MK Cpa July 2019 Aff

Chartered Professional Accountants of Ontario
69 Bloor Street East Toronto ON M4W 1B3

T. 416 962.1841 Toll free 1 800 387.0735
cpaontario.ca
Practical Experience Certification Form for

Internationally Trained Accountants
The information requested in this form is required in order to assess international accounting practical experience. Applicants are
responsible for completing this form and forwarding it to the employer for which verification of qualifying experience is being
sought.
Please ensure a separate form is complete for each employer.
Section 1 – Applicant Information

Name in full:
First name Middle name(s) Last name
Previous name(s) (if applicable):
Section 2 – Employer Details

Employer Name:
Postal address Postal/zip code:
City: Province/State: Country:
Section 3 – Nature of Business

Public accounting – Make selection(s) that best describe the nature of practice conducted by this firm.
Assurance engagements Taxation Compilation Internal audit
Business advisory Business valuation Forensic/Litigation support Insolvency
System management Mergers/Acquisitions Actuarial services SOX services
Non-public accounting – Make selection(s) that best describe the nature of practice conducted by this employer.
Financial services Manufacturing Natural resources Retail
Technology Real estate/Construction

Other (please describe):
Please provide examples of major clients, customers or recipients of the products or services.
Excide Battery Limited, Abbasi Textile Limited, Pakistan National Shipping Corporation, English Biscuits Limited, ICI Pakistan Limited, Muslim
Commercial Bank Limited, Sandos Pakistan Limited.
1 / 14
Form-ECF | 2018-11-14
Section 4 – Corporate Structure and Size
Size of business or practice Total number of staff: 4,000 Number of partners/owners: 20
Corporate structure – Make selection(s) that best describe the corporate structure
For-profit corporation Not-for-profit corporation Public sector
Partnership Proprietorship Privately owned/not listed
Publicly listed Publicly traded Other (please describe)
Other information or description of place of corporate structure or practice:
Section 5 – Applicant’s Employment Details

Employment commenced (mm/yyyy): / Employment ended (mm/yyyy): /
Full-time Part-time % of week
Extended leave of absence (in excess of 8 weeks per annum): Yes No

If yes, total working days absent:
Please indicate the title of each position held by the applicant and the level or seniority of the position within the overall
management or governance structure. For example, indicate if the applicant was a senior executive, director, manager or officer.
1. Title/position held:
Seniority Level:
Held position From (mm/yyyy): / To (mm/yyyy): /
2. Title/position held:
Seniority Level:
Held position From (mm/yyyy): / To (mm/yyyy): /

Use additional paper as required
Section 6 – Public Accounting Practice ONLY – Chargeable Hours

