SUPPLIER'S ACCREDITATION FORM

COMPANY DETAILS
Complete Company Name : ________________________________________________________________________________
Tax Identification Number : _________________________________
ADDRESS AND CONTRACT DETAILS
Address : _______________________________________________________________________________________________
Telephone No : ______________________________________ Email address : ___________________________________
Cellphone No : ______________________________________ Website : _________________________________________
Fax No : ____________________________________________
STRUCTURE
Corporation Partnership Single Proprietorship
Payment Terms Offered: 15 Days 30 Days 60 Days Others : _______
SEC REGISTRATION DETAILS
Registration No. : _________________________________________________ Date Registered : ____________________
Shareholders /Partners Nationality Subscribed Capital

Authorized Capital : Subcribed Capital :

Paid Up Capital : Par value :
DTI REGISTRATION DETAILS
Registration No.: Date Registered : Registered/ Authorized Capital :
BANK INFORMATION
Bank Branch Contact Person Contact No. Account Type

PERMITS
Business Permit No.: Mayor's Permit No.:
NATURE OF BUSINESS
Wholesaler Retailer Manufacturer Exclusive Distributor
MAJOR PRODUCT LINES OR BRANDS
Product Line Brand

MAJOR CUSTOMER / CLIENT LIST

Name of Customer/Client Contact Person Telephone No. Terms

____________________________________ ___________________________ ________________

Authorized Representative Designation Date
(Signature over Printed Name)
 SUPPLIER'S ACCREDITATION FORM

COMPANY DETAILS
Note: Attached photocopy of all pertaining documents together with filled- up accreditation form.

Reviewed by : _______________________________________ Date : ___________________

Remarks : ___________________________________________________________________________________________
_________________________________________________________________________________________________________________
Approved by : _______________________________________ Date : ___________________
Purchasing Manager
Remarks : ___________________________________________________________________________________________
_________________________________________________________________________________________________________________
BCI.FR.P
Rev00, May 0
 ACCREDITATION FORM

MPANY DETAILS
_________________________________________________________________
_______
AND CONTRACT DETAILS
____________________________________________________________
Email address : ___________________________________
Website : _________________________________________
___
STRUCTURE
Single Proprietorship
60 Days Others : __________
GISTRATION DETAILS
Date Registered : ____________________
Subscribed Capital

Subcribed Capital :
Par value :
GISTRATION DETAILS
Registered/ Authorized Capital :
NK INFORMATION
Account Type

PERMITS
Mayor's Permit No.:
URE OF BUSINESS

ODUCT LINES OR BRANDS

Brand

USTOMER / CLIENT LIST

Terms

___________________________ ________________
ACCREDITATION FORM

MPANY DETAILS
with filled- up accreditation form.

________________________________________________________________

________________________________________________________________
BCI.FR.PUR.007
Rev00, May 02, 2018