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

ASSOCIATE MEMBERSHIP

I would like to be an Associate Member of ACPAPP (Former ACPAPP member but no longer in public practice)
NAME
OFFICE ADDRESS
TELEPHONE NO.

FAX NO.

EMAIL ADDRESS

PRESENT AFFILIATION
YEARS OF MEMBERSHIP WITH ACPAPP _________
ACTIVITIES JOINED IN ACPAPP:
ACTIVITY
YEAR

PREVIOUSLY JOINED FIRMS:

NAME OF FIRM

COMMITTEES JOINED IN ACPAPP, IF ANY:

ACTIVITY

YEAR
-

YEAR

LAST POSITION

CHECKLIST:

ANNUAL FEE:

Photocopy of updated CPA License ID

Certificate of employment/s as proof of three (3) years experience in Public Practice
Colored 2x2 ID Photo

ASSOCIATE MEMBER (P500.00)

I confirm my membership with ACPAPP and the correctness of the information indicated above.
I do hereby swear that I/We 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 Member / Signature

_____________________
Date

(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