Summary PKF Network Conflict Check

Name of Prospective Client

Service Line

Client Sector

Service Description

Estimated Engagement Fee

Engagement Reporting Date

Referral from another PKF firm?

Date of Preparing Form

Firm Name

Engagement Partner Name

Engagement Partner Email

Engagement Manager Name

Engagement Manager Email

1. Which of the following is the closest description of the entity?

1.1 Sole trader - not part of group of entities, not poublicly traded (not listed), not a financial institution (bank or insurance company) and not a Public Interest Entity (PIE)

1.2 An unlisted (non-publicly traded) entity, not part of a group and not a Public Interest Entity (PIE). The entiy is stand-alone and is not part of a group of entities (i.e. not a parent company or subsdiary within a group ), not publicly traded (not listed), not a financial institution (bank or insurance company) and not a Public Interest Entity (PIE)

An entity other than 1.1 or 1.2

Must answer YES to one of Q1 - can't be more than one YES

2. Does the entity obtain other services from a PKF member firm?

YES NO

3. Has the client established operations in another country?

YES NO

4. Are services provided to the entity from another PKF member firm?

YES NO

5. Any other relevant information?

YES NO

Summary PKF network conflict check

1. Which of the following is the closest description of the entity?

2. Does the entity obtain other services from a PKF member firm?

3. Has the client established operations in another country?

4. Are services provided to the entity from another PKF member firm?

5. Any other relevant information?