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Revised Cis Form - Ver03 2

This document contains a customer information sheet for a new or existing customer. It requests basic company and contact information, details about physical addresses and branches, ownership and financial structures. It also asks for documentation of business permits and registrations, a list of financial and commercial references, and notes that photocopies should be attached. The bottom section is for an internal credit review by the distributing company determining a recommended credit limit and terms.

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Angel Salas
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151 views2 pages

Revised Cis Form - Ver03 2

This document contains a customer information sheet for a new or existing customer. It requests basic company and contact information, details about physical addresses and branches, ownership and financial structures. It also asks for documentation of business permits and registrations, a list of financial and commercial references, and notes that photocopies should be attached. The bottom section is for an internal credit review by the distributing company determining a recommended credit limit and terms.

Uploaded by

Angel Salas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CUSTOMER'S GENERAL INFORMATION SHEET

( ) NEW CUSTOMER ( ) CREDIT APPLICATION ( ) CHANGE NAME PREVIOUS COMPANY NAME: ______________________

( Note: Please don't leave any item blank. Write N/ A if information requested is not applicable to your company. Thanks. )

COMPANY PROFILE

COMPANY NAME:

HEAD OFFICE ADDRESS:

DELIVERY ADDRESS:

BRANCH/ ES / or OUTLET/ S ADDRESS/ ES:

1 _____________________________________________________ 4. _________________________________________________

2. _____________________________________________________ 5. _________________________________________________

3. _____________________________________________________ 6. _________________________________________________

CONTACT NO.: ___________________________ ___________________________ ________________________ _________________________

FAX NO. : CP. NO. :

E-MAIL ADDRESS: WEBSITE:

Pls. Check Type of Organizations: ( ) Sole Proprietorship ( ) Partnership ( ) Corporation ( ) Others: __________________________

BASIC REQUIREMENTS

( ) BUSINESS PERMIT ( ) SKETCH OF DELIVERY ADDRESS

( ) SEC REGISTRATION CERTIFICATE ( ) AUTHORIZED RECEIVING PERSONNEL WITH 2 SIGNATURE SPECIMEN


( ) BIR CERTIFICATE OF REGISTRATION ( ) DTI REGISTRATION CERTIFICATE

NOTE: Pls attach a photocopy of the basic requirements listed above

OWNER/S BOARD OF DIRECTOR / TRUSTEES

Name Position in Co. Profession Nationality Address

Year Business Start : Total No. of Employees :

CATEGORY

( ) WAREHOUSE SUB CHANNEL: ________ ( ) FOOD SERVICE SUB CHANNEL:__________ ( )MODERN TRADE SUB CHANNEL: _________

KEY CITY: _____________________ REGION: __________________

FINANCIAL REFERENCES

BANK/S BRANCH / ES SA / CA ACCOUNT NO CONTACT PERSON/ S ADDRESS

Note: Pls fill up at least two ( 2 ) Commercial Bank Accounts


BUSINESS REFERENCES

SUPPLIER / S CONTACT PERSON / S CONTACT TEL. NOS. ADDRESS

Accomplished by: _____________________________ ________________________________ __________________________

Signature Over Printed Name Position in the Company Date

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

To be filled out by Global Pacific Distribution Network Corporation

Recommending Credit Limit: Php ____________________ Terms: ___________ days Remarks:__________________________________________

Prepared by: _________________________________________(HRI SPECIALIST)

Endorsed by: ____________________________ ( ASS/ASM )

Noted by: ____________________________ ( RSOM )

APPROVED CREDIT LIMIT: ____________________ APPROVED CREDIT TERM: ______________________

FINAL APPROVA: APRIL WYNNIE MORALES

Finance Manager

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