Sec Form Exa-001

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    SECURITIES AND EXCHANGE COMMISSION

    SEC FORM ExA-001

    INITIAL APPLICATION FOR ACCREDITATION OFAN INDIVIDUAL EXTERNAL AUDITOR

    Applying for accreditation to act as external auditor for (Please check appropriate box):

    Group A1

    Group B- Secondary Licensees2

    Group C Secondary Licensees3

    1. Name of Applicant:RHENEIR P. MORA..

    2. Place of Birth/Birthday:TUYAN, NAGA, CEBU / NOV. 23 1978. Age:28

    3. Telephone number and Complete Address: 273-2477 / 2387 INAYAGAN, NAGA, CEBU

    4. Education:

    Course Name of School Year Finished/Honors

    Received

    Accountancy CEBU INSTITUTE OFTECHNOLOGY

    1999

    CUM LAUDE

    Other CollegiateCourse/s

    (LAW)

    UNIVERSITY OF THE VISAYAS 2005

    Post-graduate

    5. CPA Certificate/License Number:0100755 Date Granted:01/07/2000..1Group A

    i. Public companies or those with total assets of at least Fifty Million Pesos (P50,000,000.00) having two hundred (200)or more stockholders each owning one hundred (100) shares

    ii. Issuers of registered securities which have sold a class of securities pursuant to a registration under Section 12 of theSecurities Registration Code (SRC)

    iii. Issuers with a class of securities listed for trading in an Exchange

    2 Group Bi. Pre- need Companiesii. Investment Housesiii. Brokers and Dealers of securitiesiv. Investment companiesv. Government Securities Eligible Dealers (GSEDs)vi. Universal Banks Registered as Underwriters of securitiesvii. Investment Company Advisersviii . Clearing Agency and Clearing Agency as Depositoryix. Issuers of Registered Time Shares, Proprietary and Non-Proprietary Membership Certificatesx. Stock and Securities Exchange/sxi. Special Purpose Vehicles registered pursuant to RA 9182

    3 Group C

    i. Financing Companiesii . Transfer Agents

    6. Audit Experience:

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    Name of Firm(if applicable)

    Position/Function Period List of Corporate Clients

    (indicate amount ofassets)

    R. P. MORAACCOUNTING and

    AUDITING SERVICES

    SOLEPRACTITIONER

    2003 -Present

    GLOBAL BUILDINGMATERIALS MKTG CORP.

    P14,065,655

    PHOENIX BUILDINGSYSTEMS CORP.

    P6,084,683

    TEKTON ENTRE-WORKERS COOPERATIVE,

    CEBU P7,987,247

    DIAZ, MURILLO,DALUPAN, CPAs

    JUNIOR AUDITOR 2000

    7. List of Trainings/Seminar Attended

    Title of Seminar/Topics

    Organizer Date

    ENVIRONMENTAL

    MANAGEMENT

    ACCOUNTING (EMA)

    PICPA / The German Federal Ministryfor Economic Cooperation and

    Development (BMZ) thru InWEnt

    24-27October

    2006

    UPDATES IN ADVANCED

    ACCOUNTING (IAS-BASED)

    PRC-BOA Accounting Education Task

    Force / PICPA / ACPAE /Philippine Association of Collegiate

    Schools of Business

    May 9,

    2004

    UPDATES IN FINANCIAL

    ACCOUNTING AND

    REPORTING (IAS-BASED)

    PRC-BOA Accounting Education TaskForce / PICPA / ACPAE /

    Philippine Association of CollegiateSchools of Business

    November16, 2003

    8. Exhibits

    i. A copy of the Statement of Representation as required under paragraph 3(c)(v) of SRC Rule68 which may be submitted only once;

    ii. Copy of updated PRC license and Certificate of Registration as a public practitioner issuedby the Board of Accountancy (BOA)/Professional Regulation Commission (PRC);

    iii. Notarized certification of the external auditor that he is in compliance with the qualificationrequirements under Section 5.1 of SEC Memorandum Circular No. 13 (Series of 2003) andthat he has not been convicted by a competent court for a crime involving moral turpitude orfraud (as defined in the Revised Penal Code), or declared liable by the Commission or byany competent court for violation of the Corporation Code or the Securities RegulationCode.

    iv. In case of an application for general accreditation or for public companies and Group Asecondary licensees, notarized certification that the applicant has fundamental knowledge ofthe regulatory requirements on each of the other secondary licensees of the Commission.

    v. If the applicant is an individual practitioner, he/she shall submit a Quality Assurance Manualdescribing the following:

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    a. quality assurance process, such as, but not limited to client acceptance and retentionpolicies, concurring partner review, consultation process, etc.;

    b. procedure for monitoring professional ethics and independence from clients;

    c. Other quality assurance policies or procedures provided in Philippine Standard on

    Auditing No. 220 or as may be required by the Commission.

    9. Processing Fee

    This application for accreditation has been submitted along with the payment of the prescribedfee in the amount of ___________________ under O.R. No. ________________

    I hereby certify that the foregoing information are true and correct.

    ____________________________Applicants Signature

    Date: _________________________Place:_________________________

    SUBSCRIBED AND SWORN to before me this ______________ day of ___________, 2006,the affiant exhibited to me his Community Tax No. 08310321 issued on January 05, 2007at Naga, Cebu, Philippines.

    Doc. No. ______;Page No. ______;Book No. ______;Series of 2007