APPLICATION FOR ACCREDITATION

Instructions:
1. Accomplish this form completely and submit together with the required documents (listed herein) to:

MY SOLID TECHNOLOGIES & DEVICES CORP.

2000 Solid City, Km 16 East Service Rd., Bicutan, Paranaque City
2. Compile and submit the documents in the order they are listed in this form.
3. Acceptance of documents is from Mondays to Wednesdays only at the abovementioned address.

COMPANY NAME:
ADDRESS:

PLANT/WAREHOUSE ADDRESS:

Contact Person/s & Position:

ORGANIZATION DATA
SINGLE PROPRIETORSHIP
Proprietor's Name:

PARTNERSHIP
Type of Partnership

Name of Partners:

Date of Organization:

Date of Organization:

Number of Employees/Staff:

Number of Employees/Staff:

Capitalization:

Capitalization:

Years in Operation:

Years in Operation:

Authorized Representative:

Authorized Representative:

PRODUCT / SERVICE DATA

Nature of Business (Check appropriate box) :
[ ] MANUFACTURING

[ ] DISTRIBUTOR

PRODUCT LINES CARRIED

[ ] SERVICES

SERVICES CARRIED

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TERMS OF P

(off

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BANK / TRADE REFERENCES

NAME/S OF BANK / TRADE

ADDRESS

MYPHONE GROUP APPLICATION FOR ACCREDITATION

ARE THERE ANY PENDING LAWSUITS, FORECLOSURES, BANKRUPTCIES OR OTHER LEGAL
FILED BY OR AGAINST THE COMPANY? [ ] YES [ ] NO If yes, please state cases

DOCUMENTS SUBMITTED : (Please check [ ] appropriate box.)

Mandatory Requirements for Suppliers and Contractors
A. General / Legal Documents:

[ ] Original Certified True Copy of Certificate of Registration with Securities and Exchange Commission, Articles of Incor
and By-Laws, and latest General Information Sheet (obtained from SEC) (if type of business is Corporation)

[ ] Original Certified True Copy of Department of Trade and Industry (DTI) Certificate (if type of business is single prop

[ ] Original Certified True Copy of the VAT/Non-VAT Registration Certificate, obtained from the Bureau of Internal Reven
[ ] Currently Dated, Original Certified True Copy of Bus. Permit/Mayor's Permit
[ ] Original Certified true copy of the duly stamped "APPROVED" and/or "REGISTERED" application form for
registration as a contractor or subcontractor, obtained from DOLE (For Manpower and Security Agency Only)
[ ] Original and currently dated certification issued by DOLE under its official letter head that the
contractor or sub-contractor is registered as such with the DOLE (For Manpower and Security Agency Only)
[ ] Philippine Contractors Accreditation Board (PCAB) License (For GenCon/Civil works contractors Only)
[ ] Certified True Copy of DOTC Certificate (For Courier Agency Only)

B. Company Identity Documents:

[ ] Company Profile
[ ] List of Product Lines/Services offered to Myphone Group
[ ] List of existing or previous Customers/Clients: Contact Person and Telephone Numbers
[ ] Certificate of Ownership for Tools/ Equipment / Machineries and Company-Owned Vehicles

C. Financial Documents:

[ ] Original Certified true copy of latest Income Tax Return and certificates evidencing latest tax payments, obtained fr

[ ] Two copies of latest Audited Financial Statements (one Original Certified true copy obtained from SEC (if Corpora
one photocopy) with accompanying audit report from External Auditor.

Optional Requirements for Suppliers and Contractors

[ ] List of Board of Directors/Corporate Officers
[ ] Organizational Chart
[ ] Evidence of length of business and operational experience
[ ] Bank Certification of Cash Deposits and Maximum Allowable Credit Line
[ ] Latest telephone bills

The undersigned, duly authorized to sign in behalf of ______________________________

hereby declares that the foregoing are true to the best of his knowledge.

____________________________

_________________________

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________________

(Signature over Printed Name)

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Designation

APPLICATION FOR ACCREDITATION

ether with the required documents (listed herein) to:

EVICES CORP.

Rd., Bicutan, Paranaque City

they are listed in this form.

TERMS OF PAYMENT: _________

ednesdays only at the abovementioned address.

(offered to MyPhone)

TIN NO.:
TEL. NO.:
FAX. NO.:
TEL. NO.:
FAX. NO.:
Mobile Phone:
EMAIL:

ORGANIZATION DATA
CORPORATION
President:
Vice President:
General Manager:
Secretary:
Treasurer:
Stocks are traded publicly?

[ ] Yes

Date of Incorporation:
Number of Employees/Staff:
Paid-Up Capital:
Years in Operation:
Authorized Representative:

PRODUCT / SERVICE DATA

[ ] OTHERS : (SPECIFY) ___________________
SPECIAL PRODUCTS CARRIED

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[ ] No

Page 6 of 8

BANK / TRADE REFERENCES

CREDIT AMOUNT

ONE GROUP APPLICATION FOR ACCREDITATION

, FORECLOSURES, BANKRUPTCIES OR OTHER LEGAL ACTIONS OR LITIGATIONS

? [ ] YES [ ] NO If yes, please state cases

f Registration with Securities and Exchange Commission, Articles of Incorporation

n Sheet (obtained from SEC) (if type of business is Corporation)

t of Trade and Industry (DTI) Certificate (if type of business is single proprietorship)

n-VAT Registration Certificate, obtained from the Bureau of Internal Revenue (BIR)

mped "APPROVED" and/or "REGISTERED" application form for

or, obtained from DOLE (For Manpower and Security Agency Only)

ued by DOLE under its official letter head that the

s such with the DOLE (For Manpower and Security Agency Only)

(PCAB) License (For GenCon/Civil works contractors Only)

nt / Machineries and Company-Owned Vehicles

me Tax Return and certificates evidencing latest tax payments, obtained from the BIR

tements (one Original Certified true copy obtained from SEC (if Corporation) and

uthorized to sign in behalf of ________________________________________,

foregoing are true to the best of his knowledge.

________________________

________________

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Date

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