Document Type: Document No.

:
ASC-FM-001A
Form
Effective Date:
Document Title: 01/02/2020
Version:
2
AboitizLand Accreditation Form
Information Classification:
External

To: Supply Chain Management Team

Aboitiz Land Inc.
23/F ORE Central Building
31st St., BGC, Taguig City

Attention :
SCM Accreditation Officer

NAME OF SUPPLIER :
BUSINESS ADDRESS:
TELEPHONE NUMBER/S: FAX NUMBER/S:
E-MAIL ADDRESS:
TYPE OF BUSINESS:
CONTACT PERSON(S):

New Applicant Update

Please check in the box provided and answer the information provided below:

FORM OF OWNERSHIP
Single Proprietorship Partnership Corporation

DATE ORGANIZED :

WHAT's THE NATURE OF YOUR BUSINESS

RENTAL WHOLESALE DSITRIBUTOR

MANUFACTURER TRADER OTHERS

OTHER OFFICES, BRANCHES OR AFFILIATES (INCLUDE FOREIGN, IF ANY)

BRANCH / AFFILIATE ADDRESS

COMPANY OFFICERS

NAME POSITION

BANK REFERENCES

NAME OF BANK ADDRESS CREDIT LINE

PROPRIETARY NOTICE:
This Document must not be reproduced without formal consent of the Document Control. Any hard copy / unprotected soft copy is considered as "UNCONTROLLED".
Document with stamps are considered official.
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 Document Type: Document No.:
ASC-FM-001A
Form
Effective Date:
Document Title: 01/02/2020
Version:
2
AboitizLand Accreditation Form
Information Classification:
External
WHAT DIFFERENT LINES (MERCHANDISE) DO YOU CARRY?
Please furnish us a complete list of the items / catalog of products that you carry, particularly those items
which are needed by a Real Estate Developer.

PLEASE INDICATE WHICH OF THE FOLLOWING COMMODITY CLASSIFICATIONS YOU ARE APPLYING FOR
ACCREDITATION.
Consulttancy Services Corporate Giveaways
Land Surveying Service Office Supplies
Construction Materials / Industrial Events Organizer
Electrical Advertising agencies
Mechanical Transportation Service
Plumbing Fixtures Food & Hospitality
Manpower Services Printing
Packaging Materials IT Equipments & Parts
Automotive / Heavy Equipment & Parts Logistics/broker/forwarder
Health and Safety Fuels / Gases / Lubricants /Chemicals
Real estate & Housing Laboratory equipment
Others

PLEASE LIST THE PRODUCTS / BRANDS WHICH YOU ARE A MANUFACTURER OR A DULY APPOINTED
DISTRIBUTOR OF. PLEASE SPECIFY IF YOU ARE A SOLE MANUFACTURER OR EXCLUSIVE DISTRIBUTOR.
PROVIDE US A COPY OR CERTIFICATION OF EXCLUSIVITY

PLEASE LIST DOWN YOUR FIVE-(5) MAJOR CUSTOMERS

NAME OF COMPANY ADDRESS

HOW MANY YEARS HAS YOUR ORGANIZATION BEEN IN BUSINESS? PLEASE INCLUDE YOUR BRANCHES, IF
ANY.

PLEASE LIST DOWN ALL YOUR WAREHOUSE AND DELIVERY FACILITIES (DELIVERY TRUCK, FORKLIFT,
PROPRIETARY NOTICE:
WAREHOUSE, ETC.) IF MACHINE SHOP, PRINTING PRESS, CONTRACTOR, ETC. PLEASE LIST THE
This Document must not be reproduced without formal consent of the Document Control. Any hard copy / unprotected soft copy is considered as "UNCONTROLLED".
Document with stamps are considered official.
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 Document Type: Document No.:
ASC-FM-001A
Form
Effective Date:
Document Title: 01/02/2020
Version:
2
AboitizLand Accreditation Form
Information Classification:
External
PRODUCTION / FABRICATION EQUIPMENT USED. PLEASE SPECIFY WHETHER RENTED OR OWNED.

A. WAREHOUSE
LOCATION FLOOR AREA

B. MATERIALS/HANDLING/DELIVERY EQUIPMENT
EQUIPMENTS REMARKS (RENTED OR OWNED)

HOW MANY EMPLOYEES DO YOU HAVE?

