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FM-CDC-IPD II-01
REV. 00
Republic of the Philippines
Office of the President
CLARK DEVELOPMENT CORPORATION (CDC)
Clark Freeport Zone

APPLICATION FOR REGISTRATION

General Instructions: 4) CDC reserves the right to request additional information to complete its
1) Type or print in block letters the needed information on the spaces evaluation of the application;
provided. Put a cross [X] in the box, if one is provided. If a question does
not apply to you, write “N/A”. 5) This application together with the required supporting documents must be
submitted in three (3) sets to CDC Records Management Division; or
2) Use additional sheet/s for the information if necessary. You must provide email: [email protected];
all required information. Otherwise, your application will be returned;
6) For inquiry regarding your application, you may call Business
3) All supporting foreign documents/annexes should have English Development Department tel. no. 045 499-0894, 599-9000 local 642 to
translations; 645.
CHECKLIST OF REQUIRED SUPPORTING DOCUMENTS AS INTEGRAL PART OF THIS APPLICATION

 Notarized and Completely Filled-Out CDC Application for Registration Form (FM-CDC-MD – 01) including applicable Annexes;
 Resume and photocopies of passports for no derogatory record purpose and/or any valid ID of key Officers;
 Proof of Financial Capability (any or all of the following):
 Latest Audited financial Statements of applicant firm (or parent/management company if applicable);and/or
 Verifiable Bank Certification of deposits or approved loan or credit line; if equity financing is less than total project cost;
 Proposed Organizational Chart (not applicable for Canteen);
 Certified true copy of Business Registration (Securities and Exchange Commission Papers, License to transact Business in the
Philippines, DTI Registration); or proof of SEC Company Name Reservation
 Board Resolution authorizing the Lease/Sub-Lease Agreement and Signatory thereof (disregard if Sub-Lessee is a Single Proprietorship);
 Company Profile with process flowchart of the proposed business activity;
 Latest photo of the proposed area for lease or sublease.

PLUS
FOR DIRECT LEASE WITH CDC FOR DIRECT LEASE WITH CIAC
 Written Acceptance to the General Conditions and Annexes/Appendix which  Endorsement Letter from CIAC;
are provisions of the Lease Agreement;  Lease Agreement with CIAC
 Proposed site conceptual plan and location map (with perspective drawings);

FOR SUB-LEASE WITH CDC LOCATORS FOR SUB-LEASE WITH CIAC LOCATORS
 Endorsement Letter from Developer/Sub-Lessor;  Letter endorsement from CIAC;
 Draft Sublease Agreement between Sublessor and Sublessee  CIAC Approval of Sub-Lease Agreement
 Sublease Agreement between Sub-Lessor and Sub-Lessee;

Please mark appropriate box:

Type of Application: Direct Lease Sub-Lease Canteen Concessionaire

Nature of Business Entity:
Branch of an Existing Corporation
Division of New Corporation as one of its Business Partnership
New Corporation as its Sole Business Single Proprietorship
Proposed Corporation

REQUIRED PAGES/ANNEXES
Type of Application: Page 1 to 4 Annex-A Annex-B Annex-C Annex-D
A. Proponent applying for No Incentives/Regular Tax Payer:
 Direct Lease  N/A   
 Sub Lease  N/A N/A  
 Canteen Concessionaire  N/A N/A N/A N/A
B. Proponent applying for Incentives:
(subject for evaluation and approval of CDC Management
Committee)
Please indicate the proposed business activity based on the
Investment Priority List (see attached Annex E for reference)
_____________________________________________________
_____________________________________________________
_____________________________________________________

 Direct Lease     
 Sub Lease   N/A  
 Page 2 of 4
COMPANY PROFILE
Name and Address of Applicant Firm: Name & Position of Authorized Representative/s

           

Tel No. Fax No. E-mail address: Mobile No. E-mail address:
     
                       
Website:
     
Current Business Activities/Product Lines /Services and Current Market Coverage: (attach separate sheets if necessary)

     

CORPORATION/PARTNERSHIP:
SEC Registration/Articles of Incorporation
SEC Registration No. Date of Registration: Primary Purpose (per Articles of Incorporation/Partnership)
            Pls. check: New Existing
Subscribed Capital:      
Authorized Capitalization:      

      Paid-Up Capital:

     
Stockholders/Partners (Use separate sheet if necessary)
Corporate Stockholder Amount Amount
Directors / Key Officers / Partners Nationality
Position Yes No Subscribed (P) Paid (P)
                             
                             
                             
