Bir Form 1916
Bir Form 1916
Bir Form 1916
1916
Repu blika ng Pilipinas
Kagawaran ng P ananalapi
Kawanihan ng Rentas Internas
FOR ACCREDITATION
(INDIVIDUAL) January 2000
(MM/DD/YYYY)
4. NAME 5. CITIZENSHIP
8. FAX NUMBER
9. EDUCATIONAL ATTAINMENT
EDUCATIONAL NAME OF DEGREE/UNITS DATE GRADUATED
COURSE SCHOOL / COLLEGE / UNIVERSITY RECEIVED OR LAST ATTENDED
COLLEGE
POST GRADUATE
MASTERS
10. EXAMINATIONS TAKEN/PASSED CERTIFICATE/ROLL NUMBER DATE PLACE
BOARD
BAR
15. Have you been convicted of any crime? If yes, what crime?
Yes No
I DECLARE, UNDER THE PENALTIES OF PERJURY, THAT THIS APPLICATION STAMP OF BIR RECEIVING OFFICE
HAS BEEN MADE IN GOOD FAITH, VERIFIED BY ME, AND TO THE BEST OF MY AND DATE OF RECEIPT
KNOWLEDGE AND BELIEF, IS TRUE AND CORRECT, PURSUANT TO THE PROVISIONS
OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AND THE REGULATIONS
ISSUED UNDER AUTHORITY THEREOF.
_______________ _______________________________________
DATE SIGNATURE OF APPLICANT
OVER PRINTED NAME
ATTACHMENTS : (SEE BACK PAGE)
ATTACHMENTS REQUIRED :
A. DOCUMENTARY EVIDENCE SUPPORTING ACADEMIC QUALIFICATION
B. CERTIFICATE OF REGISTRATION AND CURRENT LICENSE WITH PRC, SUPREME COURT OR OTHER REGULATORY BODIES
C. CERTIFICATE OF MEMBERSHIP WITH THE PERTINENT PROFESSIONAL ORGANIZATION
D. CERTIFICATE OF GOOD MORAL CHARACTER ISSUED BY 2 DISINTERESTED PERSONS, WHO ARE EITHER
MEMBER OF THE BAR OR CPA IN GOOD STANDING