Cpdd-02 Rev 03 CPD Program

Professional Regulation Commission
APPLICATION FOR ACCREDITATION OF CPD PROGRAM
CPD Council of/for ____________________

Part I. General Information
Name of Provider:
Accreditation No.: Expiration Date:
Contact Person: Designation:
Contact No.: Date of Application:
Proposed Program:
Seminar Seminar/Workshop Residency Training Tours & Visits Others __________
Title of the Program:
Date to be offered: Time / Duration:
Place / Venue: No. of times program to be conducted:
Course Description:
Objectives:
Target Participants / No.: Registration / Seminar Fee to be collected:
Part II. Acknowledgment and Conforme

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 agree to the PRC Privacy Notice and give my consent to the collection and processing of my personal data in accordance
thereto.
_____________________________
Signature Over Printed Name
_____________________________
Position
_____________________________
Date
Part III. Action Taken
Cash Division:
Regulation Division:
Amount :______________
Processed by:_______________ O.R.No./Date :______________
Date :_______________ Issued by :______________
Reviewed by:
___________________________________________
Chief, Regulation Division
ACTION TAKEN BY THE CPD COUNCIL
Approved for _____ Credit Units Accreditation No. _______________

Disapproved
Deferred pending compliance ______________________________________
______________________________________________________________
______________________________
Chairperson
_____________________________ _____________________________
Member Member
Date____________________
CPDD-02
Rev. 03
January 3, 2019
Page 1 of 2
PROCEDURE FOR ACCREDITATION OF CPD PROGRAM
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 evaluation and assessment.
Step 4. Pay prescribed fee (in cash, Postal Money Order, Manager’s Check, Bank Draft payable to
Professional Regulation Commission) of One Thousand Pesos (P 1,000.00).
Step 5. Submit Application Form with attached supporting documents and photocopy of official receipt to
Regulation Division of any of the PRC Regional Offices.
Step 6. Verify your application after 45 days from time of submission at CPD Division by calling telephone
numbers 810-84-15 (PRC-PICC), or email at [email protected]
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
[ ] Specific course Objectives stating competencies to be gained from program
[ ] Evaluation tool specific to course objectives set
[ ] Program of Activities showing time/duration of topics/workshop
[ ] Resume of Speakers for program applied for, showing expertise in the topic/s; show certificates or
citations (if any)
[ ] Current Prof. ID of speaker if registered professional; if foreigner, current Special Temporary Permit
(if applicable)
[ ] Breakdown of expenses for the conduct of the program
Additional Requirements:
[ ] Short brown envelope for the Certificate of Accreditation
[ ] Two (2) sets of metered documentary stamps worth Twenty-Five Pesos (P25.00) 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 attachments in PDF format saved in CD.
[ ] Pre-paid pouch (preferably from Philpost) for applications filed in Regional Offices only.
Note:
1. Application for accreditation should be filed 45 days before the offering of the program/training.
2. Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation in behalf
of the applicant must present a letter of authorization and valid identification cards of both the authorized
signatory and the representative.
3. The period for processing the application is 45 days.
4. If additional requirement/s is/are needed, a period of 15 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.
CPDD-02
Rev. 03
January 3, 2019
Page 2 of 2

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Professional Regulation Commission

APPLICATION FOR ACCREDITATION OF CPD PROGRAM

CPD Council of/for ____________________

Accreditation No.: Expiration Date:

Contact Person: Designation:

Contact No.: Date of Application:

Date to be offered: Time / Duration:

Place / Venue: No. of times program to be conducted:

Target Participants / No.: Registration / Seminar Fee to be collected:

Part II. Acknowledgment and Conforme

ACTION TAKEN BY THE CPD COUNCIL

Approved for _ Credit Units Accreditation No. ___________

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