OF THESE, HOW MANY ARE IN:

SALES?
DELIVERY?
WAREHOUSING?
PRODUCTION?
OTHERS?

DO YOU IMPORT MERCHANDISE FOR SALE? IF SO, WHAT IS YOUR AVERAGE MONTHLY VALUE OF
IMPORTATION? FROM WHAT COUNTRIES?

COMPLETED PROJECTS - Please list down all completed projects

(please attach separate sheet if necessary)
DESCRIPTION PROJECT COST DATE COMPLETED

PLEASE SUBMIT THE FOLLOWING DOCUMENTS. KINDLY INDICATE "NA" IF BUSINESS DOCUMENT REQUESTED DOES
NOT APPLY TO YOUR COMPANY. IF YOU ARE UNABLE TO SUBMIT A BUSINESS DOCUMENT DUE TO JUSTIFIABLE
REASONS, PLEASE STATE SUCH. PLEASE NOTE YOUR APPLICATION WILL NOT BE PROCESSED IF BUSINESS
PROPRIETARY NOTICE:
DOCUMENTS
This Document SUBMITTED
must not be reproduced ARE
without INCOMPLETE.
formal consent of the Document Control. Any hard copy / unprotected soft copy is considered as "UNCONTROLLED".
Document with stamps are considered official.
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 Document Type: Document No.:
ASC-FM-001A
Form
Effective Date:
Document Title: 01/02/2020
Version:
2
AboitizLand Accreditation Form
Information Classification:
External

COMPANY PROFILE
FOR SINGLE PROPRIETORSHIP
Certificate of Registration of Business Name with the Bureau of Domestic Trade

FOR CORPORATION / PARTNERSHIP

Certificate of Registration with the Securities and Exchange Commission (SEC)
Articles of Incorporation / Partnership
Certificate of Registration of Business Name with the Bureau of Domestic Trade

LATEST AUDITED FINANCIAL STATEMENT (at least 2 years)

- Balance Sheet
- Income Statement
- Cash Flow Statement
- Income Tax Return

BIR CERTIFICATE OF REGISTRATION

- Tax Identification Number
- VAT or Non-VAT

LOCATION MAP OF OFFICES AND WAREHOUSE

PICTURES OF OFFICES AND WAREHOUSE
MAYOR'S PERMIT - CURRENT
PERMIT / LICENSE TO OPERATE ( BUSINESS PERMIT FROM THE PLACE OF OPERATION )
TABLE OF ORGANIZATION
TAX INDENTIFICATION NUMBER ( ID CARD )
PHOTOCOPY OF BLANK SALES INVOICE
PHOTOCOPY OF BLANK OFFICIAL RECEIPT
PHOTOCOPY OF BLANK DELIVERY RECEIPT
AUTHORITY TO PRINT RECEIPTS & INVOICES
COPY OF DISTRIBUTORSHIP AGREEMENT (FOR EXCLUSIVE DISTRIBUTORS OF AN ITEM OR
BRAND)
CERTIFICATE FROM TWO-(2) BIGGEST CUSTOMERS OR TWO-(2) BIGGEST SUPPLIERS THAT
APPLICANT IS IN GOOD STANDING.

THE UNDERSIGNED HEREBY DECLARES THAT THE FOREGOING ARE TRUE AND CORRECT TO THE BEST OF HIS/HER
KNOWLEDGE AND BELIEF.

Authorized Signatory : <Signature Over Printed Name>

Position :

Date :

If the signatory is NOT the President/CEO/GM, a letter authorizing the signatory should form part of this application.

PLEASE SUBMIT THE ACCOMPLISHED APPLICATION FORM FOR ACCREDITATION AND THE REQUIRED DOCUMENTS
TO:

Aboitiz Land, Inc.

Supply Chain Management Team
23F ORE Central Building
31st Sreet, BGC, Taguig City, Metro Manila

PROPRIETARY NOTICE:
This Document must not be reproduced without formal consent of the Document Control. Any hard copy / unprotected soft copy is considered as "UNCONTROLLED".
Document with stamps are considered official.
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