COMPANY PROFILE FORM

B . PRODUCT/SERVICES: Sector: Organic Ferilizer Major Product Line: ________________ ________________ ________________ Production Capacity________________ RM Used: ____________ Source: __________ Existing markets: ____________

A. BACKGROUND Address: Branches: (if any) Contact Person: Designation: Tel. No.: ( ) Email: Legal Status: [ ] SP Office: Factory/Production: Gender: [ ] Male [ ] Female

Fax: ( ) URL: www. [ ] Corp/Part. [ ] Coop. [ ] Assn. [ ] Others, please specify: Nature of Business: [ ] Manufacturer [ ] Exporter/Trader [ ] Manufacturer/Exp [ ] Agent [ ] Subcon [ ] Others, pls specify Trade Association/Affiliation: Capitalization: Asset Size: [ ] Up to 0.5M [ ] Up to 1.5M [ ] Up to 5M [ ] Up to 10M [ ] Above 10M No. of Employees: [ ] Direct M F [ ] Indirect M F Year Established: DTI No. SEC Date of Reg. Year Export Started: Markets: Bank Reference(s):

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C. SALES PERFORMANCE : Year Last Year 2 Years Ago 3 Years Ago Company History : Domestic (P) Export ($)

D. GOVERNMENT ASSISTANCE Type of Government Assistance (Please check) Marketing Provincial Fair Regional Fair National Fair International Fair Market Matching/Linkage Others: Product Development Packaging Product Design Labeling Others: Training Quality Productivity Management Skills Entrepreneurship Technical Others: Financing SB Corp Loan SULONG BMBE Referrals/Linkages Others: Consultancy In-Plant Consultancy Business Consultancy Provided Needed Agency

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Others: Trade/Study Mission Trade Mission Investment Local Study Mission Others: OTHERS (Please specify)

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Accomplished by:

Signature over printed name

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