR 8 wer ated 7-3 ow reece [eam # afi afar orga wae a wa He ah a Renal er gaa area 01 arom | afte ae wi fey steep frat oT fa id dare & eR a Pl ad var after ot = ae" Tea Sar _P aR aa cafterfta) carers 02 — fo a arent ariite a or wat th Frater | gata at artertt a Se ae ao 3 aatge stot feaite | ee me et red dan whet 3 ot F 3 eee a Rafer oe oes or TIT seafsar ean ‘a5 Pramre Pear née afoot Fi atone Fae te Son tps shee of to Bi erat | fae a a fae ww dan steel 3 wy 4 Agia we dar Sar Wet | at afte da 4 ope ateal ft ver 3 wat we URaT Shee | eter aty— gros went @ afte wwere ater aoe’ fet | (stoazcs) 8 ame a ca fe Pays | srr os of ord 2 oe ont Sees se Site | ret oe wet as ats a ae tae rls i, weer vero we sc000/— (ea eae ra) aA UE Rt aT” a os a a TE ste secre 81 SUN linea ery 2.68 et Bro te ere seer anfeee 2s ate m wet oF t ae = ‘os A a 03 af e/a eae i oh ef ee i ee arate | SIT 3) $8 / PR wae wo eet Te mR ate Pte aidetfert a art ort at 8 ara ey ete 10000/— See =a a (aenfige sifterfeat) at sae S after Ret ot wae ‘or arr fran Us we Ba et am Website: worw.mpab.co.in Tol Free No. 1800 283 6296 Head Office: 204, C21 Business Park, C21 Square, Opp- Holel Radission Blu, MR-10 Indore (MP) 452010Annexure 4 Engagement of Retired Officials of Madhya Pradesh Gramin Bank for Concurent Audit Work BIO-DATA CUM APPLICATION FORMAT ‘The application should be accompanied with latest address proof, PAN Card copy, Copy of Pension Pass Book, Self-attested by the applicant ‘SNe. PARTICULARS DETAILS ol "NAME OF THE APPLICANT EMP NO. 08 PRESENT ADDRESS OF THE APPLICANT TANDLINE NOS (WITH STD CODE) AND MOBILE NOS 0 E-MAIL ADDRESS DATE OF BIRTH 7 "AGE AS ON DATE (MONTH 7 YEARS) ‘QUALIFICATION ACADEMIC o ‘QUALIFICATION PROFESSIONAL. 10 "ANY OTHER QUALIFICATION DATE OF PROMOTION TO OFFICERS CADRE 2 DATE OF SUPERANNUATION. VOLUNTARY RETIREMENT B NAME OF THE BRANCH / OFFICE & Region LAST WORKED. is ‘ACCOUNT NUMBER WITH IFSC DETAILS 15 TOTAL SERVICE (IN YEARS) 16 DESIGNATION AT THE TIME OF RETIREMENT 17 BRANCH EXPERIENCE (IN YEARS) 18 EXPERIENCE AS BRANCH TIEAD IF ANY (IN YEARS) 19 WORKING EXPERIENCE IN CHARGE OF CREDIT DEPARTMENT IN A BRANCH IF ANY (IN YEARS) Branch— No. of Years — "WORKING EXPERIENCE AS IN CHARGE OF CREDIT DEPARTMENT IN ROHO/ IF ANY (IN YEARS) ROO! Designation — No. of Years ~ a WORKING EXPERIENCE AS IN INSPECTION DEPARTMENT IN BANK IF ANY (IN YEARS) FIELD/ADMINISTRATION. 2 a WHETHER SUFFERING FROM ANY MAJOR ALMENT OR | HAS UNDERGONE ANY MAJOR SURGERY WHETHER ANY MINOR / MAJOR PENALTY oy PROCEEDING WERE INITIATED DURING 5 YEARS PRIOR ‘TO RETIREMENT. (Y/N) 3B WHETHER INVOLVED IN ANY CBI CAS DETAILS THEREOF. ‘Website : www mpab.co.in Toll Free No, 1800 233 6295 Head Office: 204, G21 Business Park. C21 Square. Opp- Hotel Radission Blu, MR-10 Indore (MP) 452010‘S.No. | PARTICULARS DETAILS 26 | PREFERENCE OF BRANCHES BASE BRANCH? HEAD QUARTERS ADDITIONAL PREFERENCE i 2. 3 27 | PLACE OF DOMICILE 28 | DETAILS | Name of Office OF LAST [Designation — Period : From— To | confirm that the details/information furnished above are / is true and correct. In case, any of the details furnished above is found to be incorrect at a later date. The Bank has right to terminate the assignment given, without giving any notice. Place : Signature of the applicant Date : Head Office: 204, G21 Business Park. O21 Square, Opp- Hotel Radission Blu, MR-10 Indore (MP) 452070 ‘Website: ynt.mpab.co.in Toll Free No, 1800 233 6285BAN FaMge (www.mpgh.co.in) W ura fey oT wad F wh wT Sw odes SAR wo arafea gee S ua Ww ar {Feat ho.audit@mpeb-rb.com W Aw 24.04.2024 TH TAT fou oT wad @1 @ahiga aftertet /RBa — oRAME ora S ae wIGw UE TE ondeat at aftrrt wear & far AR to G vert orators A gener wre! ) Hvar are we fa ead Office: 20%, G21 Business Park C21 Square Opp Holl Radesion Blu, WR-10 Indore (MP) 452010 ite : wm. npab.co.in Toll Free No, 1800 233 6298