COVER SHEET

COMPANY REGISTRATION AND MONITORING DEPARTMENT

Nature of Application SEC Registration Number

ANNUAL FILING OF GIS
Company Name

AMENDED TO:
New Company Name

Principal Office (No./Street/Barangay/City/Town/Province)

COMPANY INFORMATION
Company’s Email Address Company’s Telephone Numbers Mobile Number

CONTACT PERSON INFORMATION

The designated contact person MUST be a Director/Trustee/Partner/Officer/Resident Agent of the Corporation

Name of Contact Person Email Address Telephone Number/s Mobile Number

Contact Person’s Address

v

To be accomplished by CRMD Personnel

Date Signature
Assigned Processor __________________________ __________________________ ______________________
_____________________ _____________________ __________________
_____________________ _____________________ __________________

Document I.D.
Received by Corporate Filing and Records Division (CFRD) ___________________ __________________

Forwarded to:

Corporate and Partnership Registration Division ___________________ __________________

Green Lane Unit ___________________ __________________
Financial Analysis and Audit Division ___________________ __________________
Licensing Unit ___________________ __________________
Compliance and Monitoring Division ___________________ __________________