                             
                             
                             
                             
                             

SOLE PROPRIETORSHIP: Pls. check New Existing (* mandatory)

* DTI Certificate No.       * Date Issued:      

* Validity: From_     ___________ To__     ______________ * DTI Certificate Issued to:      

Name of Proprietor:      

Amount
Sources of Funds Percentage (%)
(Total investment as committed)
From Equity            
From Loans: (Attach certification/proof of funding on loan obtained)            
Bank Loans            
Advances from parent Company (if any)            
TOTAL SOURCES OF FUNDS            
Projected Rate of Return on Investment (ROI) Projected Payback Period
           
 PROJECT PROPOSAL
Direct Lease or Sub-lease Area being applied for:
Lessor/Sub-Lessor Space Requirements Address
Open Space (sq.m.) and Structure/ Floor Area (sq.m.)      
proposed lease rate and proposed lease rate
                 

PROJECT DATA DESCRIPTION FOR THE BUSINESS ACTIVITY IN CLARK

General Project Description (Specify business activity to be undertaken including facilities to be setup, concept of business operation, product
lines/services, target market & indication whether new, expansion or transfer of operations, stating reasons for transfer)

     

Manpower Requirements
(Required field - Information critical for processing of evaluation)
Particulars 1st year 3rd year (Addt’l) 5th year (Addt’l) TOTALS (1st Yr. to 5th Year)
Local Foreign Local Foreign Local Foreign Local Foreign
During Construction (Cumulative)                                                
During Operation:                                                
 Regular (Cumulative Totals)                                                
 Contractual (Cumulative Totals)                                                
Total Employment during Operation                                                
1. Do you require specific skills in recruiting manpower? _ Yes _No
2. If yes, please enumerate needed skills: (Pls. use extra sheets if necessary)

     
     
     

Note:
Locators are mandated to establish in-house skills training program and recruitment system in coordination with CDC to
maximize job opportunities for the local Labor Force. If the skills requirement is highly specialized, foreign nationals hired to
occupy the job must transfer the technology through the said program.

Committed Investment / Project Cost

(Required field- Information critical for processing of evaluation)
Particulars Cost (at Gross Amount) TOTAL
st rd th
1 Year 3 Year (Addt’l) 5 year (Addt’l) From 1 Yr. to 5th Year
st

Land Improvements                        

Buildings                        
Plant Machinery & Equipment                        
Communication and Electronic Equipment                        
Transportation Equipment                        
Office Equipment                        
Furniture and Fixtures                        
Other assets                        
TOTAL INVESTMENT / PROJECT                        
COST
Add: Working Capital                        
TOTALS                        

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 Page 4 of 4
APPLICANT'S UNDERTAKING

I,      __________, of legal age,      _________________ of _     ________ (the “company”, herein), with postal address at      ____ after having
been duly sworn to in accordance with law hereby, depose, represent, certify and warrant that in addition to above performance commitments, the
applicant also commits to undertake the ff.:
1. To contribute to the achievement of the goals of transforming the Clark Freeport Zone (CFZ) into a modern metropolis that is world-class
in its facilities but environmentally sound for its residents and workers and to the development of the national economy in general;
2. To support the promotion of CFZ as an investment and tourist destination;
3. To engage in good faith in creating a market for its products and services abroad;
4. To use domestic raw materials and supplies in preference to imported goods whenever these are available at comparable quality and
price;
5. To establish a separate entity that will exclusively engage in the proposed business activities at the CFZ, if the proponent has been
granted the privileges to enjoy tax incentives pursuant to RA 9400 and the same will not branch outside the CFZ in the future;
6. To comply with the following:
 Rules and regulations on importation/exportation and all other existing laws, rules, and ordinances issued by the Government;
 Zoning regulations, building, environmental, health and safety standards prescribed by the authorities concerned;
 Requirements of RA 10708 also known as the Tax Incentives Management and Transparency Act (TIMTA), its implementing rules
and regulations and pertinent circulars if the entity will qualify for tax incentives; if applicable
 Terms and conditions of the lease agreement with CDC and Annexes of this application, if applicable;
 Submission of periodic reports and other information on its activities in the CFZ as may be required by CDC.
7. To install an accounting system adequate to identify the investments, revenues, costs and profits or losses of the project covered by this
application separately from the aggregate investments, revenues, costs and profits or losses of the other business activities of the
applicant not registered with CDC;
8. To promise not to give, has not given and will not give any gift to any officer or employee of the CDC in connection with filing and
processing of this application pursuant to the provisions of Section 3 and Section 14 of Republic Act No. 3019 [Anti-Graft Act];
9. To ensure that based on the records of the applicant, no Board member or department Director of CDC has an investment or any other
financial interest, direct or indirect, in the applicant’s enterprise; Also, that there no exists dummy relationship between the stockholders
or Directors of the applicant and any foreigner;
10. To hire, as much as practicable, employees and workers from peripheral areas of the CFZ through the CSR & Placement Division of
CDC, and to abide by existing labor policies, rules and regulations pursuant to the Labor Code of the Philippines;
11. To establish in-house skills training program and recruitment system in coordination with CDC to maximize job opportunities for the local
Labor Force. If the skills requirement is highly specialized, foreign nationals hired to occupy the job must transfer the technology through
the said program;
12. To accept that the CDC Citizen’s Charter on standard processing time for the lease/sub-lease agreement may only be applicable if the
complete requirements have been submitted and contents of said documents have been verified by our departments;
13. To accept that the submission of the required documents will not guarantee of any property which shall be subject of the negotiations
and CDC will continue to entertain other proponents for the area; if applicable
14. To accept that CDC may undertake due diligence enquiries, and to request and receive information relative to this application including
information on derogatory records of its officers, directors, and/or authorized representatives and that any person named within this
application is authorized to release any information requested by CDC;
15. To obligate its management and staff or authorized third party representatives, if any, to periodically access and read the official CDC
Website: www.clark.com.ph to comply with applicable circulars posted regarding policies and information affecting its operation and
welfare of the company and its employees. This effort is also part of the paperless campaign for a clean and green environment;

