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Details of Regulated Person Submitting Application  \nName of regulated person:   Company Licence No.:    \n2. Regulated person’s address :    \n___________________________________________  \n___________________________________________  \n___________________________________________  \n3 (a) Where the Actuary, Auditor or Independent Officer is a Company or Firm:  \nName of Company or Firm:   Company Licence No.:   Address of Company or Firm:    \n_______________________________________________  \n_______________________________________________  \n_______________________________________________  \nName of Person Responsible:    \n3 (b) Where the Actuary, Auditor or Independent Officer is an Individual:  \nTitle: Dr.  Mr.  Mrs.  Ms.  Miss    \nSurname:    \nFirst Name:   Middle Name(s):    \nAddress:  \n__________________________________________________________  \n__________________________________________________________  \n__________________________________________________________  \n4. Qualifications  \nDegree/Diploma/Other Name of Institution(s) attended Date of Completion  \nQualification Attained  \n____________________________ ______________________________ _____________________  \n____________________________ ______________________________ _____________________  \n____________________________ ______________________________ _____________________  \n____________________________ ______________________________ _____________________  \n5. Experience (where the person to whom the application relates is a company or firm, please state the qualifications of the individuals intended to undertake the actuarial, audit or other work)  \nNumber of years of experience:    \nProvide details of experience: (This should relate to experience in the relevant field of actuarial, auditing or other expertise)  \n6. Type of Regulated Person to be Audited  \nBanking  Insurance  Investment Business  Fiduciary Services   \nOther (please specify):   If regulated person holds any specific class or category of licence, please specify:    \n7. Indemnity Coverage  \n(a) Please indicate whether the actuary, auditor or other independent officer, or the company or firm for which he/she acts, holds Professional Indemnity insurance: Yes  No   \n(b) If your answer to (a) is YES, please indicate the amount of indemnity coverage held by the actuary, auditor or other independent officer, or the company or firm for which he/she acts:   \n8. Consent  \nHas the Auditor/Actuary/Other Independent Officer consented to act in this capacity: Yes  No   \n9. Fitness and Propriety (To be completed by the auditor/actuary or other independent officer)  \nIf you answer YES to any of the questions below you must supply full details by way of a written attachment to the application:  \nYes No  \nHave you ever been asked to resign, or been dismissed from any fiduciary position of trust?  \nHave you been refused, restricted in, or had suspended, the right to carry on a trade, business or profession for which a specific licence, authorisation, registration, membership or other permission is required?  \nHave you at any time been convicted of any criminal offence by any court in the Virgin Islands or elsewhere?  \nAre you currently the subject of a criminal investigation or an extradition request?  \nHave you, in the last ten years, been censured or disciplined by any professional body to which you belong or belonged, or been dismissed from office or employment or refused entry to any profession or occupation in the Virgin Islands or elsewhere?  \nHave you, in the last ten years, filed for bankruptcy or been adjudicated bankrupt by a court in the Virgin Islands or elsewhere?  \nHave you at any time failed to satisfy any debt due and payable to you as a judgmentdebtor under an order","cbCaicgu1VER918z","https://ap.wps.com/l/cbCaicgu1VER918z","pdf",83462,"English","# APPLICATION FOR APPROVAL OF ACTUARIES/ AUDITORS/ OTHER INDEPENDENT OFFICERS\n## 1. Details of Regulated Person Submitting Application\n## 2. Regulated person’s address\n## 3. Details of the Actuary, Auditor or Independent Officer (Company/Firm or Individual)\n## 4. Qualifications\n## 5. Experience\n## 6. Type of Regulated Person to be Audited\n## 7. Indemnity Coverage\n## 8. Consent\n## 9. Fitness and Propriety\n## 10. Declaration by Actuary/ Auditor/ Other Independent Officer\n## 11. Declaration by Regulated Person","[{\"question\":\"该申请表用于批准哪些人员或角色？\",\"answer\":\"用于提交“精算师（Actuary）/审计师（Auditor）/其他独立负责人（Other independent officer）”的批准申请，并由机构对其进行审批。\"},{\"question\":\"申请中需要提供哪些主体信息？\",\"answer\":\"需填写受监管主体的名称与地址；若相关人员为公司或机构，还要提供公司/机构信息与负责人；若为个人，则填写个人头衔、姓名及地址等。\"},{\"question\":\"适格性与品行部分通常需要回答哪些关键事项？\",\"answer\":\"需对是否被要求辞职或被解雇、是否被限制经营许可、是否被刑事定罪或正在接受刑事调查/引渡请求、过去十年的专业机构处分或破产等情况作答，并在回答为“是”时附书面详情。\"}]","FORM B-1 - APPLICATION FOR APPROVAL OF ACTUARIES - AUDITORS - OTHER INDEPENDENT OFFICERS | PDF",1791013469,13]