Single format · FV09-M4-1

Independent practitioner's certificate for a special purpose, master shell

A single format from the CA Certificates for Grants and Incentives pack. ICAI Guidance Note on Reports or Certificates for Special Purposes (Revised 2016); reasonable assurance.

Length
3 pages
Blanks to fill
43
Files
Word and PDF
Law stated to
16 September 2026

What it covers

  1. 1Independent practitioner's certificate for a special purpose, master shellICAI Guidance Note on Reports or Certificates for Special Purposes (Revised 2016); reasonable assurance43 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

[Firm name], Chartered Accountants
Firm Registration No. [Firm Registration No.]
[Firm's address]

Independent Practitioner's Certificate on [subject matter — e.g. the Statement of Eligible Fixed Capital Investment] of [Name of the entity]

To
The [designation of the sanctioning authority]
[Name of the Department / Agency / Corporation]
[Authority's address]

[Where the scheme requires it to be addressed to the applicant: “To the Board of Directors of [Name of the entity]”, with a paragraph permitting submission to the named authority.]

1. Engagement and subject matter

This Certificate is issued at the request of [Name of the entity] (“the Company”), [CIN / registration no.], having its [registered office / eligible unit] at [Address of that premises], for submission to [authority] in connection with [the Company's claim / application dated ____ under the ____ Scheme / Policy].

33 more paragraphs and tables follow in the full format.

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