BOI FORM 501 APPLICATION NO.

: ___________
ENERGYAND RELATED PROJECTS DATE ACCEPTED : ___________
(Revised as of November 2017) LAW: E.O. No. 226:
R.A. No. 9513:
Note: The applicant enterprise hereby elects to be governed by the provisions of the law indicated above,
cognizant that such election once made shall be FINAL pursuant to the Memorandum of Agreement
entered into in January 2010 between the Department of Energy and the Board of Investments

APPLICATION FOR REGISTRATION

Schedule 1: PROPONENT
Name of Entity :
Office Address :
Telephone No : Fax No. :
SEC/Registration : No: Date: TIN No. :
Ownership : % Filipino % Foreign
(Nationality)
Authorized Capital : PhP

CURRENT STOCKHOLDERS’ PROFILE:

Position or Capital Stock (PhP)
Check if (%
Name Nationality Designation in the
Director Subscribed Paid-up Ownership
Enterprise

Total
Indicate in the Nationality if naturalized Filipino

Schedule 2: CONTACT DETAILS

AUTHORIZED REPRESENTATIVE TO BOI:

Name : Position :

E-Mail Address :
Fax No.
Landline/Cellphone No. : :

Schedule 3: PROJECT PROFILE:

Name of Project :
Project Location :
IPP Year: Category : Preferred Activities Special Laws Export Activities

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 Activity as Listed in the IPP :

Specific Products/Services: Product /Service 1 Product /Service 2 Product /Service 3

Capacity for BOI Registration:

(Maximum Annual Production Capacity, except for power generation activities which should be in MW/kW)
PROJECT DESCRIPTION:

(Please include also the hectarage of site for solar projects; identify the EPC contractor and the amount of EPC contract, etc.)

Schedule 4.A: TYPE OF PROJECT & STATUS (IF APPLICATION IS UNDER E.O. NO. 226)

New: Expansion: Modernization:

% Increase in Capacity:

STATUS: Pioneer Non-

Pioneer

Justification for Pioneer Status:

Schedule 4.B: ENERGY SOURCE & TYPE OF INVESTMENT (IF APPLICATION IS UNDER R.A. NO. 9513)
ENERGY SOURCE:
Biomass Hydro Wind Oil
Geothermal Solar Coal Others
(Specify)

TYPE OF INVESTMENT:
New Additional Existing

Schedule 5: Project Timetable and Cost (Php)

Schedule
Activity Related Expenses Cost (in PhP)
(Month/Year)
Obtaining licenses, permits, registration Pre-operating expense
Project site preparation and development Land
• Hiring of contractors Land improvements
• Civil works Building
Leasehold improvements
Other expenses
Acquisition and installation of machinery & Machinery & equipment (A)
equipment Others
Trial Run
Start of commercial operation Working capital (__ months) 1
Total Project Cost (B)
1
Normally covers the first three (3) to four (4) months of operations.

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 Schedule 6: Project Financing
(PhP) Percent (%)

Equity
Loan
Total2 (B)
2
Total financing should tally with Total Project Cost in Schedule 5
Status of Loan: _________________________________________________________________________________

Schedule 7: Projected Production and Sales Schedule (should be consistent with the Projected Income Statements)
(Y1 is first 12 months of commercial operation)

A. For Non-Power Applications, e.g., bio-fuels, etc.

Sales Volume
Production Volume Average Selling Price per Unit
3
Year
Export
Domestic Export Domestic (Php)
(US$)
Y1
Y2
Y3
Y4
Y5
3
Indicate unit of measure (e.g., metric tons, liters, etc.)
Note: Projected annual production volume should not exceed the production capacity per year being applied for BOI registration
Assumptions Used in the Projections:
-
Total number of shifts per day :
- Total number of operating days per year :
- Total number of capacity determinant machine :

B. For Power Applications

Year Production (kWh) Sales (kWh) Selling Price (PhP/kWh)
Y1
Y2
Y3
Y4
Y5
Formula for the Total Rated Capacity (MW): __________________________________________________________
Formula for the Production (kWh): _________________________________________________________________
Formula for the Sales (kWh): ______________________________________________________________________

C. Carbon Emission Reductions (CERs)

Year Carbon Emission Reductions (CERs) (in MT CO2) Price of CER (Equivalent in PhP /MT CO2)
Y1
Y2
Y3
Y4
Y5

Schedule 8: Jobs Generation

Number of Personnel
Classification Y1 Y2 Y3 Y4 Y5
Direct Labor
Indirect Labor
Selling/Admin
Total
(Y1 is first 12 months of commercial operation)

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 Schedule 9: List of Machinery/ Equipment
A. For New and Expansion Projects
Description / Type of Check if Country Qty Unit Cost
Already Already For End-use4 No. of units (Php)
Machine acquired installed acquisition Source

Total: (A)
4
Application or manufacturing stage where the equipment will be used

Schedule 10: Financial Projections (10 Years) - (submit also electronic copy in Excel or word format)
• Projected Income Statements should include Itemized Cost of Sales and Operating Expenses), assuming 30% Corporate Tax Rate
• Should be consistent with Schedule 7 of Form 501;
• Should Include the following in the projections: (a) Government share for RE projects (i.e., 1% of Gross Income); (b) ER 1-94 Contribution
(i.e., PhP 0.01 per kWh of the electricity sales); (c) Real Property Tax; (d) Interest on Loans; (e) Insurance premiums (if any); (f) Permits,
Licenses; (g) Other applicable taxes, and other benefits to the government, etc.
• Assumption: Without ITH

