Application Form Accreditation Of Individual Cpa / Firm / Partnership Of Cpas In The Practice Of Public Accountancy printable pdf download

Application Form Accreditation Of Individual Cpa / Firm / Partnership Of Cpas In The Practice Of Public Accountancy

ANNEX A

Professional Regulation Commission

APPLICATION FORM

ACCREDITATION OF INDIVIDUAL CPA / FIRM /

PARTNERSHIP OF CPAs IN THE PRACTICE OF PUBLIC ACCOUNTANCY

Date Filed:

______________

Initial

Renewal

Reference No.: ______________

Part I Personal Information:

Name of Individual CPA/Firm/Partnership:

Cert. of Accreditation

Number

(

)

for Renewal

Complete Address of Principal Office:

Tel Number :

Cell Number :

Email Address :

Correspondent Relationship with Foreign CPA/Accounting Firms, if any:

Name of Foreign Firm

Name of Foreign Country

Nature and Extent of Relationship

Changes in the Firm/Partnership from Last Registration:

Part II Acknowledgment:

I HEREBY CERTIFY that the above information written by me are true

SUBCRIBED AND SWORN to before me this _____________ day of

and correct to the best of my knowledge and belief. I further

_____________ 20 ____ at _________________, affiant Applicant

authorize PRC and other agencies to investigate the authenticity

exhibited to me his/her valid government issued ID _______________

of all the documents presented.

issued at ______________ on ________________.

_____________________________

__________________

Signature of Applicant

Date:

___________________________________

(Notary Public)

Part III Action Taken:

Registration Division:

Legal Division:

(Verification of License)

( Clearance of no derogatory record)

Cash Division:

Standards & Inspection Division:

Amount:

________________________________

O.R. No.

________________________________

Processed by:

Date

________________________________

____________________________

Issued by:

________________________________

Date:

____________________________

Reviewed by:

ATTY. MARIA LIZA M. HERNANDEZ

OIC, Standards & Inspection Division

ACTION BY THE BOARD OF ACCOUNTANCY

Approved

Disapproved

Chairman

Vice Chairman

Member

Date :

Assigned Accreditation No (for Initial). :

Page 1 of 3

Application Form Accreditation Of Individual Cpa / Firm / Partnership Of Cpas In The Practice Of Public Accountancy

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