MONARK EQUIPMENT

#13 Economia St., Bagumbayan,

1110 Quezon City, Philippines
Tel. + 63 2 6350901 loc. 1200 to 1207
Fax + 63 2 6344353

SUPPLIER INFORMATION SHEET

1. Full Name of Company
______________________________________________________________________
2. Full Address of the Office
______________________________________________________________________
______________________________________________________________________
( ) Owned ( ) Lease Area_________ sq m.

Telephone Number (s):____________________________________________________

Fax Number: ___________________ Email Address: __________________________

3. Full Address of Warehouse/Shop

______________________________________________________________________
______________________________________________________________________
( ) Owned ( ) Lease Area_________ sq m.

4. Business Organization
a. ( ) Individual ( ) Partnership ( ) Corporation

b. Classification
( ) Manufacturer ( ) Trader ( ) Dealer
( ) Importer ( ) Contractor ( ) Others ____________________

c. Number of Years in Business___________________________________________

d. Number of Personnel_________________________________________________
e. Complete Product Lines or Services Offered (if more space needed, please attach
separate catalogues, brochures or listing)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

5. Key Personnel – those Authorized to negotiate and accept POs and other
required documents.

Name Title/Position Signature

____________________ ______________________ ______________________
____________________ ______________________ ______________________
____________________ ______________________ ______________________

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 6. Companies with Whom You Have Been Dealing with for the Past Two (2) Years

Company Name Contact Person Contact Number

____________________ ______________________ ______________________
____________________ ______________________ ______________________
____________________ ______________________ ______________________

7. Bank References

Bank Name/Branch Account Number Contact Person/Number

____________________ ______________________ ______________________
____________________ ______________________ ______________________
____________________ ______________________ ______________________

8. Credit References

Company Name Contact Person Contact Number

____________________ ______________________ ______________________
____________________ ______________________ ______________________
____________________ ______________________ ______________________
____________________ ______________________ ______________________

9. Please provide copy of the following documents upon submission of this form:
 Company Profile
 SEC Registration
 DTI Registration
 BIR Registration Form 2303
 Updated Mayor’s Permit
 Scanned copy of Invoice and Official Receipt
 Certificate of Exclusive Distributorship (if any)

I/We hereby certify that information stated above are True and Correct to the best of my
knowledge.
________________________________________________
Signature over Printed Name of Authorized Representative

__________________________________
Title/Designation

===================================================================
For Monark Equipment
Received by :______________________________________________
Date Received :______________________________________________

F-PAS-008-00 2
EFF: 05/11/15