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Donde R. Salazar, CPA: Membership Application Form

To become a member of ACPAPP, applicants must meet the following requirements: 1) Be a CPA with at least 3 years of public practice experience and be BOA accredited. 2) Submit a completed application form along with documents like SEC registration, BOA accreditation, resume, license ID, and photo. 3) Annual membership fees vary depending on the number of professional personnel, ranging from P2,500 to P30,500 for institutions. Individual members pay an additional P500 fee.

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144 views

Donde R. Salazar, CPA: Membership Application Form

To become a member of ACPAPP, applicants must meet the following requirements: 1) Be a CPA with at least 3 years of public practice experience and be BOA accredited. 2) Submit a completed application form along with documents like SEC registration, BOA accreditation, resume, license ID, and photo. 3) Annual membership fees vary depending on the number of professional personnel, ranging from P2,500 to P30,500 for institutions. Individual members pay an additional P500 fee.

Uploaded by

donde salazar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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2308 Cityland 10 Tower 1, H.V. Dela Costa St.

Salcedo Village, Makati City


Tel No.: 7934-7447 | Mobile No.: 0927-579-4223 | [email protected] | www.acpapp.org

MEMBERSHIP APPLICATION FORM

RECENT 2X2
PICTURE (color
photo with white
background)

INSTITUTIONAL MEMBER x INDIVIDUAL MEMBER ASSOCIATE MEMBER

NAME OF COMPANY/SOLE PRACTITIONER BOA ACCREDITATION NO.


Donde R. Salazar, CPA
OFFICE ADDRESS

TELEPHONE NO. FAX NO. EMAIL ADDRESS

NUMBER OF CPAs WORKING IN THE FIRM NUMBER OF PERSONNEL

NAME OF APPLICANT POSITION BOA ACCREDITATION NO., if any

NUMBER OF YEARS IN PUBLIC PRACTICE CPA LICENSE NO. BIRTHDAY

MOBILE NO. EMAIL ADDRESS CHAPTER

CHAPTERS:  Northern Mindanao


 Batangas  Panay
 Bulacan  Pangasinan
 Cavite  Rizal
 Cebu  Southern Mindanao
 Central Luzon  National Office (within Metro Manila)
 Laguna  New: ___________________________ (please indicate)
 Negros Occidental

CHECKLIST FOR NEW INSTITUTIONAL CHECKLIST FOR ADDITIONAL INDIVIDUAL ANNUAL FEES:
MEMBER: MEMBER: INSTITUTIONAL (inclusive of 1
 SEC/DTI Certificate of Registration  Must be a partner or staff or sole proprietor individual member):
 Updated Articles of Partnership  Comprehensive Resume of Applicant 1-10 professional personnel P 2,500.00
 BOA Certificate of Accreditation of the  Photocopy of updated CPA License ID 11-20 4,500.00
Partnership or of the Sole Proprietor  Certificate of Employment 21-50 8,500.00
 Company Profile  Colored 2x2 ID Photo 51-100 15,500.00
 Comprehensive Resume of Applicant 101-200 20,500.00
 Photocopy of updated CPA License ID over 200 30,500.00
 Certificate of Employment ADDITIONAL INDIVIDUAL MEMBER:
 Colored 2x2 ID Photo P 500.00

CONSENT: In compliance with the Data Privacy Act (DPA) of 2012, and its Implementing Rules and Regulations (IRR) effective since September
8, 2016, I hereby authorize the Association of Certified Public Accountants in Public Practice (ACPAPP) to facilitate my membership in the
organization. I give my consent to ACPAPP to keep and secure my personal information until the time that I revoke it or ask it to be deleted
from the organization’s database. I also understand that I can ask it to be modified, ported or edited by myself upon request.

____________________________________ _____________________
Signature above Printed Name Date

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.
_____________________________________ ____________________
Applicant’s Printed Name / Signature Date

Referred by:
__________________________________ __________________
Name and signature of Designated Representative Date
of Institutional Member

(FOR ACPAPP USE ONLY)


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

______________________________________ __________________________________
Liaison Director, Chapters & Membership Development President

Use of data policy: Information attained from this registration is used only for the intended purpose stated at the time that the information
is collected. This data is not shared with other entities in the network for secondary or unrelated purposes, or shared with a third party,
unless otherwise disclosed at the point of collection. If there is an instance where such information may be shared, the person will be asked
for permission beforehand.
Herewith the list of requirements and qualifications on how to become a member of ACPAPP.

A. Applicant must be:


1. a holder of valid and unrevoked CPA certificates; must have been in public practice for at least
three (3) years after qualifying as a CPA;
2. accredited by the Board of Accountancy (BOA) or listed as a partner of the BOA-accredited firm;
3. a partner or staff or sole proprietor of an institutional member;

B. Applicant must submit the ff docs (please scan individually):


1. Completely filled in and signed Membership Application Form (see attached file)
2. SEC Certificate of Registration, or Updated Articles of Partnership
3. BOA Certificate of Accreditation of the Partnership or the Sole Proprietor
4. Company Profile
5. Comprehensive Resume of the Applicant
6. Photocopy of updated CPA License ID
7. Certificate of Employment, if staff
8. Colored 2x2 ID Photo

C. ANNUAL FEES (inclusive of 1 individual member):


1-10 prof. personnel - P2,500.00
11-20 - P4,500.00
21-50 - P8,500.00
51-100 - P15,500.00
101-200 - P20,500.00
over 200 - P30,500.00

For every additional individual member - P500

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