ASSOCIATION OF CERTIFIED PUBLIC ACCOUNTANTS IN PUBLIC PRACTICE

2308 Cityland 10, Tower 1, H.V. Dela Costa St. corner Ayala Avenue North, Makati City
Tel Nos: 753-4089 728-3257 | Telefax: 753-4027
acpapp2012@yahoo.com.ph | www.acpapp.org

MEMBERSHIP APPLICATION FORM

INDIVIDUAL MEMBERSHIP

I would like to be an Individual Member of ACPAPP

NAME OF FIRM

BOA ACCREDITATION NO.

OFFICE ADDRESS
TELEPHONE NO.

FAX NO.

NAME

EMAIL ADDRESS

POSITION

BOA ACCREDITATION NO.

NO. OF YEARS IN PUBLIC PRACTICE

CPA LICENSE NO.

DATE ISSUED

TELEPHONE NO.

FAX NO.

EMAIL ADDRESS

CHECKLIST:

Comprehensive Resume
Photocopy of updated CPA License ID
Certificate of employment/s as proof of three (3) years experience in Public Practice
BOA Accreditation Certificate
Colored 2x2 ID Photo

ANNUAL FEE:

Per Individual Member (P500.00)

I confirm my membership with ACPAPP and the correctness of the information indicated above.
I do hereby swear that I will support and abide by the Constitution and By-Laws of the Association participate actively in all its
activities, and defend the aims and principles for which the Association was created.

_____________________________________
Applicants Printed Name / Signature

_____________________
Date

Sponsor:
__________________________________
Name of Institutional Member

_____________________
Date

__________________________________
Signature of Designated Firm Representative

(FOR ACPAPP USE ONLY)

On behalf of the ACPAPP Board of Directors, we approve this application for membership in ACPAPP.

______________________________________
Liaison Director, Membership Development

__________________________________
President