GNPOWER MARIVELES COAL PLANT LTD. CO.

1905 Orient Square Bldg., Don Francisco Ortigas Jr. Road, Ortigas Center, Pasig City 1605
Phone: 638-4542 Fax No. 638-4575

SUPPLIER ACCREDITATION FORM

SAF No. _________________________

Basic Company Information

Company Name:

Journeyman Welding & Pipin Services Intl. Corporation

Tax Identification

Contact Person(s):

Vivencio D. Menchavez Jr.

Phone Number(s):

2nd Flr. Andrich Bldg. 2078 Edison st. Corner Buedia

Fax Number(s):

Brgy San Isidro Makati City

E-mail Address:

Main Address:
Branch Address:

Company Website:

Company Profile
Company Owner(s):

1.

Major Clients:

2.

Contact Person:

3.

Phone No.:

4.

2. Company:

5.
Company Bank

Contact Person:

1. Bank:

Account(s):

1. Company:

Phone No.:

Address:

3. Company:

SA/CA No.

Contact Person:

2. Bank:

Phone No.:

Address:

4. Company:

SA/CA No.

Contact Person:

3. Bank:

Phone No.:

Address:

5. Company:

SA/CA No.

Contact Person:
Phone No.:

Products/Services
Products to Supply,

1. Product:

Prices & Discount

Credit Limit:

Price/Discount:

Payment Terms:

2. Product:

Delivery/Lead Time:
Other Products:

Price/Discount:
2. Product:
Price/Discount:
(Attach separate list of products and prices, if space
provided herein is not enough.)
Is supplier willing to be subjected to annual evaluation by GMCP?

_____ Yes

_____ No
Certified by:

Important Note: Please attach a copy of the following documents:

1. Company Profile
7. DTI/SEC Registration
2. Audited Financial Statements (latest)
8. Sample Invoice
3. Income Tax Returns (latest)
9. Sample OR
4. Certificate of Bank Deposit
5. TIN and VAT Registration
6. Certificate of Registration of Business Name/Business Permit

Supplier's Authorized Representative

Supplier Referred by:

Approved as Accredited Supplier of GNPower Mariveles Coal Plant Ltd. Co. on this _______ day of ___________________, 2013.
Reviewed by:

Purchasing Assistant

Checked by:
__________________________________
Purchasing Officer

Approved by:
___________________________________________________
Commercial Manager