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cashier@msunaawan.edu.

ph 0908-885-4379

SUPPLIER BUSINESS ACCOUNT


Please fill out the information below (all fields are required). Write your information clearly,
neatly and legibly.

ACCOUNT NAME:
Infinitecare Technology Solutions, Inc.
ACCOUNT NUMBER:
6082110567
ACCOUNT TYPE:
Checking
PROPRIETOR’S NAME:

BANK AND BRANCH:


(PREFERABLY LANDBANK Landbank of the Philippines Cogon Branch
OF THE PHILIPPINES)
TIN:
006-431-188-000
ADDRESS:
J.V. SERINA ST. ZONE 6, CARMEN, CAGAYAN DE ORO CITY 9000

DATE OF
ESTABLISHMENT: April 25, 2007
EMAIL:
kdelacruz@itsi.com.ph
CONTACT NUMBER:
09763763397

Note: This form will not be accepted if some information are erased or altered.

SIGNED BY:
Karla Dominique Dela Cruz / December 7, 2023
Signature over printed name / Date signed

FOR CASHIERING USE

RECEIVED BY:
Signature over printed name / Date signed

Remarks:

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