CENTRAL LEGAL FORM NO.

LEG-007

REQUEST FOR CORPORATE AUTHORITY

TO SIGN CONTRACT

REF. NO. 2017 _____________

DATE RECEIVED: _________
TIME: ____________________
BY: ______________________

COMPANY / AFFILIATE : (INDUSTRY PARTNER’s OFFICIAL NAME)

REQUESTING PARTY : (BRANCH OFFICIAL NAME)

NAME OF PARTY AUTHORIZED

TO SIGN FOR THE CORPORATION: BRANCH’S OFFICIAL REPRESENTATIVE

DETAILS OF AUTHORITY : MOA/MOU between INDUSTRY PARTNER’s

OFFICIAL NAME and (BRANCH OFFICIAL NAME)

NATURE OF CONTRACT:
CONTRACT AMOUNT :
TERMS :
CONTRACT PERIOD : ( PERIOD OF AGREEMENT )
MAJOR CONDITIONS : ( eg. Applying for Industry Partnership)
OTHER INFORMATION :

CONTRACT CHECKED BY :

LEGAL : _______________________________________
ATTY. SONIA S. CANONIZADO

REQUESTED BY : _______________________________________
ALLEN C. GABASA

RECOMMENDING APPROVAL : _______________________________________

DR. EMELIN M. MAGADA

APPROVED BY : _______________________________________
DR. AMABLE R. AGUILUZ V
CHAIRMAN / PRESIDENT

Distribution Requesting Party:

OP
Legal (Original Copy)

Assigned Counsel RECEIVED BY:

Date / Time Rec’d by
Counsel
Memo Ref. No. NAME IN PRINT
Sec. Cert No.
DATE