CLIENT INFORMATION FORM

 
Dear Valued Client;
As our valued client, we would like to have an updated information about you and your company. Kindly fill-up information sheet. Your assistance by the way of completing data as soonest possible time will be greatly appreciated.
 

Corporation Partnership Sole Proprietorship

OUTLET INFORMATION
 
Outlet name:*
Company name:*
Complete Address:*
Delivery Address:*
 
TIN Number:*
VAT Number:*
SEC REG NO:
DTI Number:
Note: Please submit BIR Certificate of Approval if you are Vat exemted taxpayer.
CONTACT INFORMATION
 
Contact Person*
Office Tel#:*
Residential Tel#:
Fasimile Number:*
Mobile Number:
Email Address:*
 
Collection Contact NAME:
Office Tel#:*
Fasimile Number:*
Actual Collection Schedule:*
Collection Follow-UP Schedule:*
SUPPLIER REFERRENCE
(Please list three major suppliers, contact persons and contact numbers)
 
NAME OF SUPPLIERCONTACT PERSONCONTACT NUMBERS
TERMS
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BANK REFERRENCE
(Please list two major banks, account numbers, contact persons and contact numbers)
 
NAME OF BANK AND BRANCHACCOUNT NUMBERCONTACT PERSONSCONTACT NUMBERS
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