QSPBI - Form 1

Republic of the Philippines (Revised January 2022)

PHILIPPINE STATISTICS AUTHORITY PSA Approval No. PSA-2302-01
Expires on 31 March 2024

4th Quarter
2023 QUARTERLY SURVEY OF PHILIPPINE BUSINESS AND INDUSTRY
760733357614I9
F1 HOTEL MANILA

Please enter the

Establishment's TIN - - -

FN - QN (For PSA use only)

Dear Sir/Madam:

The Philippine Statistics Authority (PSA) is conducting the 2023 Quarterly Survey of Philippine Business and Industry (QSPBI)
to provide quarterly data on the identified leading industry major groups in all sectors of the economy, except those in
agriculture, forestry and fishing sector as input in the generation of Quarterly National Accounts (QNA) of the Philippines
(QNAP) and in the construction of Quarterly Economic Indices (QEI) which mearsure the performance of the Philippine
Economy. These data will be used by government planners, policy makers, and administrators in formulating social and economic
development plans, policies, and programs.
The conduct of the 2023 QSPBI is in accordance with Republic Act (RA) No. 10625 (Philippine Statistics Act of 2013), which
authorizes the PSA to prepare and conduct periodic censuses on various sectors of economy and Executive Order No. 352
mandating the conduct of QSPBI every year.
Pursuant to Section 25 of RA 10625, the National Statistician identified the above statistical inquiry of survey to be conducted with
obligation to provide information. Considering this, all respondents whether natural or legal persons shall be liable to reply to the
statistical inquiry of survey. The respondents are also required to give truthful and complete answers to the said statistical inquiries
or surveys of the PSA and other statistical offices of the Philippine Statistical System. We are requesting you to provide complete
and truthful answers to all the questions that will be asked by our census interviewer.

Rest assured that the data you will furnish in the above survey shall be treated with strict confidentiality and shall be considered
PRIVILEDGED COMMUNICATION, hence, inadmissible in evidence in any proceeding as provided for in Section 26 of R.A. No
10625. The PSA also complies with the Data Privacy Act of 2012 and assures that all collected personal information are
processed in accordance with the law and other issuances.

This survey was reviewed and cleared under the Statistical Survey For inquiries, contact:
Review and Clearance System (SSRCS) with clearance number PSA PSA Field Office
-2302-01 and expiration date on 31 March 2021. Telephone No.: 8899 8912/88143407

We appreciate your utmost cooperation and support for the success of E-mail Address: m.delmundo@psa.gov.ph
the 2023 QSPBI. Thank you very much.
PSA Central Office
Telephone No.: (02) 8376-2090
E-mail Address: qspbi@psa.gov.ph

DENNIS S. MAPA, Ph.D.

Undersecretary
National Statistician and Civil Registrar General
CERTIFICATION

I HEREBY CERTIFY that the information provided in this inquiry is substantially accurate to the best of my knowledge.

Signature over Printed Name of the Accomplishing Official

Date: Designation:
Contact Number: E-mail Address:
Company Website:
Description of this establishment’s Main Economic (Principal) Activity:

Describe the main economic activity and specify the main product/goods or services
rendered by this establishment. Main Economic Activity refers to the activity that
contributes the biggest or major portion of the gross income or revenue of this
establishment.