Académique Documents
Professionnel Documents
Culture Documents
Name: _______________________________________________________________________________________________
Address: ________________________________________________________________________________________________
________________________________________________________________________________________________
Type of Organization:
___ Single Proprietorship _____ Partnership ____ Corporation
Number of years in the business: __________________ Date started: __________________
Nature of Business: _____________________________________
Customer’s Classification:
____Government _____School/Institution _____Banks ______Hospitals ______ Hotels
____Retail _____ Private Corp _____ SOHO ______ Others
Contact Information:
Name Email Address Mobile Number /Direct Line
Manager/President:
____________________ _____________________ ________________________
Purchasing In-charge:
____________________ _____________________ ________________________
Accounting/Payable In-charge:
____________________ _____________________ ________________________
1) _________________________________________________________________________________________
2) _________________________________________________________________________________________
3) _________________________________________________________________________________________
Bank References:
I certify that the above information are true, complete & correct. I understand that any
misrepresentation made herein or in any other documents requested by render this accreditation
null & void.
__________________________ __________________
Signature Over Printed Name Date
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
____________________________ ____________________________
Signature Over Printed Name/Date Signature Over Printed Name/Date
____________________________ ____________________________
Signature Over Printed Name/Date Signature Over Printed Name/Date