BACC Form No.

02
Rev. 02 09 19-04
Ref No.

Professional Regulation Commission
Manila

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


1. Name of Individual CPA/Firm/Partnership:

2. Full Name of Sole Practitioner/ CPA Certificate Position in the
Partners Number Firm/Partnership






3. SEC Certificate of Registration No.:
(if a registered partnership)

4. Complete Address of Principal Office:


5. Tel. No. Fax No.

6. Website of principal office

7. Website of branches

8. E-mail address

9. Branches/Sub-Offices, if any:



10. Full Name of Staff CPA Certificate APEC Registry Position in
Members Number Number Firm/Partnership











11. Full Name of Principal, if any CPA Certificate Position in the
Number Firm/Partnership



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

Name of Foreign Firm Name of Foreign Nature and Extent
Country of Relationship



BACC Form No. 02
Rev. 02 09 19-04
Ref No.




13. Changes in the Firm/Partnership from Last Registration:





14. Internal Quality Review Procedures







I hereby certify that the foregoing entries/information are true and correct



Date


Place



1 Managing Partner
1


ACKNOWLEDGMENT


Republic of the Philippines ) S.S.
City of ________________ )

Personally appeared before me with his/her
Community Certificate No. issued at
on known 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.



NOTARY PUBLIC


Doc. No. ________
Page No. ________
Book No. ________
Series of _________



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