I declare that I have read and fully understood the contents of this application and undertaking including annexes which I have voluntarily and
willingly signed, fully aware of the consequences in case of non-compliance thereto in accordance with the laws of the Republic of the
Philippines.

Done in the city province of ___     ___this _     ____ day of      ,20     __

__     ________________ _     _______________________ _     ____

(Applicant Firm) (Signature over printed name) (Position/Designation)

Republic of the Philippines}

City/Province of }S.S.
_________________________________}

Subscribed and sworn to before me this___________ day of ___________________, 20_______in the City /Province of
____________________. Affiant exhibited to me his Community Tax Certificate No._____________________ issued at
_____________________, on_________________
Doc. No.____________
Page No.___________
Book No.___________
Series of____________
 Annex - A

BUSINESS MODEL
(Subject to the approval of CDC Management Committee)
Source of
Income PROJECTED REVENUE
Breakdown of business activities if From these List of Importables related to Local Purchases VAT-Exempt
activities Clients Name & Countries
each one separately earns income: st
1 Year nd
2 Year rd
3 Year this activity related to this activity
Pls. mark: SOURCE
(In US$) (In US$) (In US$)
Yes No
1.      Export:                                    
                 
                 
                 
Domestic:                                    
                 
                 
                 
2.      Export:                                    
                 
                 
                 
Domestic                                    
                 
                 
                 
3.      Export:                                    
                 
                 
                 
Domestic                                    
                 
                 
                 
(Use additional sheets if necessary)
 Annex – B

TIMETABLE OF THE PROJECT

Activity Indicative Date
1. Importation of machinery/equipment      
2. Installation of machinery/equipment      
3. Hiring/Training of Personnel      

DEVELOPMENT TIMELINES:
Activity: Number of days:
1. Submission of Site Development/Conceptual Within      _____ (XX) calendar days from signing of Lease Agreement.
Plans
2. Submission of Construction Plans Within      _______ (XX) calendar days from CDC’s approval of the
conceptual plan.
3. Start of construction activities Within      ______ (XX) calendar days from CDC’s approval of the
construction plans.

4. Construction period      ________ (XX) months

5. Start of operations Within      ________ (XX) calendar days from issuance of Occupancy
Permit.

Indicative Date of Start of Operation:      ________

Annex – C

UTILITY REQUIREMENTS
POWER:
Power
Required Voltage: Pls. check      __ 69kV,      _13.8kV,      ______460V or      ______ 230V
Capacities: Pls. fill out      _ kW or      _ MW
Energy: Pls. fill out      _ kWh or      _MWh
Operations: 8 hours or 24 hours? Pls. specify      ____
Any special load (large motors)
Pls. specify      _

