INFORMATION SHEET

Please READ!!!

Please fill up the details below needed for the transfer of share. Making sure that all details are
CORRECT AND TRUE.

Please also send as a CLEAR scanned copy of any government issued ID (preferably passport)
with three (3) signatures at the right side of the page. This is a protocol needed to be use as a
specimen signature for the deed of absolute sale.

Please send as a COLORED SCANNED COPY of the membership certificate as proof that the
it is on hand.

Please email the complete filled up form at janina@bclaw.com.ph and cc
c.janinavelbis@yahoo.com


Always ask for an Acknowledgement Receipt from me of the E-mail once sent.

FIRST NAME
MIDDLE NAME
MIDDLE INITIAL (For those who
have de or two words in their
middle names like de Luna, de
Jesus etc

LAST NAME


BIRTHDAY


CIVIL STATUS


CITIZENSHIP


POSTAL ADRESS
RESIDENTIAL ADDRESS
ZIP CODE
POSTAL CODE
CLASS A OR B?
MEMBERSHIP CERTIFICATE
NO.


Willing to Pay the CGT? Yes/ No?
Selling Price:
TIN Number:
Place Issued:


Passport No.:
Date and Place Issued:
Validity:



With the absence of Passport/ Please
Fill this up;
Government-Issued ID:
Date and Place Issued:
Validity:


I hereby certify that all information above are correct:

NAME AND SIGNATURE ABOVE; PLEASE PRINT/ DATE AND TIME