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Cocolife Accreditation Form

cocolife

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biyan2024
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0% found this document useful (0 votes)
37 views2 pages

Cocolife Accreditation Form

cocolife

Uploaded by

biyan2024
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

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CENTRAL PROCUREMENT OFFICE


Cocolife Building, 6807 Ayala Avenue, Makati City
Tel# (02) 8 810-7888

SUPPLIERS ACCREDITATION FORM


Fill up this SAF in typewritten form

Date Submitted

A. BACKGROUND INFORMATION

Registered Name of the Company Date Business Operation Started

Office Mailing Address

Warehouse Mailing Address

Office Telephone Nos. Office Fax Nos.

Warehouse Telephone Nos. Warehouse Fax Nos.

Main Owners/ Proprietor Authorized Company Representative

Email Address and Company Email Address Email Address

B. BUSINESS ORGANIZATION
Type of Business Organization: (Place an X mark) Type of Business Operation: (Place an X mark)

Single Proprietorship Cooperative Manufacturing Exclusive Distributor

Partnership Corporation General Trading or Merchandising Service Company


Others, please specify Others, please specify

C. BUSINESS REGISTRY (Indicate existing permit numbers. Write a dash " " if unnecessary. And attach a photocopy of the permits indicated herein.)

Type of Permit Permit No. Date Issued Expiration Date


Securities and Exchange Commission

Department of Trade and Industry

Board of Investment

Business Permit from the Office of the Mayor

Philippine Contractor's Accreditation Board

VAT Registry Number (BIR 2303)

D. PRODUCT LINE
Please enumerate major product lines (or services) separated by a comma: (Please attach accomplished product checklist)

E. ASSETS & LIABILITIES


(From most recent fiscal or calendar year. Attach a photocopy of latest Audited Balance Sheet and Income Statement.)
Total Equity Total Current Assets Total Current Liabilities Gross Income (Deficit)

For the Year Ended (MM/YYYY)


Calendar Fiscal

DECLARATION: l certify that the foregoing information are true and correct. l also declare that the owners, managers, supervisors, marketing, sales and
accounting personnel of our company are not related to any employee of COCOLIFE within the third degree of consanguinity.

Please Sign over Printed Name

Official Designation

COCOLIFE CENTRAL PROCUREMENT OFFICE, Cocolife Building, 6807 Ayala Avenue, Makati City Tel# (02) 8 810-7888
2

F. Additional Supplier Information:


How many years has your organization been in business as a contractor / supplier? (Please encircle)
Company name indicated in your Official Receipt?
How many years has your organization been in business under its present business name?

If a corporation, answer the following:


a. Date of Incorporation:
b. Place of Incorporation:
c. President's Name:
d. Vice President's Name(s):

e. Secretary's Name:
f. Treasurer's Name:

If Partnership, answer the following:


a. Date of Organization:
b. Names and Addresses of General Partners

If Single Proprietorship, describe your organization and principal's name:

Have you ever provided services or products to our company? If yes, what products or
services?

Please list at least three (3) major projects done / contact person / contact numbers

Please list at least three (3) major projects / clients, contact persons & contact nos.:
( to whom your firm is presently supplying services or products )

Please list at least three major suppliers, contact person & contact nos.:

COCOLIFE CENTRAL PROCUREMENT OFFICE, Cocolife Building, 6807 Ayala Avenue, Makati City Tel# (02) 8 810-788

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