PHILIPPINE ASSOCIATION OF

CERTIFIED TAX TECHNICIANS, INC. (PACTT)

TEL. NO.: (054) 881-1877; Email: certtaxtech@gmail.com
Facebook: Certified Tax Technician
CTT Form 01
REVIEWEE’S INFORMATION RECORD

PERSONAL DATA DATE: _____________________ PICTURE:

[ ] STUDENT [ ] PROFESSIONAL
LAST NAME: ______________________ SIZE OF T-SHIRT __________
FIRST NAME: ______________________
MIDDLE NAME: ______________________ Place of Review: ___________________
DATE OF BIRTH: _____________________ Date of Review: ___________________

IMPORTANT:
Facebook Name: __________________________ Facebook Link*: __________________________
*Your Facebook link can be found in the browser address bar or in your Facebook Account Settings
(Example: https://www.facebook.com/YourUserName)

CONTACT INFORMATION
HOME ADDRESS: Pls write your complete
address
House No.: _____
Street/Zone:________________________________
Brgy: _____________________________________
City/Municipality: ____________________________
Province: __________________________________
Mobile Number/s:___________________________
Email Address: _____________________________
BUSINESS/WORK ADDRESS:
Company Name:____________________________
Position: __________________________________
Company Address: __________________________
__________________________________________
Phone Number/s: ___________________________
Email Address: _____________________________
Facebook Account: __________________________

EDUCATIONAL/PROFESSIONAL INFORMATION
SCHOOL: ______________________________________________ COURSE: __________________________
YEAR LEVEL:________ YEAR GRADUATED:_________________ SIGNATURE OF REVIEWEE:
ARE YOU A CPA? ______IF YES, LICENSE NUMBER: _________
ARE YOU AVAILING OF CPD UNITS:________________________

PACTT ID No. (*Required if already a member): CTT ID No.:_________ DIT ID No.: _________

***************************to be filled-up only by a CTT or ALP Employee ********************************

TUITION FEE: SUMMARY OF PAYMENTS:

_________CASH
DATE OF
PAYMENT RECEIPT NO. AMOUNT PAID BALANCE
_________DISCOUNTED