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Please print, complete (in legible black ink printing), & sign this PCI training application, along with
the Tax Consultant Code of Ethics, scan both documents, and then email both this application and the signed
Code of Ethics to P.C.I.  by email attachment to:  incometaxplanning@yahoo.com,.

Full name:_______________________________________________________________________ Age: _______________________

Mailing address:______________________________________________________________________________________________

City:_______________________________ State: __________________  Postal Code: __________  Country:___________________

Daytime phone: (________ )_____________________  Evening phone:  (________ )____________________

Email address:______________________________________________________________________________

I desire (upon successful completion of my certification designation training program) to be a Certified Tax Consultant.

If I am accepted for training by the Professional Certification Institute, I will always follow and abide by the Tax Consultant Code of Ethics of P.C.I. I understand and agree that my professional designation of Certified Tax Consultant will be terminated if I violate the Code of Ethics, or if I do not pay my annual renewal PCI membership dues (currently $99).  To accompany this training application, I will make payment to PCI by using the PayPal payment link posted on the home page, or by international bank wire (contact us for bank wire instructions).  Alternatively, I will make payments in three equal payments via PayPal, as explained on the home page.

If you have completed ANY post-high school college, trade, or technical education programs of any kind, please provide the details including school name, school location, year of graduation or completion of course, subjects studied, and any other helpful info. Attach extra sheets of paper if needed. Please note that the minimum education requirement that is prerequisite to your study to be a Certified Tax Consultant is either a two year or four year college degree in any subject field. Please also send a copy of your college grade transcripts and college graduation diploma.

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Please describe in detail all or your business/work/career experiences that you believe would be helpful to your successful career as a
Certified Tax Consultant.  [please include details such as skills learned, employer names and addresses, and dates]. Attach extra sheets
of paper if needed.

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Please provide the names, nature of relationship [how you know each person], company [if relevant], complete mailing address, and
current phone
number of three persons who personally know your work abilities and/or general character. Your most ideal references would be your business/
professional clients or co-workers. Please do NOT submit references who are your relatives or employees. Attach extra sheets if needed.

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I certify that the above information is totally true and complete. I authorize my references to provide complete information about myself to the
Professional Certification Institute.

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                              My Signature                                                                                    Date

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