If the employer is a public accounting firm, please complete this section as it directly relates to the chargeable hours obtained by
the applicant while employed with the firm. Chargeable hours are defined as:
Hours accumulated while providing services in the practice of public accounting and are normally chargeable to clients.
Chargeable hours do not include “work of a routine or clerical nature.”
Chargeable hours obtained by the applicant during the duration of employment in the following areas:
Assurance excluding audit hours:
Audit:
Taxation:
Other:
Total: 2 / 14
Form-ECF | 2018-11-14
Section 7 – Applicant’s Technical Competencies
For this section, please identify the level of proficiency which best shows the level of work you completed with this employer.
Levels of proficiency for qualifying practical experience are identified at three levels. Applicants would not typically have obtained
all competencies at a Level 2 proficiency a variety of proficiency is normal. You should not report in all 20 subcompetency areas;
only those relevant to your international experience obtained at this employer.
Level 0 Experience that is at an administrative or clerical level.
Level 1 Experience that is at the professional level but lower than that expected of a newly certified CPA. This can include
experience with tasks that are routine in nature, of a low level of complexity, and/or are executed with little autonomy.
Little difficulty is associated with a small number of straightforward and frequently encountered issues; may achieve
competency relying on a routine approach. Works under supervision.
Level 2 The experience level expected of a newly certified CPA. This can include experiences with tasks that are non-routine
in nature and a combination of low-to-moderate complexity with high level autonomy or high level of complexity with
low autonomy. Medium to considerable difficulty is associated with a number of variables and circumstances that must
be considered simultaneously; circumstances may be less clear and often requires approaches that are not practiced
frequently. Works independently.
For each competency assessed as Level 1 or 2, describe the work experience evidence that supports the development of this
competency sub-area.
Please note ONLY provide additional information for those competency areas you have developed at this employer.
For additional information and illustrative examples of each of the competency and subcompetency areas please refer to the
CPA profession’s practical experience self-assessment tool. (For the French version, click Français in the upper left corner of
the tool: https://pert.cpa-services.org/Student/TrialAssessment. In this tool, click on the right side of a field for the additional
information and examples.)
Please note this is for illustrative purposes only. You must not use the PERT self-assessment tool to report your experience.
3 / 14
Form-ECF | 2018-11-14
Competency Area Competency Sub- Competency Statements for Competency Statements for Competency Statements for
area Level 2 Proficiency Level 1 Proficiency Level 0 Proficiency
Financial 1. Financial Analyze/identify financial Explain the financial reporting Use the accounting system to
Reporting reporting needs reporting information required information required by process transactions and/or
and systems by various stakeholders, various stakeholders, including generate reports.
including regulatory regulatory requirements (can
Verify mathematical accuracy of
requirements (can include include specialized financial
financial information (sub-totals,
specialized financial reporting reporting requirements); plus
totals).
requirements); plus
(a) Analyze/identify the
Perform simple reconciliations.
(a) Evaluate/review the appropriateness of the basis of
appropriateness of the basis of financial reporting; or
financial reporting; or
(b) Analyze the accuracy
(b) Evaluate/review reporting and reliability of financial
processes to support reliable information.
financial reporting.
Level obtained
Describe the work experience evidence

Supervised external audit assignments and assisted the firm Partner in issuing engagement reports
that supports the development of this
on financial statements.
competency sub-area, if reported at
Level 1 or 2.
Financial 2. Accounting Evaluate/review appropriate Analyze/research the Record accounting entries for
Reporting policies and accounting policies and appropriate accounting policies routine transactions.
transactions procedures; or and procedures (or explains
Roll-forward provisions from
the basis in which they were
Evaluate/review treatment prior years.
selected and applied to an
for routine and non-routine
organization); or
transactions; or
Analyze/research treatment for
Analyze/research treatment for
routine transactions.
complex events/transactions.
Level obtained

Assisted clients in ensuring compliance with IFRS, Company Law and other accounting legislation in
performing accounting transactions.
Level 1 or 2.
Financial 3. Financial Analyze/prepare financial Explain financial statements, Verify mathematical accuracy
Reporting Report statements, including note including note disclosures. of the financial statements and
Preparation disclosures. note disclosures.
Level Obtained

Assisted assurance clients in preparation of financial statements in compliance with legal
requirements for giving true and fair view for the users.
Level 1 or 2.
4 / 14
Form-ECF | 2018-11-14
Financial 4. Financial Analyze/prepare management Explain the management Calculate ratios and/or percent
Reporting statement communication (e.g., MD&A), or communication (e.g., MD&A), or changes in account balances.
analyses
Analyze/prepare financial Explain financial reporting
reporting results for results for stakeholders (external
stakeholders (internal or or internal), or
external), or
Explain the impact of strategic
Analyze/prepare/predict and operational decisions on
the impact of strategic, and financial results (external or
operational decisions on internal).
financial results (external or
internal).
Level Obtained

