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    Dealer Application Form

    Uploaded by

    Osama Abouzead
    This document is a dealership accreditation form that collects information about a company applying for accreditation. It requests the company profile, business information such as business structure and licenses, bank references, current suppliers, and authorized personnel for sales, delivery acceptance, accounting and purchasing. It also lists the requirements for accreditation which include a company profile, business permit, and BIR registration.

    Copyright:

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

    Dealer Application Form

    Uploaded by

    Osama Abouzead
    28 views3 pages
    This document is a dealership accreditation form that collects information about a company applying for accreditation. It requests the company profile, business information such as business structure and licenses, bank references, current suppliers, and authorized personnel for sales, delivery acceptance, accounting and purchasing. It also lists the requirements for accreditation which include a company profile, business permit, and BIR registration.

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This document is a dealership accreditation form that collects information about a company applying for accreditation. It requests the company profile, business information such as business structure and licenses, bank references, current suppliers, and authorized personnel for sales, delivery acceptance, accounting and purchasing. It also lists the requirements for accreditation which include a company profile, business permit, and BIR registration.

    Copyright:

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

    Dealer Application Form

    Uploaded by

    Osama Abouzead
    This document is a dealership accreditation form that collects information about a company applying for accreditation. It requests the company profile, business information such as business structure and licenses, bank references, current suppliers, and authorized personnel for sales, delivery acceptance, accounting and purchasing. It also lists the requirements for accreditation which include a company profile, business permit, and BIR registration.

    Copyright:

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

    DEALERSHIP ACCREDITATION FORM

    COMPANY PROFILE
    BUSINESS NAME :
    MAIN OFFICE ADDRESS :
    CONTACT # :
    FAX # :
    YEAR ESTABLISHED :
    NATURE OF BUSINESS :
    :
    BUSINESS INFORMATION
    TYPE OF BUSINESS : CORPORATION SOLE PROPRIETORSHIP PARTNERSHIP
    BUSINESS LICENSE # : ISSUED ON :
    NAME OF PARTNERS (IF PARTNERSHIP) OR NAME OF INCORPORATORS (IF CORPORATION)
    NAME POSITION ADDRESS

    OTHER OFFICES/ AFFILIATED COMPANY / BRANCHES


    BRANCH /AFFILIATE ADDRESS CONTACT #

    BANK REFERENCES
    BANK BRANCH CONTACT #

    PRESENT SUPPLIERS
    COMPANY PRODUCTS PURCHASED CONTACT #

    OWNER/ DIRECTOR/PRESIDENT
    COMPLETE NAME :
    LANDLINE # :
    MOBILE # :
    EMAIL ADDRESS :

    If you have any questions , Please contact Mary May on Tel no. (032) 324 8917

    THANK YOU FOR YOUR BUSINESS!


    AUTHORIZED PERSONNEL
    SALES
    NAME :
    POSITION :
    TEL # :
    MOBILE # :
    SIGNATURE (SPECIMEN) :
    DELIVERY ACCEPTANCE
    NAME :
    POSITION :
    TEL # :
    MOBILE # :
    SIGNATURE (SPECIMEN) :
    ACCOUNTING
    NAME :
    POSITION :
    TEL # :
    MOBILE # :
    SIGNATURE (SPECIMEN) :
    PURCHASING
    NAME :
    POSITION :
    TEL # :
    MOBILE # :
    SIGNATURE (SPECIMEN) :

    REQUIREMENTS
    COMPANY PROFILE ORGANIZATIONAL CHART
    BUSINESS PERMIT BIR REGISTRATION
    DTI/SEC REGISTRATION
    IF SEC, ARTICLES OF INCOPORATION

    If you have any questions , Please contact Mary May on Tel no. (032) 324 8917

    THANK YOU FOR YOUR BUSINESS!


    BANK INFORMATION REQUEST FORM
    Please fill out this form so we may submit for information from your bank. Thank you.
    Dealer/Company Name
    Address
    Contact Person

    Bank Information
    Bank Name/Branch
    Address
    Telephone No./Fax No.
    Contact Person
    Account Name
    Signatories
    Account No.

    No. of years banking there

    I authorize SYSTEMHUB DISTRIBUTION INC to inquire about my credit standing with the above
    named bank. Please accept my signature as permission to furnish SYSTEMHUB with this information.

    Signature over printed name _________________________________


    Title ________________________________
    Date __________
    ____________________________________________________________________________________________________
    ____________________________________________________________________________________________________
    For Bank Use Only
    Dear Bank Officer:
    The above company has given your name as the Bank holding their accounts. Any information you may give will be
    helpful in our decision to open an account for them. The information provided to our company will be held strictly confidential.
    Please complete this form and send through email: [email protected] at your earliest convenience. Above is their
    written authorization for access.

    Checking Account Information


    Date Opened _________________________________________________________________________________
    Average Daily Balance _________________________________________________________________________
    Properly handled?
    OverDraft(OD)? Yes ______ No ________ How often?______________
    Drawn Against Uncollected Deposits (DAUD)? Yes ______ No ________ How often?______________
    Drawn Against Insufficient Fund (DAIF)/ Returned Checks? Yes ______ No ________ How often?____________
    Any additional comments _______________________________________________________________________

    Savings Account Information


    Date Opened ______________________________________
    Average Daily Balance ______________________________________
    Any additional comments ______________________________________

    Prepared by: __________________________________ Date: _______________


    Designation : __________________________________

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