Last Name First Name Middle Name Nickname Sex

CPA No. Sector Chapter Region

Business, Company / Institution Affiliated with Address

Title / Position Telephone No. Fax No. Email address

Registration will be valid only upon receipt of fully completed form and payment Registration Fee: Inclusive of 12% VAT of the registration fee.

l On or before August 31, 2013 Cash: Individual ........................................................

Check: Bank Name: Group of 10 persons (per person) ................. Check No.:

Date of Check: l After August 31, 2013

On-site registration ........................................ Others:

Government employees .......................................... Payee should be: 68th PICPA Annual National Convention

Foreign Delegates .................................................... Deposit on line to: BDO Stanford Shaw Blvd., Mandaluyong Branch Current Account No. 2810074239

NOTE: Please ensure that this form is clearly and completely filled up.

CANCELLATION or REFUND will be entertained only until October 31, 2013, NOTE: Please fax or email your validated deposit slip with your with administrative fee of 20% of paid registration fee. name and CPA Number to Convention Secretariat.

Please send, email or fax the completed form to Convention Telephone Numbers: (02) 723 6313 Secretariat at PICPA Metro Manila Region, Ground Floor (02) 723 6314 PICPA Bldg., 700 Shaw Blvd., Mandaluyong City. (02) 723 8760

Fax Nos.: (02) 723 6314 / 723 8760 / 723 6305 Email: 68thanc@picpa.com.ph Email: 68thanc@picpa.com.ph

Casual4th Flr., PICPA Bldg., Shaw Blvd., MandaluyongLancaster Hotel, Mandaluyong City

Villamor Golf ClubMall of AsiaSMX, Mall of Asia, Pasay City BusinessSMX, Mall of Asia, Pasay City AttireSMX, Mall of Asia, Pasay City

Shrine of Jesus Church (beside SMX)SMX, Mall of Asia, Pasay City FilipinianaSMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay City BusinessSMX, Mall of Asia, Pasay City AttireSMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay City Business

Attire

SMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay CitySMX, Mall of Asia, Pasay City

HENRY M. TAN GERALDINE H. APOSTOL ALDRIN M. CERRADO RUBY R. SEBALLEChair, 68th PICPA ANC Co-Chair, 68th PICPA ANC Co-Chair, 68th PICPA ANC Chair, Metro Manila RegionCel. No. 0918-9948350 Chair, Registration Committee Cel. No. 0917-3275536 Cel. No. 0917-8862667Email: henry.m.tan@ph.ey.com Cel. No. 0920-9085604 Email: aldrin_cerrado@abs-cbn.com Email: rrseballe@bdo.net.ph

Email: geraldine.h.apostol@ph.pwc.comVIOLETA J. JOSEF CONVENTION SECRETARIATNational President, PICPA PICPA MMR Secretariat Tel. Nos. +632 723 6313 / 723 9225 / 725 3337 / 723 0691Cel. No. 0917-8410038 Ground Floor PICPA Building, 700 Cel.No. 0917-8521378 / 0917-8521380Email: vjosef@mib.com.ph Shaw Boulevard, Mandaluyong City Email: 68thanc@picpa.com.ph

Nov. 13Wednesday

PICPA Bldg., Shaw Blvd., Mandaluyong City Registration Business Opportunities Seminar Chapter Presidents' Meeting & Welcome Reception Sports Activities (Golf) Sports Activities (Bowling)

Thursday Trade Exhibit Opening Sectoral Fora

8:00 am - 8:30 am8:00 am - 12:00 nn

Nov. 14 Registration8:00 am - 8

- Government - Public Practice

- Commerce & Industry - Education

Technical Session (TS) 1 (Plenary) Dinner & Entertainment

Eucharistic Celebration Opening Ceremonies/National Awards

2:00 PM

Friday TS 3 (Plenary) TS 4 (Plenary)

9:15 am - 10:30 am 10:30 am - 12:00 nn

Nov. 15 TS 2 (Plenary) 8:00 am - 9:15 am

TS 6 (Break-out Sessions) TS 7 (Break-out Sessions)

2:15 pm - 3:30 pm 3:30 pm - 4:45 pm

LUNCH TS 5 (Break-out Sessions)

12:00 nn - 1:00 pm 1:00 pm - 2:15 pm

Presentations Night (Dance Crazes of the 2000)

TS 8 (Break-out Sessions) DINNER/Chapter Awards & Regional

5:00 pm - 6:30 pm 6:30 pm - 10:00 pm

FOR INQUIRIES and REGISTRATION: (you may visit our website at www.picpaconvention.com)

Php 5,500.00

Php 5,000.00

Php 6,000.00

Php 5,200.00

US$ 200

DATE8:00 am - 5:00 pm8:00 am - 12:00 nn8:00 am - 10:00 am

6:00 am - 12:00 nn1:00 pm - 5:00 pm

Saturday TS 10 - Regulators' Forum (Plenary) Closing

9:15 am - 11:00 am 11:00 am - 11:30 am

Nov. 16 TS 9 - Tax Updates (Plenary) 8:00 am - 9:15 am

P I C P A M E T R O M A N I L A R E G I O N a n d C H A P T E R ST H E N A T I O N A L O R G A N I Z A T I O N O F C E R T I F I E D P U B L I C A C C O U N T A N T S

P h i l i p p i n e I n s t i t u t e o f C e r t i f i e d P u b l i c A c c o u n t a n t s

ATTIREVENUEACTIVITIESTIME

REGISTRATION FORM

6 8 t h P I C P A A n n u a l N a t i o n a l C o n v e n t i o n

REGISTRATION FEES REMITTANCE