Level 1 or 2
Audit and 1. Internal control Evaluate/review the entity’s risk Analyze/prepare the entity’s risk Execute procedures that relates
Assurance assessment processes; or assessment processes; or to existing internal controls.
Evaluate/review the information Analyze the information system,

system, including related including related processes.
processes.
Level Obtained

Performed control evaluation of financial controls of engagement clients and made necessary
recommendations through Management Letter.
Level 1 or 2.
5 / 14
Form-ECF | 2018-11-14
Audit and 2. Internal audit or Analyze an entity’s assurance Explain an entity’s assurance Assemble information about
Assurance external assurance needs or explain the needs or explain the the business (external), or
requirements, implications of pending changes implications of pending changes department (internal).
basis and risk in assurance standards, plus in assurance standards, plus
assessment
Basis: Analyze which set of Basis: Explain which set of
criteria to apply to the subject criteria to apply to the subject
matter being evaluated, or matter being evaluated, or
analyze which standards/ explain which standards/
guidelines to apply based on the guidelines to apply based on the
nature and expectations of the nature and expectations of the
assurance engagement/project, assurance engagement/project,
plus plus
Risk assessment: Evaluate issues Risk assessment: Explain issues

related to the undertaking of the related to the undertaking of
engagement or project, or the engagement or project,
explain/ calculate materiality
evaluate materiality for the
for the assurance engagement/
assurance engagement/ project
project, or explain the risks
or evaluate the risks of the
of the project (for audit
project (for audit engagements,
engagements, explain the risks
evaluate the risks of material
of material misstatement at the
misstatement at the financial
financial statement level and at
statement level and at the
the assertion level for classes of
assertion level for classes of
transactions, account balances
transactions, account balances,
and disclosures).
and disclosures).
Level obtained

Performed external engagement requirements as per firm's needs.
Level 1 or 2.
Audit and 3. Internal audit Work plan: Evaluate/develop/ Work plan: Analyze/perform Compile planning
Assurance projects or review appropriate procedures the work plan on less complex/ documentation. Coordinate third
external assurance based on the identified risk of riskier areas, evaluate the party confirmations; identify
engagements material misstatement, analyze/ evidence and results of analysis, outstanding items.
perform the work plan, evaluate documents the work performed
the evidence and results of and its results, plus
analysis, documents the work
Draw conclusion, communicate
performed and its results, plus
results, and contribute to a
Draw conclusions, communicate report for stakeholders.
results, and contribute to a
report for stakeholders.
Level obtained

Level 1 or 2.
6 / 14
Form-ECF | 2018-11-14
Finance 1. Financial Evaluate/review the entity’s Analyze the entity’s financial Perform calculations to support
analysis and financial state, or state, or analysis (ratios and/or percent
planning changes in account balances).
Evaluate/review financial Analyze/prepare financial
proposals and financing plans. proposals and financing plans.
Level Obtained

Level 1 or 2.
Finance 2. Treasury Analyze the entity’s cash flow Explain/calculate the entity’s Record investment/FX
management and working capital, plus cash flow and working capital, transactions based on
plus confirmations; update market
Evaluate/review the entity’s
values from third- party
investment portfolio, or Analyze/research the entity’s
sources, if applicable. Reconcile
investment portfolio (less
Evaluate/review sources of differences between records and
complex), or
financing and decisions affecting third-party statements.
capital structure, or Analyze/research sources of
financing and decisions affecting
Evaluate/review the entity’s cost
capital structure, or
of capital, or
Analyze/research the entity’s
Evaluate/review decisions
cost of capital, or
related to distribution of profits.
Analyze/research decisions
related to distribution of profits.
Level obtained ●
competency sub area, if reported at
level 1 or 2.
7 / 14
Form-ECF | 2018-11-14
Finance 3. Capital Analyze/prepare financial Analyze/prepare information Coordinate the capital

budgeting models or business plans as part to aid in the capital budgeting budgeting process.
valuation of or in addition to: processes and related decisions,
Calculate market value of
corporate finance or
Evaluate/review capital publicly-traded security.
budgeting processes and Analyze/estimate the value of a
Calculate/collect multiples for
decisions, or tangible asset, or
market-based valuations.
Evaluate/review the value of a Explain/calculate value of a
tangible asset, or business, or
Analyze/estimate the value of Explain financial risk

an intangible asset, or analyze/ management policies, or
estimate the value of a business,
Explain the use of derivatives
or
as a form of financial risk
Evaluate/review financial risk management, or
management policies, or
Analyze the purchase, expansion
Analyze the use of derivatives or sale of a business, or
as a form of financial risk
Analyze possible solutions to aid
management, or
a financially-troubled entity.
Evaluate/review the purchase,
expansion or sale of a business,
or
Evaluate/advise a financially-
troubled entity.
Level obtained

