Application for Public Accounting Licence (Form 9-1A) - Institute of ...

The Institute of Chartered Accountants of Ontario
69 Bloor Street East Toronto, ON M4W 1B3
Tel: 416 962.1841 Fax: 416 962.8900 Toll free: 1 800 387.0735
www.icao.on.ca
Public Accounting Licence – Referee’s Recommendation 1
Re: ________________________________________________
Your name has been given as a character reference for the above-named applicant for a public accounting licence. Please complete
and return this form to arrive at the Institute as soon as possible.
I ___________________________________________________
Full name of referee
Of ______________________________________________________________________________________________________
_________________________________________________________________________________________________________
(State fully, address and profession , occupation or position)
Certify that the above named applicant has been known to me personally for upwards of _____________ years.
I have had the following opportunities of judging his/her character:
(This space MUST be carefully filled in)
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________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
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I believe him/her to be of good character and a proper person to be licensed as a Public Accountant.
X
Print Name Signature Date (MM/DD/YYYY)
(PALRF1) 03/2012