Please complete all * mandatory fields

Membership Profile

Company Details

*Company Name :
*Business Address :
*Date Established :
*Number of Employees:
*Email Address :
*Website :
*Fax No. :
*Tel No. :

Official Representative Details

*Name :
*Designation/Position :
*Date of Birth :
*Mobile No. :

Alternate Representative Details

*Name :
*Designation/Position :
*Date of Birth :
*Mobile No. :

Contact Person Details

*Name :
*Designation/Position :
*Date of Birth :
*Mobile No. :

Government Registration Details

   
DATE
DTI - Bureau of Domestic Trade:
Board of Investment
Securities & Exchange Commission:
Others, Please specify:

 

SIZE OF COMPANY BY ASSETS:
TYPE OF ORGANIZATION:
SECTOR CLASSIFICATION :
Small (below Php 3M) Single Proprietorship Industry
Medium (Above Php3M but below Php 15M) Partnership Trade
Large (above Php 15M) Corporation Service
    Agri-Aqua
     

Choices for Type of Activity: (Manufacturer, Exporter, Importer,Producer,Trader,Wholesaler,Distributor,Retailer, Services,Indentor/Comp Agent)

Products
Volume Capacity
Type of Activity

Brief Description of Business:

Optional:

Factory Address:

 

The undersigned applicant hereby certify that the statements made herein are true to the best of my knowledge and belief.

 

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