Level 1 or 2.
Taxation 1. Income tax Analyze/research treatment for Explain the relevant section Use Income Tax Act to assemble
legislation and transactions/events, plus of the Income Tax Act, tax rates, filing deadlines and
research conventions and/or treaties, as it requirements.
Draw conclusion and
relates to specific transactions/
communicate results.
events.
Level obtained

Performed tax services in firm.
Level 1 or 2.
8 / 14
Form-ECF | 2018-11-14
Taxation 2. Tax compliance: Analyze the general tax issues Explain the general tax issues Assemble information for tax
corporate or (can include assessments, notice (can include assessments, notice return and explains required
personal of objection and appeals), plus of objections and appeals), plus information. Use tax software
to process tax returns. Prepare
Analyze/prepare a tax return. Explain tax return or analyze/
schedule of due dates.
prepare information to support
the preparation of the tax return.
Level obtained

Performed taxation compliance while performing external assurance engagements.
Level 1 or 2.
Taxation 3. Tax planning: Analyze/estimate tax Explain/calculate the tax Use information prepared
corporate or consequences or specific tax- consequences or specific internally/externally to explain
personal planning opportunities for: tax planning opportunities changes arising from federal or
(a) shareholders and/or their for: (a) shareholders and/or provincial budgets.
corporations, or (b) complex corporations, or (b) individuals
corporate transactions, or (c) (excluding estate planning), or
individuals (excluding estate- Use tax software to calculate
Explain/calculate the tax
planning), or pro-forma taxes payable
consequences of other
under various tax planning
Analyze/estimate the tax corporate and partnership
opportunities.
consequences of other restructuring transactions, or
corporate and partnership
Explain/calculate the tax estate
restructuring transactions, or
planning opportunities for
Analyze/prepare estate- individuals.
planning opportunities for
individuals.
Level obtained

Level 1 or 2.
9 / 14
Form-ECF | 2018-11-14
Strategy & 1. Governance Analyze/prepare the entity’s Explain the entity’s governance Describe the entity’s governance
Governance mission, vision, governance policies, processes, policies, processes, and/or policies, processes and/or code.
values and and/or code, and code, and prepare information
mandate to aid in the analysis to ensure
analyze/prepare information and
entity remains compliant
analysis to ensure entity remains
with regulatory/compliance
compliant with regulatory/
requirements, or
compliance requirements, or
Analyze management decisions
Evaluate whether management
to the entity’s mission, vision
decisions align with the entity’s
and values.
mission, vision and values.
Level obtained

Level 1 or 2.
Strategy & 2. Strategy Analyze the entity’s strategic Explain the entity’s strategic Explain the entity’s strategic
Governance development/ objectives and evaluate related objectives and analyze related objectives.
implementation performance measures, or performance measures, or
Collect information on the
Evaluate the entity’s internal Analyze the entity’s internal entity’s internal and external
and external environment and and external environment and environment.
analyze its impact on strategy explain its impact on strategy
development; analyze strategic development; explain strategic
alternatives, or alternatives, or
Analyze the key operational Explain the key operational

issues and alignment with issues and the alignment with
strategy. strategy.
Level obtained

Level 1 or 2.
Strategy and 3. Enterprise risk Evaluate/review components of Analyze/research components Record risk responses.
Governance management an effective risk management of a risk management program
program and evaluate its impact and analyze its impact on
on shareholder value. shareholder value.
Level obtained

