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    Application Form Corp

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    Mariz
    This document is an application for accreditation and registration with the Bureau of Customs of the Philippines. It requests information such as the name and address of the firm, contact details, number of employees, nature of the company, list of officers and directors, and importable items. It requires the applicant to provide documentation like proof of payment, NBI clearances, government IDs, and a sworn undertaking to abide by customs laws and regulations. It aims to gather essential information from importers to evaluate their application for accreditation.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application Form Corp

    Uploaded by

    Mariz
    182 views3 pages
    This document is an application for accreditation and registration with the Bureau of Customs of the Philippines. It requests information such as the name and address of the firm, contact details, number of employees, nature of the company, list of officers and directors, and importable items. It requires the applicant to provide documentation like proof of payment, NBI clearances, government IDs, and a sworn undertaking to abide by customs laws and regulations. It aims to gather essential information from importers to evaluate their application for accreditation.

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    This document is an application for accreditation and registration with the Bureau of Customs of the Philippines. It requests information such as the name and address of the firm, contact details, number of employees, nature of the company, list of officers and directors, and importable items. It requires the applicant to provide documentation like proof of payment, NBI clearances, government IDs, and a sworn undertaking to abide by customs laws and regulations. It aims to gather essential information from importers to evaluate their application for accreditation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    182 views3 pages

    Application Form Corp

    Uploaded by

    Mariz
    This document is an application for accreditation and registration with the Bureau of Customs of the Philippines. It requests information such as the name and address of the firm, contact details, number of employees, nature of the company, list of officers and directors, and importable items. It requires the applicant to provide documentation like proof of payment, NBI clearances, government IDs, and a sworn undertaking to abide by customs laws and regulations. It aims to gather essential information from importers to evaluate their application for accreditation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines

    Department of Finance
    BUREAU OF CUSTOMS
    1099 Manila

    INTELLIGENCE GROUP ACCOUNT


    MANAGEMENT OFFICE (AMO)

    APPLICATION FOR ACCREDITATION AND REGISTRATION


    (Corporation / Partnership / Cooperative)

    I, , of legal age,
    with postal address at
    after
    having been duly sworn in accordance with law, hereby depose and say that:

    1. I am the of
    duly authorized to file this application for accreditation and registration with
    the Bureau of Customs, as evidence by written authority from the company.

    2. I hereby present the following information for accreditation with the Bureau of
    Customs;

    2.1. Name of the Firm:


    a. Head Office Address:

    Year/s of Stay in the Premises:


    Nature of Occupation: ( )owned ( )leased ( )shared
    ( )others

    b. Warehouse Address:

    Year/s of Stay in the Premises:


    Nature of Occupation: ( )owned ( )leased ( )shared
    ( )others

    c. Branch Office Address:

    Year/s of Stay in the Premises:


    Nature of Occupation: ( )owned ( )leased ( )shared
    ( )others

    d. Contact Number/s:
    e. Facsimile Number/s:
    f. Email Address*1:
    g. Number of Employees:
    h. Nature of Company:

    2.2. List of Officers / Directors (Please attach Personal Profile or Resume)

    3. I hereby attached herewith the following documents:

    1
    *Mandatory Field since Notice of Denial / Approval will be send via Email
    ( ) BCOR evidencing payment of application fee
    ( ) Corporate Secretary Certificate for designated signatories, in the
    import entries with sample original signatures
    ( ) Original copy of NBI Clearance issued within three (3) months prior to the
    date of application of responsible officers and majority stockholders.
    ( ) Two (2) valid government issued I.Ds., with picture of applicant
    ( ) Latest General Information Sheet, if a corporation
    ( ) Personal Profile of applicant and responsible officers, duly signed
    ( )
    Company Profile with pictures of office and/or warehouse premises
    ( )Proof of lawful occupancy of office and warehouse premises:
    ( )Printed CPRS
    ( )Previous Certificate of Accreditation/Registration, if applicable
    ( )License/Permit/Accreditation from concerned agency, when applicable, i.e., food
    (LTO & CPR), rice (NFA), sugar (SRA), etc.
    ( ) Indorsement from the Collector concerned, if applicable

    4. List of Importable Items with clear description in technical and tariff, terms,
    estimated volumes and values for the next twelve (12) months
    (Use separate sheet if necessary).

    Commodity Tariff Heading Technical Volume Value


    (General Terms) Description
    REPUBLIC OF THE PHILIPPINES )
    ) S.S.

    SWORN UNDERTAKING

    I hereby certify under oath that all the above information are true and correct; all
    documents submitted in support of tis application are true copies of the original,
    subject to verification; any misrepresentation and/or manifestation of fraud in this
    application shall be a ground for the disapproval of my application, and blacklisting of our
    firm and the undersigned as the applicant.

    As specified in Section 2.2. of CMO No. 4-2014, I Hereby undertake to (a) to


    receive notice by e-mail; (b) to strictly abide with existing rules and regulations on the
    Statement of Full Description of Imported Articles covered by entry declarations; (c) to
    notify the BOC-AMO of any changes in the information contained in the application for
    accreditation; and (d) to obtain knowledge of the contents of a declaration, and
    to attest to the veracity thereof.

    I fully understand that failure to comply with the undertaking will result in the
    cancellation and revocation of the accreditation as importer, without prejudice to the
    imposition of any other criminal sanction for violation of the Tariff and Customs Code of
    the Philippines, and other customs laws and regulations.

    AFFIX 2x2 picture of


    Proprietor / Applicant
    Latest photo, w/c/ should Very truly yours,
    Not be more than three (3)
    Month old

    APPLICANT’S NAME & SIGNATURE

    SUBSCRIBED AND SWORN to before me this day of

    In Manila, Philippines, affiant exhibiting to me his / her

    Issued at on

    NOTARY PUBLIC

    Doc No.
    Page No.
    Book No.
    Series of_

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