Unit 3-6 Sunshine Condo., 9633 Kamagong St.

, SAV, Makati City

Tel No. 403-6392 * 403-4960
Fax : Local 108
Email Add: fepcor_electrical@yahoo.com

(To be filled-up by customer)

CREDIT APPLICATION FORM

This application for increase in credit will be considered and, if approved, granted on the basis of and in reliance upon the following
information.
Please complete the following the following questions accurately.

Amount of Credit requested : PHP Credit Terms requested : PDC DAYS

Expected size of business: PHP

Company Name:

Business Address:

Telephone No/s: Fax No.:

Contact Person: Email Add:

No. of years in Present Business:

Nature of Business: ( ) Manufacturing ( ) Trading ( ) Dealers/ Dist. ( ) Others ____________

Type of Business: ( ) Single Proprietorship ( ) Partnership ( ) Corporation

Officers:
President/ General Manager:
Controller/ VP Finance/ Tresurer/ Finance Mgr:
Purchasing Manager:

Major Suppliers/Creditors: (Name/Address/Telephone)

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Major Customer : (Name/ Address/ Telephone)

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Bank References (Name/ Address/ Telephone)

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I certify that I am authorized to sign this credit Application Form and that the information given is true and correct, to the best of my
knowledge.
Name: Signature:

Position/ Tittle: Date:

Requirements: (UPDATED)

( ) The Latest three (3) years Audited Financial Statements

( ) BIR Registration Form No. 2303
( ) DTI Registration
( ) SEC Registration
( ) Mayor's / Business Permit

To be filled-up by FEPCOR ELECTRICAL CORP. employees:

_____________________________ _____________________________
Checked by: Approved by:
MEGiray J.Opulencia
General Manager
_____________________________ _____________________________
Checked by: Approved by:
MEGiray J.Opulencia
General Manager