WATER:
Please indicate cu.m./month
     

TELECOMMUNICATIONS:
For Telecommunications and Information Technology Related Projects: Systems /Schematic Diagram/network configuration Diagram (Shows local
network in CFZ plus connectivity to total Network outside CFZ, attach separate sheet if necessary)
TELEPHONE LINES: INTERNET SPEED:
(Please indicate total number of telephone lines needed & specifications if necessary)
     
_     ____ mbps
Technology Transferred, if applicable; (Highlight new production technology or state-of-the art machinery/equipment to be used if any)
(Attach Process Flow Chart)

List of Machinery/Telecommunication/Electronic/Computer/ and other Total Cost Origin Mode of Shipment Air/Sea/Land
Equipment/Devices to be used (Attach machinery layout) :
                 
     

List of Antennas to be installed (including Technical specifications) Total Cost Origin Mode of Shipment Air/Sea/Land
                       

List of Support/Infrastructure Services required within the Zone (Attached separate sheets if necessary):

     

Environmental Soundness
Raw materials the proposed project will consume/Used During Operations
(indicate the approximate amount used per month for each material):
     

Solid Waste Liquid Waste Gaseous Emissions

(Description & Estimated Volume/Day) (Description & Amount/Day) (Source (e.g. furnace boilers, etc.
           
     

Brief Description of Waste Disposal System and Planned Treatment process:

     
 Page 1 of 3

Annex - D
Republic of the Philippines )
Clark Freeport Zone ) S.S.

AFFIDAVIT
(WITH UNDERTAKING)

I,      __________________, of legal age, _     , Filipino, with postal address at _     

__________________, Philippines, after being duly sworn to in accordance with law, hereby
depose and state that:

1. I am the _     _____ (state position/designation in the company) of __     ______________

(state name of locator company) (hereinafter referred to as the “Corporation”), duly
registered with the Securities and Exchange Commission (SEC) with principal address
at _     ___________, CFZ, Pampanga, Philippines.

A copy of the Corporation’s Board Resolution and/or Secretary’s Certificate on my

authority to act, represent and sign this Affidavit for and on behalf of the Corporation
is hereto attached as Annex “A”, while a copy of the Corporation’s Certification of
Registration issued by the SEC is hereto attached as Annex “B”.

2. The Corporation is authorized by its Articles of Incorporation to engage in the

following primary purpose:

     _

The Corporation is likewise allowed to engage in the following secondary

purpose/s:

_     _

A copy of the Corporation’s Articles of Incorporation is attached as Annex “C.”

[Note: If the secondary purpose is relevant to the CRTE being applied for, please indicate,
otherwise just write Not Applicable]

3. For and on behalf of the Corporation –

3.1 I affirm and certify that the Corporation’s registered business activity is consistent
with the Corporation’s primary and secondary purposes as approved by the SEC,
the CDC, and other regulatory agencies (if any) that monitor and regulate the
Corporation’s business activity.

3.2 I shall notify CDC of any intended change in the business activity/ies of the
Corporation and to secure the appropriate license, permit or franchise to operate
from the appropriate regulatory agencies.
 Page 2 of 3
3.3 I undertake the following:

(a) The Corporation’s business operations in the CFZ shall at all times be carried
out in accordance with the terms and conditions of the Lease Agreement/CDC
Approval of Sublease Lease Agreement and the CRTE issued by the CDC and
subject to the pertinent laws of the Republic of the Philippines;

(b) The Corporation shall not in any way engage in any other activity other than
its registered business activity as approved by CDC;

(c) The Corporation shall not commit any of the acts or omissions, defined and
penalized under the Revised Penal Code of the Philippines, including its
amendatory laws, and other special penal laws passed by the Philippine
Congress, including but not limited to:

1) Online/Internet/Electronic Gambling or Lottery

2) Human Trafficking (as penalized by Republic Act No 9208, Republic
Act No. 10364)
3) Pornography (as penalized by the Revised Penal Code and Republic
Act No. 9775)
4) Online Dating/Mail Order Bride (as penalized by Republic Act No.
6955)
5) Money Laundering (as penalized by Republic Act No. 9160, as
amended)

(d) The Corporation shall not:

1) Act as procurer or operator or internet or online gambling service

provider or provide services related thereto;

2) Engage in the sale, production, development, marketing,

distribution, promotion/advertisement of physical or digital
products (e.g. games or apps) used in casinos, any form of wager
games or software applications;

3) Provide technical or support services in connection with, related

to, or in furtherance of, internet or online gambling, pornography
and online dating;

4) Engage in activities or provide services integral to any part or

process, without which online gambling, pornography or online
dating or the distribution, marketing or facilitation thereof, would
not be possible; and,

5) Engage in activities that in any manner enable, facilitate, promote

or endorse online gambling, human trafficking, pornography,
online dating, money laundering or any crime.

