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Company Regiroton and Montaing Department errant oreoanee Monitoring Division Maofcompariiem 2 seem Contact Person Contact Numbers Beall address;@ 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) J (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.

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