BACC Form No.

02
Rev. 01/12-1-00

No.___________

Republic of the Philippines

Professional Regulation Commission

Manila
APPLICATION FOR REGISTRATION OF FIRM/PARTNERSHIP OF CPAs IN THE
PRACTICE OF PUBLIC ACCOUNTANCY

1. Name of Firm/Partnership: ____________________________________________________

__________________________________________________________________________
2. Full Name of Sole Practitioner/
CPA Certificate
Position in the
Partners
Number
Firms/Partnership
___________________________
_____________
_______________________
___________________________
_____________
_______________________
___________________________
_____________
_______________________
___________________________
_____________
_______________________
___________________________
_____________
_______________________
3. SEC Certificate of Registration No.: _____________________________________________
(if a registered partnership)
4. Complete Address of Principal Office: ___________________________________________
__________________________________________________________________________
5. Tel. No. ________________________ Fax No. ___________________________________
6. E- mail address ______________________________________________________________
7. Branches/Sub-Offices, if any: __________________________________________________
___________________________________________________________________________
___________________________________________________________________________
8. Full Name of Staffmembers
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________

CPA Certificate
Number
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________

9. Full Name of Principal, if any

____________________________
____________________________

APEC Registry
Number
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________

CPA Certificate
Number
_____________
_____________

Position in
Firm/Partnership
______________
______________
______________
______________
______________
______________
______________
______________
______________

Position in the
Firm/Partnership
__________________
__________________

10. Correspondent Relationship with Foreign CPA/Accounting Firm, if any:

Name of Foreign Firm

_____________________________
_____________________________

Name of Foreign
Country

Nature and Extent

of Relationship

__________________
__________________

__________________
__________________

BACC Form No. 02

Rev. 01/12-1-00

11. Changes in the Firm/Partnership from Last Registration: _____________________________

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
12. Internal Quality Review Procedures _____________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I hereby certify that the foregoing entries/information are true and correct
_______________________
Date
_______________________
Place

__________________________
Managing Partner

ACKNOWLEDGEMENT
Republic of the Philippines ) S.S.
City of ________________ )
Personally appeared before me ____________________________________ with his/her
Community Certificate No. ____________________ issued at _________________________on
___________________________ know to me and to me known to be the same person who
execute the foregoing instrument and acknowledge the same to be his/her free voluntary act and
deed.

__________________________
Administrative Office

Note: Use additional sheet where necessary which must be certified as true and correct, or,
attach plantilla of partner and staffmembers.