Business Name : Date Started of Business :
Address :
Phone Number : Fax Number :
Warehouse Address :
Phone Number : Fax Number :
Owner's Address :
Phone Number : Fax Number : Email Address :
Corporation/Partnership
SEC No. :
Date Issued :
Customer Information Sheet
Documents Required
- Copy of SEC Registration Certificate
Authorized Capital : - Articles of Incorporation
- Certificate of Business Registration
Subcribed Capital : - TIN / VAT Registration
- Company Profile
- Bank Authorization Letter
Paid Up Capital : - Owner's Passport Photocopy
Sole Proprietorship
DTI Registration No. :
Date Issued :
Documents Required
Amount Capital : - Copy of DTI Registration Certificate
- Certificate of Business Registration
- TIN / VAT Registration
Paid Up Capital : - Company Profile
- Bank Authorization Letter
Tax Account No. - Owner's Passport Photocopy
Company Officers
Contact
Designation Name Address Email
No.
President / Gen.
Manager
Purchaser :
Accountant :
Legal Consultant :
Optional:
Accounting :
Sales (Purchasing) :
Technical:
Warehouse/Delivery :
Collection Procedure
Countering Required :
Countering
Yes If Yes : Day :
No Collection Day :
Signature Specimens of Cheque and Contract Agreement Signatories
Name Signature Position
Authorized P.O Signatories
Name Signature Position
Trade Reference
Major Suppliers
Phone Product
Company Address Terms Credit Limit Monthly Purchase Contact Person
No. Purchase
Accredited Suppliers / Service Provider
Company Address Phone No. Services provided Contact Person
Major Clients
Phone Product
Company Address Terms Credit Limit Monthly Purchase Contact Person
No. Purchase
Bank Reference
Bank Phone Savings Account Branch
Branch Current Account No. ADB
Name No. No. Manager
Business Operations
Days : Office hours : Delivery Schedule :
Optional:
Number of Branches :
Name and Address :
Sketch of Office Vicinity (please attach copy if needed) Payment Scheme
*Would you prefer online banking / payment with us?
Yes No
Products Carried/Services Offered
Terms and Condition
1. The dealer agrees to pay cash on the first transaction.
2. Terms will only be given after submitting the proper documents and after the credit investigation has taken place.
3. Only cheques with the accredited accounts specified in the Bank Reference will be accepted.
4. Delivery lead time shall depend on the availability of stock.
5. All sales are final.
I certify that all information provided above are true and correct. Accomplished this __________ day of
________________, __________.
Name : _____________________________________
Signature: ___________________________________
Designation: _________________________________
For Accounting purposes:
Approved
Terms:______________________
Credit
Limit:__________________________
