PROCUREMENT SERVICE-PHILGEPS

PhilGEPS Virtual Store Agency Buyer Registration Form

Note: Asterisk (*) indicates mandatory fields

ORGANIZATION INFORMATION

Organization Name * : EFEGENIO LZARES NARTIONAL HIGH SCHOOL

Acronym : ELNHS

Agency Tax Identification Number*: ---------------------------------------------------------- 000863958740

ORGANIZATION ADDRESS

Region* : VI-WESTERN VISAYAS

Province* : NEGROS OCCIDENTAL

City/Municipality* : TALISAY CITY

Street Address * :PROPER, EFIGENIO LIZARES Zip Code: 6115

AGENCY BUYER INFORMATION

Salutation Title: Mr. / Ms.

First Name* : RAYMUND Middle Name:GARDOSE Last Name *: GRIJALDO

Designation* : HEAD TEACHER I

Telephone No.* : 034- -432-67-41 Loc.: (e.g. 632-999-9999 Loc. 133)

Mobile Number* ------------------------------------ 639688561931 (e.g. 63-917-1234567)

Email Address* :311104@deped.gov.ph (e.g. buyer@ps-philgeps.gov.ph)

Delivery Address* :_
Note: To fill-out by Agencies where default depot is PS-Main.

SIGNATURE

Authorized by:

RAYMUND GARDOSE GRIJALDO

HEAD OF THE PROCURING ENTITY / AUTHORIZED REPRESENTATIVE

PS Complex, Cristobal St., Paco, Manila G/F DBM Arcache Building, General Solano St., San Miguel, Manila
www.ps-philgeps.gov.ph www.philgeps.gov.ph
(02) - 08-290-6300 | 8-290-6400 (02) – 8-640-6906 | 8-640-6907 | 8-640-6908 | 8-640-6909
 PROCUREMENT SERVICE-PHILGEPS
PhilGEPS Virtual Store Agency Buyer Registration Form

INSTRUCTIONS:

1. Agency Buyer Information

Agency Buyer refers to the person authorized by the Agency to be responsible for procuring CSEs from the
Virtual Store.

2. Username – is a unique identification.

i. For users that are already registered in PhilGEPS, please use your current userid.
ii. For new users, please provide at least three (3) username. The username that will be provided is subject for
validation if it is still unused or available.

1. 311104elnhs

2. elnhs311104

3. 311104.elnhs

Conditions in creating a username:

● At least 6 characters
● Must be alphanumeric characters (should contain at least 1 alpha and 1 numeric)

3. Email Address

● Every user should have a unique email address.

● No duplicate or the same email address can be used by two or more users.

PS Complex, Cristobal St., Paco, Manila G/F DBM Arcache Building, General Solano St., San Miguel, Manila
www.ps-philgeps.gov.ph www.philgeps.gov.ph
(02) - 08-290-6300 | 8-290-6400 (02) – 8-640-6906 | 8-640-6907 | 8-640-6908 | 8-640-6909
 PROCUREMENT SERVICE-PHILGEPS
PhilGEPS Virtual Store Agency Buyer Registration Form
Note: Asterisk (*) indicates mandatory fields

ORGANIZATION INFORMATION

Organization Name * : EFEGENIO LIZARES NATIONAL HIGH SCHOOL

Acronym : ELNHS

Agency Tax Identification Number*: ------------------------------------------------------------ 000863958740

ORGANIZATION ADDRESS

Region* : VI-WESTERN VISAYAS

Province* : NEGROS OCCIDENTAL

City/Municipality* : TALISAY CITY

Street Address :PROPER, EFIGENIO LIZARES Zip Code: 6115

CONTACT INFORMATION FOR APPROVER

Salutation Title: Mr. / Ms.
First Name* : RAYMUND Middle Name:GARDOSE Last Name *: GRIJALDO

Designation* : HEAD TEACHER I

Telephone No.* : -034 -4326741 Loc. (e.g. 632-999-9999 Loc. 133)
Mobile Number* ------------------------------------ 639688561931 (e.g. 63-917-1234567)
Email Address* :311104@deped.gov.ph (e.g. buyer@ps-philgeps.gov.ph)

SIGNATURE
CONTACT INFORMATION FOR UPLOADER
Salutation Title: Mr. Ms. /
First Name* : MA TRISSA Middle Name: Last Name *: VIILARMA
Designation* : TEACHER I
Telephone No.* -------------------------------------------- Loc. (e.g. 632-999-9999 Loc. 133)
Mobile Number* : - -639455168511 (e.g. 63-917-1234567)
Email Address* : matrissa.villarma@deped.gov.ph (e.g. buyer@ps-philgeps.gov.ph)

SIGNATURE

Authorized by:

RAYMUND GARDOSE GRIJALDO

HEAD OF THE PROCURING ENTITY / AUTHORIZED REPRESENTATIVE

PS Complex, Cristobal St., Paco, Manila G/F DBM Arcache Building, General Solano St., San Miguel, Manila
www.ps-philgeps.gov.ph www.philgeps.gov.ph
(02) - 08-290-6300 | 8-290-6400 (02) – 8-640-6906 | 8-640-6907 | 8-640-6908 | 8-640-6909
 PROCUREMENT SERVICE-PHILGEPS
PhilGEPS Virtual Store Agency Buyer Registration Form

INSTRUCTIONS:

1. Contact Information

 APP-CSE Approver refers to the person authorized by the Agency to be responsible for approving the
supplemental APP-CSE.

 APP-CSE Uploader refers to the person authorized by the Agency to be responsible for uploading the
APP-CSE and editing the details of the APP-CSE in the PhilGEPS.

2. Username – is a unique identification.

i. For users that are already registered in PhilGEPS, please use your current userid.
ii. For new users, please provide at least three (3) username. The username that will be provided is subject for
validation if it is still unused or available.

APP-CSE Approver

1. thursday1990

2. 1990thursday

3. thursday.1990

APP-CSE Uploader

1. wednesday1990

2. 1990wednesday

3. wednesday.1990

Conditions in creating a username:

 At least 6 characters
 Must be alphanumeric characters (should contain at least 1 alpha and 1 numeric)

3. Email Address

 Every user should have a unique email address.

 No duplicate or the same email address can be used by two or more users.

PS Complex, Cristobal St., Paco, Manila G/F DBM Arcache Building, General Solano St., San Miguel, Manila
www.ps-philgeps.gov.ph www.philgeps.gov.ph
(02) - 08-290-6300 | 8-290-6400 (02) – 8-640-6906 | 8-640-6907 | 8-640-6908 | 8-640-6909