VENDOR ACCREDITATION FORM V09011518-1.

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SUPPLIER ACCREDITATION INFO SHEET

Vendor Name: Nature of Business:

Contact Person: Tax Identification Number:

Tel. No.:
Email
Head Office Address:
Tel. No.:

Factory/ Warehouse Address

Tel. No.:

Business Structure:
Single Proprietorship_____ Partnership_____ Corporation_____
Date of Incorporation:___________________
Certificate of Incorporation:__________________
TOP THREE (5) CUSTOMERS
Name Address Products/ Services Rendered Terms of Payment Contact Person/No.

TOP THREE (3) SUPPLIERS

Name Address Products/ Services Rendered Terms of Payment Contact Person/No.

AFFILIATE SUBSIDIARY/IES (IF APPLICABLE)

Name Address Nature of Business

FINANCIAL INFORMATION (BANK REFERENCES)

NAME OF BANK BRANCH CONTACT PERSON / NUMBER

COMPANY'S AUTHORISED REPRESENTATIVE

CONTACT PERSON TELEPHONE NUMBER MOBILE NUMBER EMAIL ADDRESS

SALES REPRESENTATIVE:

SALES HEAD:

FINANCE HEAD:

Other Official Signatory:

ACCREDITATION REQUIREMENTS CHECKLIST 2

Local
______ Letter of Intent IMPORTANT INSTRUCTIONS:
______ Supplier Accreditation Info Sheet 1. The letter of intent should be
______ Company Profile/List of Goods and Services
addressed to the purchasing
______ Proof of Tax/BIR Registration
department.
______ DTI/SEC Registration
______ Mayor's Permit 2. All documents should be
______ Location Map submitted in brown envelop and
______ Latest audited Financial Statement (2yrs above in the business) addressed accordingly. The top left
______ Proof of billing ( New Businesses) corner of the envelop should be
______ Sample of company invoice clearly marked with the supplier
Foreign company name.
3. The documents should be
______ Vendor Accreditation Form
______ Vendor System Registry Form
arranged in the order as shown in the
______ Company Profile/List of Goods and Services checklist. Any additional document
______ Business Registration Certificate you wish to add should come last
______ Office Location Map starting from the Airport 4. Failure to fill up all fields in the
form, attaching the required
documents, may delay processing
and/or may be grounds for denial of
your application.

ANY ADDITIONAL INFORMATION YOU MAY WANT TO ADD:

I/We hereby certify that the information given above are to the best of my/our knowledge true and corect.
Attached are the copies of all our accreditation documents.
Name:_______________________________
Position:_____________________________
Signature:____________________________ Date:________________
To be filled out by purchasing department after due inspection and verification of vendors's facilities. (Official use only)

PVM PURCHASING & SUPPLY CHAIN DEPARTMENT

GRADE: Pls Check PO Maximum Amount Limit
Grade A
Grade B
Grade C
Grade D (Disapproved)
AUDITED BY: ____________________________________________________________
(SIGNATURE, NAME & DATE)
COMMENTS: (IF DECLINED, PLEASE STATE REASONS)______________________________________________________________
_____________________________________________________________________________________________