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») Philippine Institute of Certified Public Accountants « PICPA Building, 700 Shaw Blvd., Mandaluyong City MEMBER’S INFORMATION SHEET FOR SUSTAINING LIFE MEMBER Taly Name Fist Names Middle Nae CPR No. Date Bed Date of Bit Tender CaS Chap Region Setar Prefered Maing: [] Company Home Company: Tel. Nos Aires Fax No. Ena TaLNe Home Ades Tel No FaxNo, Ea Ca. No: TAGEBRACKET | SIM FEE PRIOR [40a reiow | rap 30,000.00 + Gometmrerasy | OR.No 41-50 Pip 20,000.00 + (6% perdu) Osi- Pip 14,000.00 + %etprerdecy | DATE GO above —_| Php 6,000.00 + (apr dues) {EQUIREMENT FOR THE ISSUANCE OF 10 1) 1p 2x2 RECENT PICTURE (COLORED, WHITE BACKGROUND) ie 2) XEROX COPY OF PRE ID or any {all (PIGPA S88, ete) 2x2 Pcs your Signore inside the bo, PHILIPPINE INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS The National Organization of Certified Public Accountants « ACPA BUILDING P.O, BOX 1440 MANIA FAXNOS. 7256305 | 7265852 700 SHAW BOULEVARD TEL NOS, 723 05911093 wer iepa.com.ph ED MEMO FY 2016-2017 No. 004 TO ALL CONCERNED FROM THE EXECUTIVE DIRECTOR SUBJECT SLM PROGRAM DATE 10 August 2016 Pursuant to EXECOM Resolution No. 2016-2017 08-04, ratified by the National Board in its regular board meeting, the following new rates for SLM will be implemented effective August 15, 2016: Age Bracket Rate 40 years old below Php 30,000 41-50 years old Php 20,000 51-59 years old Php 14,000 60 years old up Php 6,000 Those with arrears must pay 50% of the total amount outstanding before they can avail of the program. Be advised further, that the allocation or distribution to the National Office, GAO, Region and Chapter shall be based on the regular membership dues apportionment as stated in the By-Laws, Please be guided accordingly. ROSALINA BY PAI Crfax Executive Director ce: file

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