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    Customer Information Sheet: TIN NO.: 201-219-690-000

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    kath vinluan
    This document is a customer information sheet for a business applying for credit. It requests information such as the business name, address, contact details, tax identification numbers, key officers, suppliers, bank references, authorized check signatories, and requires submission of supporting documents like SEC/DTI certificates, business permits, tax returns, bank statements, and company profile. The client authorizes the company to make inquiries on suppliers, traders, and bank accounts and certifies the information provided is true and correct.

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

    Customer Information Sheet: TIN NO.: 201-219-690-000

    Uploaded by

    kath vinluan
    71 views2 pages
    This document is a customer information sheet for a business applying for credit. It requests information such as the business name, address, contact details, tax identification numbers, key officers, suppliers, bank references, authorized check signatories, and requires submission of supporting documents like SEC/DTI certificates, business permits, tax returns, bank statements, and company profile. The client authorizes the company to make inquiries on suppliers, traders, and bank accounts and certifies the information provided is true and correct.

    Original Description:

    ABC

    Original Title

    INFO SHEET

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    This document is a customer information sheet for a business applying for credit. It requests information such as the business name, address, contact details, tax identification numbers, key officers, suppliers, bank references, authorized check signatories, and requires submission of supporting documents like SEC/DTI certificates, business permits, tax returns, bank statements, and company profile. The client authorizes the company to make inquiries on suppliers, traders, and bank accounts and certifies the information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    71 views2 pages

    Customer Information Sheet: TIN NO.: 201-219-690-000

    Uploaded by

    kath vinluan
    This document is a customer information sheet for a business applying for credit. It requests information such as the business name, address, contact details, tax identification numbers, key officers, suppliers, bank references, authorized check signatories, and requires submission of supporting documents like SEC/DTI certificates, business permits, tax returns, bank statements, and company profile. The client authorizes the company to make inquiries on suppliers, traders, and bank accounts and certifies the information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ECOLOGY

    S P E C I A L I S T , I N C.

    BLDG. F. PHOENIX SUN BUSINESS PARK, E. RODRIGUEZ


    JR. AVENUE, BAGUMBAYAN, QUEZON CITY
    TIN NO.: 201-219-690-000

    Dealer/Operator's Name:
    Branch:
    Address:

    CUSTOMER INFORMATION SHEET

    Please answer all question with complete and accurate information, incomplete and partial answers will delay the
    processing. All Information is confidential and will be held in strict confidence for the usage of our Credit Department.

    Business Name:
    Business Address:
    Business Telephone No.: Fax No.:
    Nature of Business: Date Established:
    SEC/DTI Registration No.: Date Registered:
    Type of Organization: Single Proprietorship Partnership Corporation Others
    Tax Identification No.: VAT Registered: Non-VAT Registered:

    Company Key Officers, if corporation/partnership:


    Name Position Contact Number

    Plant/Warehouse/Branch/Building used in actual operations: Location

    List of five (5) major suppliers:


    Name of Supplier Product Address Contact Person & Tel. No.
    Bank References:
    Name of Bank/Branch Account No. Existing Credit Line Contact Person & Tel. No.

    Authorized Check Signatories:


    Name Position Specimen Signature

    Please submit xerox copies of the following documents:

    1. SEC/DTI Certificate
    2. Current Business Permit
    3. Income Tax Return/Audited Financial Statement (of the past 2 years)
    4. Bank Statement for the last two (2) months
    5. BIR Certificate of Registration
    6. Company Profile

    I hereby certify that the above information are true and correct to the best of my knowledge. Further, hereby

    Certified By:

    Printed Name and Signature


    Position:
    Date:

    AUTHORIZATION:

    The client authorizes ECOLOGY SPECIALIST, INC. to make inquiries on Suppliers/Traders and Bank Account.

    CONFORME:

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