(e) The Corporation shall comply with any and all future policies of CDC related
to the above prohibited activities.

(f) If I discover that any prohibited or illegal activity is being conducted on the
leased or subleased premises by any person or entity, I shall notify the CDC
within forty eight (48) hours from discovery and confirmation of said
prohibited activity or activities, and take steps to cease and desist from
continuing with said prohibited or illegal activity/ies.

(g) The Corporation shall assist and cooperate with CDC in any investigation in
relation to alleged or suspected prohibited or illegal activity being conducted
within the leased/subleased premises.

Page 3 of 3
 3.4 In case of misrepresentation or in the event of violation or non-compliance with any
of the terms of this Undertaking, I acknowledge and fully agree that CDC may
proceed to exercise its rights under the Lease Agreement/CDC Approval of
Sublease Agreement, including but not limited to the revocation of the CRTE/RC
or of the clearance/permits already issued, if any or to be issued; withholding of
incentives, if any, and/or termination/revocation of the Lease Agreement/CDC
Approval of Sublease Agreement, without the need of written notice or resort to
judicial action; cancellation of the Subic-Clark Working Visa of the Corporation’s
officers and employees, and deportation, as may be warranted under the
circumstances.

3.5 I hereby release and hold CDC free and harmless from any and all claims,
demands, causes of action, loss, liability, damage and/or injury arising from or in
connection with this Undertaking;

4. I declare that I have read and fully understood the contents of this Undertaking which I
have voluntarily and willingly signed, fully aware of the consequences in case of non-
compliance thereto in accordance with the laws of the Republic of the Philippines.

IN WITNESS WHEREOF, I have hereunto set my hand this _     ___ at Clark Freeport
Zone, Pampanga, Philippines.

__     ___________
Printed Name and Signature

SUBSCRIBED AND SWORN to before me this _     __, affiant having exhibited to me

his/her competent evidence of identity to wit:

Doc. No.____________;
Page No.____________;
Book No.____________;
Series of ____________.

Annex - E
 CLARK INVESTMENT PRIORITY LIST
CY 2017

I. MANUFACTURING ENTERPRISES
 Electronic and Semi-conductor
 Textiles, wearing apparel, leather and related products

 Aircraft, Aircraft parts and accessories

 Automotive, other transport equip. & automotive parts/accessories
 Agro-industrial export manufacturing (food, beverage & tobacco)

 Avionics
 Pharmaceutical and Medical Products/Devices
 Machinery and Equipment
 Other Light Industries (paper products, furniture, personal/home care products and
other chemical products)
 Rubber and Plastic Products
 Basic and Non Metallic Mineral Products

II. SERVICE ENTERPRISES

 Information and Communication
Telecom, IT-BPM e.g. call centers, knowledge process outsourcing, IT & software
development, etc.
 Aviation Related
Air transport, Maintenance Repair & Overhaul (MRO) of aircraft engines, cargo
handling and other Investment Priority establishments as may be approved and
submitted by CIAC.
 Educational Institutions
Educational institutions offering K to 12 programs, college and post graduate
degrees, as well as training institutions designed to accelerate and enhance skills
of the local labor force.
 International and Domestic Air Carriers
International and domestic air carriers for passengers and cargo (including
express freight), cargo handling, ground handling, in-flight catering, line
maintenance, base/heavy maintenance or MROs, fixed-base operators, aircraft
refueling (supply, storage and into-plane), and other Investment Priority
establishments as may be submitted and approved by CIAC.
 Utilities Related
Electric, Water, Renewable energy, and Transportation
 Research and Development
 Tourism Related
Hotel and Casino/Integrated Resort complex (sports and recreation centers,
accommodation, water theme park, convention, and cultural facilities, special
interest attraction activities)

 Restaurants

III. TRADING ENTERPRISES

 Vendor Management Inventory (VMI) and/or Integrated Logistics Operations
Warehousing-Distribution-Transportation Operations catering to Freeports and
Ecozones where Clark is the hub.
 Other Trading Companies
Supporting the requirements of Tier 1 subject to CDC’s evaluation
(distributor/supplier/wholesalers)
 Duty Free Shops
Subject to Malacanang clarificatory letter allowing renewal of existing Duty Free
Locators in Clark; DTI implementing rules and regulations on EO 303 & 404 and
pertinent legal issuances and subject further to standards and criteria of CDC.