REGULATORY GROUP Departmental Quality Form

ACCREDITATION OFFICE
AO-QF-ACCRED-01
Rev. No. 05
Effectivity Date: 05-31-2022
Room 205, 2/Floor Regulatory Bldg., Labitan St. cor Rizal Highway
Subic Bay Freeport Zone, Philippines 2222
Tel 047.252.4088 email address: accreditation@sbma.com

For:
APPLICATION FOR ACCREDITATION PERMIT New
Renewal

Name of Firm: _____________________________________________________________________________________________________________________________

Office Address: ____________________________________________________________________________________________________________________________

Contact Person: __________________________________________ Designation: ___________________________________________________________________

Tel. No. _____________________________________________________________ Fax No._______________________________________________________________

Total No. of Employee assigned within SBFZ:_________________ Email Address: ____________________________________________________________

Type of Organization (Please Check)

( ) Corporation ( ) Sole Proprietorship ( ) Others__________________ Company TIN No. ________________________________________________

Nature of Business (Describe specific type of activity intended for SBFZ) _________________________________________________________________

_____________________________________________________________________________________________________________________________________________

(ONLY COMPLETE SET OF DOCUMENTS WILL BE ACCEPTED FOR PROCESSING )

REQUIREMENTS

1. Mayor’s Permit / Business Registration from Place of Business and DTI , CDA or SEC Registration
( with Articles of Incorporation, By Laws and GIS)
2. Company Profile
- List of Company Officers/Organizational Chart
- List of employees and vehicles assigned within SBFZ ,
- Copy of LTO Registration
- Copy of Driver’s License
3. License/Permit or other issuance from concerned government agency for which authorization to engage in
the business activity being applied for is required. (Please refer to Citizens Charter/ARTA Manual at
http://www.mysubicbay.com.ph/our-services/citizen’s charter)
4. Clearance from concerned SBMA Department/Office
a. Environmental Clearance for Accreditation (new/renewal)- Ecology Center (Regulatory Bldg., Labitan
St. Corner Rizal Highway, SBFZ (047) 252-4059)
b. Accreditation Evaluation Clearance (renewal)- Labor Department (2/F Bldg. 255, Barryman Rd, SBFZ –
( 047 )252- 4861)
ADDITIONAL REQUIREMENTS FOR SPECIFIC BUSINESS ACTIVITY ONLY:
a) Fire Safety Recommendation ( petroleum hauling- new) - Fire Department- Building 71 Sampson
Road, Central Business District, SBFZ (047) 252-4227)
b) PHSD Sanitary Clearance (pastries, catering, canteen, water refilling
food delivery services (e.g. Food Panda, Grab, Order mo.ph) and Ready-to Eat Food delivery
(new/renewal )- Public Health and Safety Department (3/F, Bldg 280, Dewey Avenue, Central Business
District, SBFZ –(047) 252-4502)

(Original documents must be presented for authentication)

 REGULATORY GROUP Departmental Quality Form

ACCREDITATION OFFICE
AO-QF-ACCRED-01
Rev. No. 05
Effectivity Date: 05-31-2022
Room 205, 2/Floor Regulatory Bldg., Labitan St. cor Rizal Highway
Subic Bay Freeport Zone, Philippines 2222
Tel 047.252.4088 email address: accreditation@sbma.com

Application and Accreditation Fee -USD200 (or equivalent in Phil. Pesos at current exchange rate)
I understand that this application for Accreditation is subject to evaluation and approval by the SBMA and I therefore subject myself to its
existing and future policies, rules and regulation. Any false/fraudulent statement made herein as well as violations on my part of any of that
said policies, rules and regulations shall be sufficient grounds for the denial of this Accreditation Certificate or revocation of the same.

NAME: ______________________________________________ DATE & TIME RECEIVED:___________________________

SIGNATURE: ________________________________________ DATE & TIME EVALUATED:_________________________

DATE: _______________________________________________ RECEIVED AND EVALUATED BY:_____________________

SIGNATURE_________________________________________