Republic of the Philippines

GOVERNMENT SERVICE INSURANCE SYSTEM

GSIS Building, Financial Center, Roxas Boulevard, Pasay City 1308

REAL ESTATE ASSET DISPOSITION AND MANAGEMENT OFFICE

REAL PROPERTY ACCOUNTS MANAGEMENT DEPARTMENT

COMPANY / CORPORATE PROFILE

NAME OF COMPANY / PARTNERSHIP / CORPORATION

INFORMATION

____________________________________________________________________________________________
BUYER’S

CITIZENSHIP ______________________________________________

CONTACT NOS. OFFICE _____________________ MOBILE _______________________ TIN NO.__________________

PRINCIPAL OFFICE ADDRESS __________________________________________________________________________________

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CORPORATION:

Articles of Incorporation duly certified by the SEC

General Information Sheet duly certified by the SEC

By Laws duly certified by the SEC

General Information Sheet duly certified by the SEC

DOCUMENTS ATTACHED

PARTNERSHIP

Articles of Partnership duly certified by the SEC

General Information Sheet duly certified by the SEC

SOLE PROPRIETORSHIP

Registration Certificate from the Department of Trade and Industry

COOPERATIVES

Cooperative Development Authority Registration or any proof of such registration

Current Mayor’s permit issued by the city or municipality where the principal place of business of the winning bidder is located

Duly notarized Special Power of Attorney

OTHER DOCUMENTS __________________________________________________________

I/We certify that the foregoing information/statements are to the best of my/our knowledge, true, correct and complete.

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Signature of the duly authorized Representative over printed name / Date Signed

FOR GSIS USE ONLY

Signature of GSIS Representative Printed Name/ Position Date Received:

Received by:
THIS FORM CAN BE REPRODUCED, NOT FOR SALE