SEC NUMBER :

REGISTRATION DATA SHEET PARTNERS INFORMATION (FOR DOMESTIC PARTNERSHIP ONLY)

FILL UP INSTRUCTIONS: Type or print legibly. Light shaded boxes and codes are to be filledup by the SEC, including the SEC number. COMPANY NAME: PARTNERS (Use additional sheets, if necessary. Refer to the back of this page for additional instructions) NAME: (Company Name, if company)
(Last Name, First Name), MI, Maiden Surname, if person

NO.OF PARTNERS: TYPE OF PARTNER MANAGING PARTNER

TIN

CODE

NATIONALITY

CONTRIBUTED CAPITAL

TOTAL FILIPINO - OWNED FOREIGN - OWNED PERCENTAGE OF FOREIGN CONTRIBUTED CAPITAL NATIONALITY CODE NATIONALITY DESCRIPTION CONTRIBUTED CAPITAL OF INDIVIDUALS COMPANY (IES) TOTAL CONTRIBUTED CAPITAL

TOTAL FOREIGN CONTRIBUTED CAPITAL : CONTRIBUTED CAPITAL BY ASSET TYPE C - CASH P - PROPERTY P CERTIFIED CORRECT P POSITION : D A T E : Sunday,Nov 11,2012 14:40:59 DATA ENCODED BY : DATE ENCODED : O - OTHERS P TOTAL

(Signature over printed name) PROCESSING ATTORNEY : DATE REVIEWED :

DATA CONTROL CLERK : DATE REVIEWED :

[1]

Date Generated : Sunday Nov 11, 2012 14:40:59

Transaction No. :

SEC NUMBER : INSTRUCTIONS FOR FILLING UP THE COLUMNS TYPE OR PARTNER G - GENERAL L - LIMITED I - INDUSTRIAL

REGISTRATION DATA SHEET PARTNERS INFORMATION (FOR DOMESTIC PARTNERSHIP ONLY)

MANAGING PARTNER M - MANAGING R - REGULAR

[2]

Date Generated : Sunday Nov 11, 2012 14:40:59

Transaction No. :