GOVERNMENT FARES AGREEMENT

REGISTRATION FORM

Section 1 - AGENCY PROFILE

Agency Type (Please tick : Executive

appropriate box)
GOCC

Constitutional

Agency Name :

Agency Address :

Province :

City/Municipality :

Zip Code :

Agency TIN :

UACs Code :

CORPORATE ADMINISTRATOR

Salutation Title : Mr. Ms.

Name :

Designation :

Email Address :

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TRAVEL ARRANGER (Use separate sheet if more Travel Arrangers are

Salutation Title : Mr. Ms.

Name :

Designation :

Email Address :

INITIAL DEPOSIT / ADVANCE PAYMENT

Amount in Words

Philippine Airlines :

Cebu Pacific :

Air Asia :

FOR PROCUREMENT SE

Section 2 - ORDER OF PAYMENT

Registration No. :

Mode of Payment : Check LDDAP/ADA

Bank and Branch Name :

Check no. and Date :

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 :

Requested by :

IMPORTANT: ENROLLMENT TO THE GFA IS SUBJECT TO THE TERMS AND CONDITIO

Section 3 - TERMS AND CONDITIONS

By accomplishing this form and submitting the same to PS, the Agency b
General Conditions of Carriage and these Terms and Conditions:

1. The PS assumes no liability as to any defect or irregularity, if any, in t

enrollment in the Government Fares Agreement (GFA). For this purpo
submitted relative to this Agreement are valid and duly authorized by
agencies, if any.

2. A service fee to be computed on the basis of the gross amount (ex

imposed for services to be rendered by the PS. The service fee sh
Suppliers. The service fee shall be the rate imposed for Common-us
thereof shall be communicated through website posting or email to th

3. The amount deposited by the Client upon enrollment in the GFA shall
and not to be used for any other purpose. The Client shall effect the p
For regional offices, payment may be done through LDDAP-ADA. The

4. The Client commits that it shall replenish the Fund once it reaches fift
Statement of Account. The Client understands and agrees that if the F
Portal shall be temporarily disabled until such time that the Fund is re
5. The Client shall notify the PS in writing of any complaint regarding the
loss/damage/defects to the services, in accordance with the warrantie
no circumstance shall the PS be held liable or accountable for such lo

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6. The Client’s appointed Administrator shall be responsible for:
a) Identification and management of offices and travel arranger/s;
b) Adding new travel arranger/s and/or delisting the same, assignin
employees;
c) Creating and/or adding new offices, editing details of offices, dele
d) Assigning roles to travel arrangers and delegating roles, which b
e) Administering credit line of the Client.

7. The Client’s appointed Travel Arranger is the one who:

a) Handles the booking facility in the PS portal created for GFA purp
b) Manages the address book;
c) Has access to the reservations list for managing bookings;
d) Ensures that ticket numbers are generated once a booking is pa
e) Ensures that passenger receives e-ticket.

8. In cases of breaches of warranty, the PS shall, as warranted, cause t

cooperate with and assist the Client in pursuing other legal remedies
the Client’s possible institution of appropriate administrative, civil and
9. The PS shall undertake best efforts to cause concerned Suppliers to
calendar days upon receipt of the written complaint from the Client.
10. PS will automatically return the unexpended balance of the Fund upo
11. Clients will be receiving the Sales Invoice and Billing Statement on th
REPORT NAME FREQUENCY
Sales Invoice and Billing Statement is
supported by the following documents

1. Booking Transactions Bi-monthly

2. Credit Memo or
Adjustment Refund

Section 4 - DECLARATION AND AUTHORIZED SIGNATORY

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In consideration of the granting of credit facilities, I / we agree to make
accept the Terms & Conditions of Sales unless otherwise agreed in wr
lead to restriction of the supply of goods / services and total withdrawal o

Terms & Conditions Read and Accepted

Funds Certified Available: Approved:

NAME DATE NAME

(AGENCY CHIEF ACCOUNTANT) (AGENCY HEAD/AUTHO

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 PROCUREMENT SERVICE

To be filled out by the Agency

Legislative Judicial

LGU SUCC

Others (Please Specify)

Telephone :

Signature :

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ers are being assigned)

Telephone :

Signature :

Amount in Numbers

Total Amount P 0.00

MENT SERVICE OFFICE USE ONLY

To be filled out by Procurement Service

Date :

Amount : P

: P

: P

: P

: P

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 : P

ONDITIONS STATED AT THE BACK OF THIS FORM

To be read and reviewed by the Agency

gency becomes a Client and agrees to be bound by their chosen Airline’s

ny, in the Client’s preparation of necessary documents related to the Client’s

s purpose, the PS presumes that all documents submitted and to be
zed by the competent authority/ies of the Client and other government

unt (exclusive of discount) stated in the bi-monthly billing statement shall be

fee shall only accrue to the PS after consummation of the services of the
mon-use Supplies and Equipment (CSE) in the PS Catalogue. Any changes
ail to the Client.

FA shall be considered as the source of funding (Fund) for the procurement

ct the payment through cash or check payable to the Procurement Service.
DA. The PS Service Fee shall be taken from the Fund.

ches fifty percent (50%) utilization, or upon notice by the PS through a

t if the Fund is depleted or has insufficient balance, access and use of PS
nd is replenished sufficiently.
ding the services. The PS agrees to assist the Client in filing its claim/s for
arranties or insurance clause provided by the concerned Suppliers but under
such loss/damage/defects that should be answered by the Suppliers.

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ger/s;
ssigning log-in details and modifying the same, and providing access to other

es, deleting or deactivating offices, and deleting any branch office/s;

which by nature, delegable; and

FA purposes;

;
g is paid; and

cause the imposition of suspension and/or blacklisting of the Suppliers and

medies against concerned supplier and other responsible Parties, including
vil and/or criminal case/s as warranted.
iers to replace, repair, or correct the defect/damage/loss within thirty (30)
lient.
nd upon Client’s notification of its withdrawal from the GFA.
nt on the following schedule
REPORTING PERIOD REPORTING SUBMISSION

1st to 15th Not later than the 27th day of the month

16th to the last day of the month Not later than 12th day of the following
month

Note: If due date falls on a Saturday,

Sunday or Holiday, report submission/
remittance date is moved to the last
working day preceding due date.

To be filled out by the Agency

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o make settlement of accounts in accordance with the credit term granted an
d in writing. I / We understand that non-compliance with the above terms m
rawal of credit facilities.

PROCUREMENT SERVICE

DATE ELISA MAY ARBOLEDA-CUEVAS DATE

AD/AUTHORIZED SIGNATORY) EXECUTIVE DIRECTOR

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PROCUREMENT SERVICE

To be filled out by the Agency

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Page 12 of 15
 To be read and reviewed by the Agency

sary documents related to the Client’s

cuments submitted and to be
e Client and other government

e bi-monthly billing statement shall be

consummation of the services of the
E) in the PS Catalogue. Any changes

funding (Fund) for the procurement

payable to the Procurement Service.
from the Fund.

pon notice by the PS through a

ent balance, access and use of PS

sist the Client in filing its claim/s for

by the concerned Suppliers but under
be answered by the Suppliers.

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e same, and providing access to other

deleting any branch office/s;

/or blacklisting of the Suppliers and

other responsible Parties, including

fect/damage/loss within thirty (30)

rawal from the GFA.

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rdance with the credit term granted and
n-compliance with the above terms may

MENT SERVICE

DATE
EXECUTIVE DIRECTOR

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