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VENDOR ACCREDITATION INFORMATION SHEET
2 X 2 ID PICURE
TRANSACTION TYPE:
[ ] APPLICATION VENDOR CODE
Date Applied
Evaluation Date VENDOR CLASSIFICATION:
[ ] ACCREDITATION [ ] Owned [ ] Concessionaire
Date Accredited [ ] Consignment
I. COMPANY INFORMATION
Company Name Business Type
Single Proprietorship Partnership Corporation
Classification of Business Manufacturer Trader Importer Wholesaler
Contact Person Position E-mail Address
No. of Yrs in Business No. of Workers Capitalization Other Outlets Supplied by your Company
b. e. Vice President
c. f. General Manager
Company Representatives
A. Merchandise Orders B. Collection of Payments C. Contract Signatory
Name Name Name
Position Position Position
Specimen Signature Specimen Signature Specimen Signature
Reference Bank Accounts
Bank Name Branch Account No. Payment Terms days
Discount/ Margin %
GC Part Fixed
Percentage
[ ] IMPORTED VENDOR (To be filled out by the Merchandise Manager)
Buyer's Name/ Code
Bank Details For Telegraphic Transfer (Note: Bank details shall apply to all new vendors from Europe and Asia only)
Beneficiary Address of Beneficiary
This is to certify that the above information are all true and correct.
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Vendor/ Principal Merchandise Manager
IV. SUPPLEMENT (To be filled out by the Vendor)
Other division(s) to be supplied with products Payment Terms GC Part
days Fixed
Product line to supply Discount/ Margin Percentage
%
Company Representatives (If same representatives will be assigned, kindly leave this portion blank)
A. Merchandise Orders B. Collection of Payments C. Contract Signatory
Name Name Name
Position Position Position
Specimen Signature Specimen Signature Specimen Signature
V. CHANGE OF INFORMATION (To be filled out by the Vendor)
Type of Information to Change From To Date of Effectivity
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
RCC's Legal Consultant Division Merchandise Manager
VI. OTHER INFORMATION (To be filled out by Merchandise Manager)
List down current vendors of your depratment providing the same line as vendor applicant
If the applicant is approved, will you eliminate any of your current Will vendor be commissioned to accept orders for exclusively
vendors? designed merchandise? (for Local Vendors Only)
Yes No Yes No
If Yes, who among the current vendors will you eliminate? If Yes, furnish the vendor with an:
Exclusivity Design Contract
For Local Vendor Only (Please attach Factory/ Showroom Visit Form)
Date of Factory Visit
Conduct Factory Visit With?
Comments after the Factory Visit:
[ ] NEW VENDOR [ ] SUPPLEMENT
APPLICATION APPLICATION
Recommended Not Recommended Recommended Not Recommended
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Merchandise Manager Merchandise Manager
Recommended Not Recommended Recommended Not Recommended
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Division Merchandise Manager Division Merchandise Manager
Recommended Not Recommended Recommended Not Recommended
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Merchandise Manager Merchandise Manager
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Division Merchandise Manager Division Merchandise Manager
Signature Over Printed Name/ Date Signature Over Printed Name/ Date
Concessionaire Admin Manager Concessionaire Admin Manager
Encoding of Vendor's Application (for office use only) Encoding of Vendor's Accreditation (for office use only)
Signature Over Printed Name/ Completion Date Signature Over Printed Name/ Completion Date
Vendor Relation Supervisor/Coordinator Vendor Relation Supervisor/Coordinator