VENDOR ACCREDITATION FORM

29 Pilar Street, Addition Hills, San Juan, Metro Manila 1500

Tel. 8633-3839

Company Name:
Go Go
Supply of GooGoods od
Services od
Subcon Item Description:
ds Go Go
TIN: s s
od
VAT Non-VAT
od
Business Registered Address : s s

Phone Number: Fax No:

Email Address: Viber No:
Bank Account Name: Bank Name:
Bank Account Number: Payment Terms:

Name and Signature Position Title Date

(Authorized Signatory)
◦Does the owner (decision maker) have any relative/s or is associated to any employee/s and/or officer/s of Devex
Incorporated?
No If yes, please provide name and relationship: ____________________________________________
◦VAT (12%) will be added to invoice unless supplier / subcontractor is exempted.
◦Is supplier / subcontractor tax exempt? No If yes, please provide tax exemption certificate.
Project References (for subcontractors, please provide at least 2 existing or completed projects):
1. Project Name
Scope:
Location:
2. Project Name
Scope:
Location:
Trade References:
1. Name:
Address:
Phone No: Contact Person:
2. Name:
Address:
Phone No: Contact Person:
Bank References:
1. Name of Bank: Branch:
Address:
Phone No: Contact Person:
2. Name of Bank: Branch:
Address:
Phone No: Contact Person:
*Please use additional sheets for references as necessary.
Checklist of Documentary Requirements (Photocopy): Requested by: For accounting department use:
1. Product List and Prices SAP VENDOR CODE:

2. SEC or DTI Certificate (whichever is applicable)

3. Latest Business Permit Signature over printed name
4. BIR Certificate of Registration (Form-2303)
5. Certificate of tax exemption (if applicable) Approved by: Added by:

6 Latest General Information Sheet (GIS)

7. Signed Terms and Condition Clarke Ng / Charles Ng Checked by:
8 Signed ACCTG 2022-001
DVX/ACCTG-006.1 s.2022