Professional Regulation Commission

APPLICATION FOR ACCREDITATION AS LOCAL CPD PROVIDER

CPD COUNCIL OF/FOR ________________

New Renewal Accreditation No.:

Expiry Date:

Part I. Applicant Information

Name of Applicant/Provider:

Classification:
Firm/Partnership/Corporation Government Institution/Agency Professional Organization
Individual/ Single Proprietorship Academic Institution Cooperative & NGO
Address:

Office Telephone No.: Fax No.:

E-mail Address: Website, if available:
Contact Person: Landline No:
Mobile No.:
Part II. Acknowledgment
I hereby certify that the above information written by me are true and correct to the best of my knowledge
and belief. I further authorize PRC and other agencies to investigate the authenticity of all the documents
presented.

I am agreeing to the PRC Privacy Notice and giving my consent to the collection and processing of my
personal data in accordance thereto.

_____________________________
(Signature Over Printed Name)
___________________________
Position
______________________
Date
Part III. Assessment and Review
Regulation Division: Cash Division:
Assessed by : ___________________ Amount : ___________ O.R. No.: ______________
Date : ___________________ Date : ____________________
Remarks : ___________________ Issued by : ____________________
Reviewed by:

_______________________________
Chief, Regulation Division
Date: ________________
Part IV. Action taken by the CPD Council

Approved Accreditation No. __________________

Deferred pending compliance ______________________________________
______________________________________________________________
Disapproved due to ______________________________________________
______________________________________________________________

______________________________
Chairperson

____________________________ ____________________________
Member Member

Date____________________

PROCEDURE FOR ACCREDITATION AS CPD PROVIDER (LOCAL)

CPDD-01-A
Rev. 05
June 29, 2020
Page 1 of 2
Step 1. Secure Application Form at Regulation Division of any of the PRC Regional Offices, or download at PRC website
(www.prc.gov.ph).
Step 2. Fill-out Application Form and comply the required documents. (Please provide one (1) set for receiving copy).
Step 3. Proceed to Regulation Division of any of the PRC Regional Offices for review and assessment.
Step 4. Pay prescribed fee (In cash, Postal Money Order, Manager’s Check or Bank Draft payable to Professional Regulation
Commission) of Five Thousand Pesos (₱ 5,000.00). No applicable fees for government agencies and instrumentalities.
Step 5. Submit Application Form with attached supporting documents and photocopy of the Official Receipt to Regulation
Division of any of the PRC Regional Offices.
Step 6. Verify your application after 14 working days from time of submission at CPD Division by calling telephone number
(+632) 8810-84-15 (PRC-PICC) or email at cpdd.applications@gmail.com.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
Individual/Single Proprietor Firm/Partnership/Corporation Government Institution/Agency
[ ] Valid Professional ID Card of the [ ] Company Profile with Mission, [ ] Copy of charter or Republic
proprietor which shall be of the Vision, Core Values and if any, Act establishing the agency
same profession that he/she is list with details of previous [ ] Three-Year Annual Plan of
applying for. training programs conducted proposed CPD Programs
[ ] Resumé which include, among [ ] List of officers with valid [ ] Instructional Design for the
others, relevant educational Professional ID Card (if first program
background, current employment, licensed professional) [ ] Office Order or its equivalent
profession, principal area of [ ] List with details and photographs from the head of Agency
professional work and number of of with captions of training appointing its officer to
years in the practice of the equipment and facilities manage the CPD program
regulated profession [ ] Three-Year Annual Plan of and activities
[ ] Profile which include proposed CPD Programs
Mission, Vision, Core Values and [ ] Instructional Design for the first
if any, a list with details of program
previous training programs and [ ] Appointment paper from the
activities conducted managing partner authorizing
[ ] List with details and photographs the subject partner to manage
with captions of training CPD programs; or Board
equipment and facilities Resolution/Secretary’s
[ ] Three-Year Annual Plan of Certificate of a Corporation
proposed CPD Programs authorizing an officer to
[ ] Instructional Design for the first manage CPD Programs
program [ ] Authenticated SEC Certificate of
[ ] Authenticated DTI Certificate of Registration and Articles of
Registration Incorporation or Partnership
[ ] Original Copy of NBI Clearance and their respective By-laws
[ ] Authenticated BIR Certificate of [ ] Authenticated BIR Certificate of
Registration and Tax Clearance Registration and Tax Clearance
[ ] Affidavit of Undertaking (Annex [ ] Mayor’s or Business Permit
“B-3”) [ ] Affidavit of Undertaking (Annex “B-
[ ] Mayor’s or Business Permit 3”)
[ ] Notarized copy of JVA or MOU or [ ] Notarized copy of JVA or MOU
MOA, if applicable or MOA, if applicable
RENEWAL
[ ] Three-Year Consolidated Report to include the following:
( ) List of CPD programs and activities for the last three (3) years
( ) Updated list with details and photographs with captions of training equipment and facilities
( ) Audited Financial Report
[ ] Three-Year Annual Plan of proposed CPD Programs with the corresponding Instructional Design
[ ] Updated General Information Sheet for Corporation or Partnership
[ ] Amended Articles of Incorporation or Partnership and their respective By-laws, if there are changes
[ ] Appointment paper from the managing partner authorizing the subject partner to manage CPD programs; or Board
Resolution/Secretary’s Certificate of a Corporation authorizing an officer to manage CPD programs; or Office
Order or its equivalent from the Head of Government Agency appointing its officer to manage the CPD programs, if
there are changes
[ ] Affidavit of Undertaking (Annex “B-3”)
Additional Requirements:
[ ] Short brown envelope for the Certificate of Accreditation
[ ] Two (2) sets of metered documentary stamps worth Twenty-Five Pesos (₱ 25.00) each to be affixed to the
Certificate of Accreditation. (Available at PRC Customer Service and PRC Regional Offices)
[ ] Soft copy of the application including supporting documents in PDF format saved in flash drive.
Note:
1. Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation on behalf of the applicant
must present a letter of authorization and valid identification cards of both the authorized signatory and the representative.
2. The period for processing the application is 14 working days.
3. If additional requirement/s is/are needed, a period of 10 working days is given to submit the same. Failure to comply within
the period shall be construed as abandonment of application and the prescribed fee shall be forfeited in favor of the
government.
4. The Articles of Incorporation/Partnership shall include as one of its purposes the training and development of professionals;
or in the case of commercial or industrial, provides for the training and development of its own professionals.
5. The CPD Council shall have the right to specify additional requirements if deemed necessary and appropriate.

CPDD-01-A
Rev. 05
June 29, 2020
Page 2 of 2