Sec Form Exa-001: Revised 2018
Sec Form Exa-001: Revised 2018
Sec Form Exa-001: Revised 2018
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[ ] Group A 1
[ ] Group B 2
[ ] Group C 3
1. Name of Applicant:_____________________________________________________________________
3. Business Address:_____________________________________________________________________
Telephone No. __________________________________ Fax No. _______________________________
4. Education:
Accountancy
Post-graduate
7. Number of Years of Audit Experience (as in-charge, manager, partner or equivalent) _____________
1
Group A(i) Issuers of registered securities which have sold a class of securities pursuant to a registration under Section 12 of the Securities Registration
Code (SRC) except those issuers of registered timeshares, proprietary and non-proprietary membership certificates which are now covered in
Group B; (ii) Issuers with a class of securities listed for trading in an Exchange; (iii) Public companies or those which have total assets of at least Fifty
Million Pesos (P50,000,000.00) or such amount as the Commission shall prescribe, and having two hundred (200) or more holders each holding at least
One Hundred (100) shares of a class of its equity securities.
2
Group B (i) Issuers of registered timeshares, proprietary and non-proprietary membership certificates; (ii) Investment Houses; (iii) Brokers and Dealers of
Securities; (iv) Investment Companies; (v) Government Securities Eligible Dealers (GSEDs); (vi) Universal Banks Registered as Underwriters of Securities;
(vii) Investment Company Advisers; (viii) Clearing Agency and Clearing Agency as Depository; (ix) Stock and Securities Exchange/s; (x) Special Purpose
Vehicles registered pursuant to Special Purpose Vehicle Act of 2002, and its implementing rules; ( xi) Special Purpose Corporation registered under the
Securitization Act of 2004 and its implementing rules; (xii) Such other corporations which may be required by law to be supervised by the Commission.
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Group C (i) Financing Companies; (ii) lending Companies; (iii) Transfer Agents.
Revised 2018
8. Name of Audit Firm/Partnership Wherein Audit Experience was Obtained (If necessary, provide
information in a separate sheet as Annex) _________________________________________________
Name of Period of
Corporate Clients Engagement Amount of Total Assets
11. Exhibits
i. Copy of the Certificate of Accreditation issued by the Board of Accountancy (BOA). In case of a
partner of a firm, the certificate should include a list issued by the BOA which indicates the
names of the qualified partner/s of the firm;
iii. Copy of Audited Financial Statements (AFS) of the applicant’s two (2) largest clients in terms
of assets;
iv. In case of an application for Group A, B or C accreditation, notarized certification that the
applicant has fundamental knowledge of the regulatory requirements on each of the covered
secondary licensees of the Commission;
For those availing a mutual recognition of accreditation granted by the Bangko Sentral ng Pilipinas
(BSP) and Insurance Commission (IC), as allowed under SEC memorandum Circular No. 13, s. of
2009, only the following documents shall be attached to the application:
ii. Notarized certification that the application has fundamental knowledge of the regulatory
requirements on companies under Group C;
iii. Copy of the latest AFS of the applicant’s largest clients in terms of assets.
This application for accreditation has been submitted along with the payment of the prescribed fee in the
amount of __________________ under O.R. No. _____________________.
I hereby certify that the foregoing information are true and correct.
________________________
Applicant’s Signature
Date: _________________________
Place:_________________________
JURAT