Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Name of Agency:
Provincial Address:
Telephone Number:
Manila Office:
Telephone Number:
Year Founded/Organized:
II.
III.
_____Asuncion P. Lisboa____________________________
_____Chairman___________________________________
V.
For Transfer of Funds, please check one only as priority scheme for transferring of funds:
[ ] Postal Money Order [PMO] Pick up
[ ] Bank:
Name: ________________________________________________
Branch: _______________________________________________
Type of Account: _______________________________________
Account Name: _________________________________________
Account Number: _______________________________________
[ ] Telegraphic Transfer
Bank Name: ___________________________________________
Branch : ______________________________________________
Payee : _______________________________________________
Designation: ___________________________________________
Prepared by:
Name/Signature: ___Asuncion T. Asedillo__
Designation: ______Designation_________
Date: ___________July 15, 2013_________
Remarks: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________