DATE / /

MATERIAL/ SERVICE PROVIDER INFORMATION SHEET

RENEWAL NEW REGISTER

Please complete all parts of the form and submit it together with the following requirements to
the Purchasing Department. Tel: 074-424-0931 local 1056; Fax: 074-424-0995; email:
alex.baoa@campjohnhay.ph or purchasing@campjohnhay.ph

1. NAME OF COMPANY/ INSTITUTION: _________________________________________

2. ADDRESS:
a. BUSINESS ADDRESS: ____________________________________________________
Mobile ______________________ Phone __________________ Fax________________
E-mail _________________________________ Contact Person___________________
b. STORE ADDRESS:_______________________________________________________
Mobile ______________________ Phone __________________ Fax________________
E-mail _________________________________ Contact Person ___________________
c. WAREHOUSE/PLANT ADDRESS:
________________________________________________
Mobile ______________________ Phone __________________ Fax________________
E-mail _________________________________ Contact Person ___________________
3. COMPANY STATUS:

Private Government Subsidiary

Corporation Partnership Sole Trader

4. BIR STATUS:

VATABLE NON-VATABLE VAT-EXEMPT

5. Submit copy of the following Business requirements:

Company Profile
Product Information (Brochure)
List of clients with contact persons and details
SEC Registration
BIR Registration
DTI Registration
Business Permit
Latest Audited Financial Statement
Terms of payment: __________________________________________
Others: (Specify) __________________________________________

OP-MCJH-5.6 F1 (June 15, 2018)

Declaration:

1. I declare that all the information given in this registration form is, to the best of my
knowledge, accurate and complete. If any false information is given, the application is
deemed to be invalid and I shall forfeit my right to submit quotation and tender.

2. I agree that if registered, I will confirm to the regulations, terms and condition of The
Manor Hotel, Camp John Hay, Baguio City.

Signature : ____________________________

Name in bold letters : ____________________________

Designation : ____________________________

Date : ____________________________

Company Stamp

OP-MCJH-5.6 F1 (June 15, 2018)