Level 1 or 2.
10 / 14
Form-ECF | 2018-11-14
Management 1. Management Analyze management Explain management Use existing information systems
Accounting reporting need information requirements, plus information requirements, plus to generate management
and systems reports. Recognize ethical
Evaluate/review the types Analyze the types of information
and privacy issues related to
of information systems used systems used and the role
information technology.
and the role they play in an they play in an organization or
organization or evaluate/ analyze potential improvements
recommend improvements to to existing reporting systems to
existing reporting systems to meet information needs, plus
meet information needs, plus
Explain ethical and privacy
Analyze/research ethical issues related to information
and privacy issues related to technology.
information technology.
Level obtained

Level 1 or 2.
Management 2. Planning, Evaluate/review information Analyze/prepare information Verify mathematical accuracy of

Accounting budgeting and inputs (including assumptions) inputs for operational plans, plans, budgets and/or forecasts.
forecasting for operational plans, budgets budgets and forecasts, plus
and forecasts, plus
Explain/calculate operational
Analyze/prepare operational plans, budgets and forecasts,
plans, budgets and forecasts, plus
plus
Explain/calculate variances.
Analyze implications of
variances.
Level obtained

Level 1 or 2.
11 / 14
Form-ECF | 2018-11-14
Management 3. Cost, revenue Cost management: Explain/ Cost management: Explain/ Collect information to assist with
Accounting and profitability apply appropriate cost apply the appropriate cost cost, revenue or profitability
management classifications and costing classifications and costing management.
methods for management methods for management of
of ongoing operations, and ongoing operations, explain/
explain/apply cost management apply cost management
techniques appropriate for techniques appropriate for
specific decisions, and evaluate/ specific decisions, and analyze
recommend either: (a) change potential changes identified by
identified by applying process applying process improvement
improvement methodologies methodologies; or
or (b) cost management
Revenue management:
improvements across the entity;
Analyze/ prepare information to
or
understand the sources/drivers
Revenue management: of revenue growth; or
Evaluate/review sources and
Profitability management:
drivers of revenue growth; or
Explain/calculate the
Profitability management: sensitivity analysis and analyze
Analyze/prepare sensitivity alternatives for sustainable
analysis, evaluate/review profit maximization/capacity
sustainable profit maximization management performance.
and capacity management
performance.
Level obtained

Level 1 or 2.
Management 4. Organiza- Evaluate/review root causes Analyze possible root causes Calculate/prepare performance
Accounting tional/ individual of performance issues through of performance issues through scorecard/KPI based on
performance one of: one of: information supplied by units.
measurement
Analyze/research the Explain the implications of
implications of management management incentive schemes
incentive schemes and employee and employee compensation
compensation methods, or methods, or
Evaluate/review performance Analyze performance using

using accepted frameworks or accepted frameworks or KPIs; or
KPIs, or
Analyze performance of
Evaluate/review performance of responsibility centres.
responsibility centres.
Level obtained

Level 1 or 2.
12 / 14
Form-ECF | 2018-11-14
Section 8 - Applicant’s Declaration
I affirm that the information I have provided in this document is true and accurately reflects the work that I completed with this
employer.
X_____________________________ / /
Print Full Name Signature Date (mm/dd/yyyy)
Section 9 – Third-Party Declaration

