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Supplier/Contractor Accreditation Form

This document is a supplier/contractor accreditation form that requests background information from potential suppliers and contractors. It asks for company details like address, contact information, business organization type, licenses and permits held. It also requests a list of major clients, ongoing/completed projects, product/service lines, trade references, and required supporting documents. The final sections cover terms of payment and credit line being requested, as well as a signature from the authorized representative.

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adele
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1K views2 pages

Supplier/Contractor Accreditation Form

This document is a supplier/contractor accreditation form that requests background information from potential suppliers and contractors. It asks for company details like address, contact information, business organization type, licenses and permits held. It also requests a list of major clients, ongoing/completed projects, product/service lines, trade references, and required supporting documents. The final sections cover terms of payment and credit line being requested, as well as a signature from the authorized representative.

Uploaded by

adele
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SUPPLIER/CONTRACTOR ACCREDITATION FORM

A. BACKGROUND INFORMATION

Company Name

Unit No. Bldg No/Name Street City Province Zip


Registered Address
Satellite/Warehouse Address
Telephone No. (s ) Fax No.
Website Address: Email Address
Authorized Representative
Name Position Contact Number Signature

B. BUSINESS ORGANIZATION
Type of Business Nature of Business Operation
Single Proprietorship Manufacturing
Partnership General Trading or Merchandising
Corporation Exclusive Distributor
Cooperative Service Company
Others Contractor
Others

C. BUSINESS REGISTRY
Type No. Date Issued Expiration Date
Securities and Exchange Commission
Department of Trade and Industry
Business Permit
Philippine Contractor's Accreditation Board
BIR Certificate of Registration
Others

D. CONTACT PERSONS
Name/Signature Designation Department Contact no.
Owner/ President Executive/ Administration
Accounting/Finance Manager Accounting/Finance
Operations Manager Operations
Sales/Account Officer Sales
Delivery Incharge Logistic
Technical Incharge Technical

E. MAJOR CLIENTS ( at least 3 )


Company Address Contact Person Contact No
1
2
3
4
5

F. PROJECTS ON-GOING/COMPLETED
Project Project Manager Contract Amount
1
Owner/Contractor Contact No. Trade/Services/Supply

Project Project Manager Contract Amount


2
Owner/Contractor Contact No. Trade/Services/Supply

Project Project Manager Contract Amount


3
Owner/Contractor Contact No. Trade/Services/Supply
Project Project Manager Contract Amount
4
Owner/Contractor Contact No. Trade/Services/Supply

Project Project Manager Contract Amount


5
Owner/Contractor Contact No. Trade/Services/Supply

G. PRODUCT LINES/ SERVICES


Source of Raw Materials/ Merchandise
Products/ Services Offered Brand/ Nature Imports from
Local International
1
2
3
4
5

H. TRADE/BANK REFERENCES ( list of local suppliers or banks with whom you have current transactions )
Name Address Contact Person Contact No. Terms

Name Address Contact Person Contact No. Terms

Name Address Contact Person Contact No. Terms

Name Address Contact Person Contact No. Terms

Name Address Contact Person Contact No. Terms

I. DOCUMENTARY REQUIREMENTS

Letter of Intent Copy of Contract/Purchase Order from 3 Major Clients


Company Profile Notarized List of Owned Tools, Equipment, Machineries,
Valid ID of representative or signatory and Vehicles with Copy of OR/CR
Certified True Copies Office, Plant, and Warehouse Location Map and Photos
a. Business Permit PCAB License
b. Certificate of Registration ( DTI, SEC ) DOLE Registration Certificate
c. BIR Certificate of Registration Code of Conduct, Safety Code and Drug-Free Workplace Policy
d. Articles of Incorporation ISO Certification or Equivalent
e. Audited Financial Statement DENR Permits/ Certifications
Copy of Original Sales Invoice and Official Receipt OHSAS/OSHA Certificate

J. CREDIT TERMS

Terms Of Payment Credit Line


COD 90 DAYS
30 DAYS OTHERS Amount in Words

60 DAYS
Php

I hereby certify that the foregoing information is true and correct and all supporting documents attached hereto are genuine and authentic.
The undersigned also authorizes the release of any information as needed by MGS Corporation from any of the above listed source of information.
I fully understand that any false information given by me or failure to disclose relevant information as required herein may cause the disapproval
of this application.
I also declare that the owners, managers, supervisors, marketing, sales and accounting personnel of our company are not related to any
employee of MGS Corporation within the third degree of consanguinity.

Authorized Representative ( Signature over Printed Name ) Designation Date

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