ATTACHMENTS:
a. Project site should be shown in Google Map, indicating also the applicant’s existing project/s (if any) located
near the proposed. Sketches not acceptable.
b. Schematic Diagram showing Business Model of the activity being registered (clearly indicate how the proponent
will earn revenues and make profit).
c. DOE Endorsement (if applying under EO 226) or DOE Certificate of Registration (if applying under RA 9513)
The applicant has read the Republic Act 9513 (Renewable Energy Act of 2008), and the Rules and
Regulations adopted by the DOE and BOI/ Omnibus Investment Code of 1987 and the Rules and
Regulations adopted by the BOI and commit itself to abide by the provisions thereof.

DONE IN THE CITY/PROVINCE OF THIS DAY OF

20 .

Printed Name & Signature

Applicant/Authorized Officer
REPUBLIC OF THE PHILIPPINES
CITY/PROVINCE OF ) S.S.
MUNICIPALITY OF )

SUBSCRIBED AND SWORN to before me this day of 20 in

the City/Province of affiant exhibited to me his CTC
No. issued at on
20 .
NOTARY PUBLIC
Until Dec. 31,
Doc. No. :
Page No. :
Book No. :
Series of :

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SAMPLE FORMAT (Use separate sheet)
SECRETARY’S CERTIFICATE

I, (name of Corporate Secretary), of legal age, Filipino, being the duly elected and qualified Corporate
Secretary of (name of applicant enterprise), a corporation duly organized and existing under the laws of the
Philippines, with office address at (office address of applicant enterprise), under oath, do hereby certify that at the
special meeting of the Board of Directors of the Corporation held on (date of special meeting), the following
resolution was unanimously adopted:

RESOLVED, that (name of officer of enterprise), (position of officer), be as it is hereby, authorized to

transact, execute and sign all documents in behalf of the Corporation pertaining to its application for registration with
the Board of Investments (BOI) for purposes of availing the applicable incentives under the Renewable Energy Act
of 2008 (Republic Act No. 9513)/ Omnibus Investments Code of 1987 (Executive Order No. 226) as amended for the
(proposed project activity) as Renewable Energy Developer/ (New)(Expanding)(Existing) Producer/Operator of
_________, which is covered by the Special Laws/Regular List of the 20___ Investment Priorities Plan (IPP) of the
BOI.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __________ day of _____________ 20___ at
__________________________.
Corporate Secretary

Subscribed and Sworn to before me this __________________ at _______________, affiant exhibited to me his
CTC No. ____________________ issued on ___________________ at ___________________.
Notary Public
Doc. No. _______
Page No. _______
Book No. _______
Series of _______

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 ADDITIONAL INFORMATION, AS MAY BE APPLICABLE

Schedule 11: List and Breakdown of Cost of Raw Materials

A. For New and Expansion Projects (IF APPLICATION IS UNDER E.O. NO. 226)
Y1
a. Local Raw Materials

Sub-Total
b. Imported Raw Materials

Sub-Total
Total Raw Materials
c. Direct Labor Cost
d. Total Overhead Cost
e. Total Production Cost (a+ b+c+d)
(Provide additional sheet if necessary)
(Y1 is first 12 months of commercial operation)

Schedule 12: APPLICABLE ONLY TO MODERNIZATION PROJECTS

A. Compliance to the REQUIRED 25% Substantial Reduction of Total Production Cost

Production Cost Production Cost Substantial Reduction Cost on
Before After Production cost
Modernization Modernization Amount Difference Percentage
(A) (B) A-B = (C) C / TCGS
Total Raw Materials
Local
Imported
Direct Labor
Manufacturing Overhead:
Utilities:
Electricity
Water
Communication
Total Utilities
Other Manufacturing Overhead:
Indirect Labor
Factory Supplies
Insurance Expenses
Depreciation & Amortization
Repairs & Maintenance
Others
Total Other Manufacturing Overhead

Total Cost of Goods Sold (TCGS) (25%

minimum)

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 B. List of Machinery/ Equipment (Existing & Replacement)
Existing Machines & Equipment Replacement Machines & Equipment
under Modernization Program
Process Flow/
Machine Age/ Year Quantity Actual End-Use Quantity Production Expected
Section
Type/Model Acquired Production Capacity Efficiency
Capacity

(Provide additional sheet if necessary)

Schedule 13: APPLICABLE ONLY TO ENTERPRISES WITH EXISTING OPERATIONS

Actual Production and Sales Schedule (Volume and Value) - Past Three (3) Years Operations

A. For Non-Power Applications, e.g., bio-fuels, etc.

Installed Production Sales Volume (No. Selling Price per Foreign Exchange
Total Sales Value
Capacity Volume of units) Unit Rate
Year
(No. of (No. of Domestic Export Domestic Export (in PhP per USD)
Domestic Export
Units) 5 Units) (Php) (US$) (Php) (US$)

5
Indicate unit of measure (e.g., metric tons, liters, etc.)

B. For Power Applications

Total
No. of Capacity Operating Selling
Rated Production Sales Value
Generators/ per Unit Hours per Sales (kWh) Price
Year Capacity (kWh) (PhP)
PV Modules (MW) Year (PhP/kWh)
(MW)

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