The third-party verifier must be a person to whom the applicant directly reported or was otherwise directly accountable in
the applicant’s carrying out of their responsibilities or in the performance of their job functions described on this experience
verification form. If the person to whom the applicant directly reported or was directly accountable is no longer available to
provide the verification, such verification may be made by
■■ person who is currently an appropriately senior manager, executive, officer, partner or director of the place of employment,
a
or
■■ a person who is in a management, executive or oversight role with the professional services practice,
AND
■■ as personal knowledge of the applicant having held the position(s) reported on this form and the applicant having held the
h
responsibilities carried out or performed the functions indicated for such position(s), or
■■ as access to the applicable records or documentation of the place of employment or practice and has verified following
h
review or inspection of such records that the applicant held the position(s) reported on this form and carried out the
responsibilities or performed the functions reported on this form.
Name in full:
First name Middle name(s) Last name
Email:
Designation held (e.g. CPA, CMA, CGA, CA):
Membership number:
Country of Designation:
Relationship to applicant: Direct supervisor Other (please describe):
Position/Title:
Comments: (Please identify any concerns or inconsistencies in the information provided by the applicant.)
I declare I have an arm’s length relationship with the applicant (am not a family member) and that the information on this form
is an appropriate representation of the work done by the applicant with our company with any exceptions made in the above
comment section.
X_____________________________ / /
Print Full Name Signature Date (mm/dd/yyyy)
13 / 14
Form-ECF | 2018-11-14
Section 10 – Third Party Verification Not Obtained
Where the applicant may, due to extraordinary circumstances (such as in the case of a political refugee), be unable to secure
third-party verification, the applicant may (in lieu of such verification) provide an affidavit sworn before a notary public attesting
to the truthfulness and accuracy of the information provided in this international practical experience verification form. Otherwise
all reasonable efforts must be made to have the appropriate third-party verification provided.
AFFIDAVIT – to be signed before a notary public

Due to extraordinary circumstances, I, , am unable to secure
third-party verification of the information contained within this Practical Experience Certification Form for Internationally Trained
Accountants document. Accordingly, I have completed the information to the best of my ability and truthfully. I make this solemn
declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by
virtue of the Canada Evidence Act.
Declared before me at the City of in the province/state of ,
this day of ,
X_____________________________________ / /
Signature of Applicant Signed and sealed (mm/dd/yyyy)
A commissioner for oaths or notary public in and for the Province of
Notary Seal
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Form-ECF | 2018-11-14

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Chartered Professional Accountants of Ontario

69 Bloor Street East Toronto ON M4W 1B3

Practical Experience Certification Form for

Section 1 – Applicant Information

Previous name(s) (if applicable):

Section 2 – Employer Details

Postal address Postal/zip code:

City: Province/State: Country:

Section 3 – Nature of Business

Assurance engagements Taxation Compilation Internal audit

Business advisory Business valuation Forensic/Litigation support Insolvency

System management Mergers/Acquisitions Actuarial services SOX services

Financial services Manufacturing Natural resources Retail

Technology Real estate/Construction

For-profit corporation Not-for-profit corporation Public sector

Partnership Proprietorship Privately owned/not listed

Publicly listed Publicly traded Other (please describe)

Other information or description of place of corporate structure or practice:

Section 5 – Applicant’s Employment Details

Full-time Part-time % of week

Extended leave of absence (in excess of 8 weeks per annum): Yes No

Held position From (mm/yyyy): / To (mm/yyyy): /

Held position From (mm/yyyy): / To (mm/yyyy): /

Section 6 – Public Accounting Practice ONLY – Chargeable Hours

Assurance excluding audit hours:

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Evaluate/review the information Analyze the information system,

Describe the work experience evidence

Risk assessment: Evaluate issues Risk assessment: Explain issues

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Finance 3. Capital Analyze/prepare financial Analyze/prepare information Coordinate the capital

Analyze/estimate the value of Explain financial risk

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Analyze the key operational Explain the key operational

Describe the work experience evidence

Describe the work experience evidence

Describe the work experience evidence

Management 2. Planning, Evaluate/review information Analyze/prepare information Verify mathematical accuracy of

Describe the work experience evidence

Describe the work experience evidence

Evaluate/review performance Analyze performance using

Describe the work experience evidence

Section 9 – Third-Party Declaration

Designation held (e.g. CPA, CMA, CGA, CA):

Relationship to applicant: Direct supervisor Other (please describe):

AFFIDAVIT – to be signed before a notary public

Declared before me at the City of in the province/state of ,

A commissioner for oaths or notary public in and for the Province of

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