Company Regiroton and Montaing Department
errant oreoanee Monitoring Division
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Contact Person Contact Numbers
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APPLICATION: (Please Check)
CERTIFICATE OF NO DEROGATORY INFORMATION
‘AMENDMENT OF ARTICLES OF INCORPORATION/BY-LAWS
ax} MONITORING (COMPUTATION OF PENALTIES)
=| NOTICE OF DEFICIENCIES/CONFERENCE LETTER
OTHERS (PLS. SPECIFY)
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(CHECKLIST OF REQUIREMENTS,
PROCESSING ast |" ReMaRKs @ND_T REMARKS
DATE.
Latest due Financial Statements
‘Amended Financial Statements ((fany)
Latest due General Information Sheet
‘Amended General in ns i a2
Incorporation,
formation Sheet ((Fany)
Certificate of
Articles of incorporation (AT
Latest approved amended Al ifaay)
[ By-Laws:
Latest ay [amended By-Laws
| Book/Membership
‘Sec. Cert (No Intra-corporate dispata)
Sec. Cert. (clarification)
‘Affidavit (Anti-dummny law/one and the
same/auditor)
OGA Acknowledgement (functional
currency)
Others
Signed by: “Authorized Reps “hathorlzed Reps
L CMD stat CMD Staff:
¢ > ——conPLED Witt NYD_-——NoTYer DUE
No = NOT COMPLIED Wirt NYR = NoTYET REQUIRED
WA = _NOTAPPLICABLE
APPLICATION SUBMT ALL REQUIREMENTS TOGETHER WITH THIS cuCKLIST TO FORM PaRT oF THE
APPLICATION, :
Compony Registration and Monlloing Department
sO) sschangs"™ ‘Compliance Monitoring Division
Seaton ent Receipt
ot dona tnowledge the docunionts for monttoring on please be advised that the
tall Teteeyamnents Stall sill undergo evaluation by Our assigned personnal The Gorpe ee be notified via
emall/ letter/ telephone call accordingly,
2 (Name Corporation)
CMD Staff
Compliance Monitoring Division
SEC Reg. No.