APPLICATION FOR INITIAL CERTIFICATION AND …

Guam Board of Accountancy 335 South Marine Corps Drive, Suite 101, Tamuning, GU 96913 Tel: 671-647-0813 Fax: 671-647-0816 Website: Email: Page 1 of 5 APPLICATION FOR INITIAL CERTIFICATION AND LICENSURE (NOTE: you may photocopy these forms - Altered, Changed or Retyped forms will NOT be accepted) (REVISED 11/30/11) CHECKLIST You must submit the following items with your completed, signed APPLICATION : US$ credit card, check, cashiers check or money order payable to GUAM BOARD OF ACCOUNTANCY A 2 x 2 passport-type photo (less than 1 year old) A copy of your government issued Personal Photo Identification (passport, driver s license, etc.) which must be in English Completed and endorsed Moral Character Reference Forms from three (3) different individuals Completed Experience Affidavit form(s) detailing 1 - 2 years' experience, verified by a Licensed CPA, as appropriate for your education level and desired license type - see form instructions for details Authorization for Interstate Exchange of Examination and Licensure Information (IF you passed the CPA exam elsewhere and/or you are licensed in a jurisdiction other than Guam) Official college transcripts detailing all courses taken; foreign transcripts must be accompanied by a for

Guam Board of Accountancy 335 South Marine Corps Drive, Suite 101, Tamuning, GU 96913 Tel: 671-647-0813 Fax: 671-647-0816 Website: www.guamboa.org Email: licensing@guamboa.org

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