(DEW Applicant ‘Ascount Management Office IMPORTERS. ‘Application Form (notariaed and completely Med on) ZZ BCOR evidencing payment of application fee (green copy) BIR Importer Clearance Cerifieate (BIR-ICC) coified rue 50py ‘Corporate Secretary Celfcate/Special Power of Atiorney/Parisrhip Resolution Tor designated signstories inthe Import eniis (with sample orginal signatures) ‘Original copy of NBI Clearance of Applicant (sued within thre (3) mnths plot the date of application) “Two (2) valid poveramant ued IDs (wih pists) of applicant esponsible officers [atest General information Sheet, Personal Profile of Applicant, responsible ofc Company Profile with pictures of (fie and warehous) premises Printed CPRS_profile of applicant and updated email noufieation of “STORED” CPAS Profle Previous Cenfivate of Accreditation Lcense/permiscerediaton Irom concerned agen, when appliable Le, food (LTO & CPR), rice (NFA), sugar (SRA), ete Indorsement from the Collector, i applsable CommentRepublic of the Philipines Department of Finance BUREAU OF CUSTOMS 1099 Manila REVENUE COLLECTION MONITORING GROUP LEGAL SERVICE ACCOUNT MANAGEMENT OFFICE (AMO) APP I ACCREDITA’ (Corporation / Partnership / Cooperative) L of legal age, with postal address at _ aor having been duly sworn in accordance with lav, hereby depose and say that: 1. Lam the of duly authorized to file this application for accreditation and registration with the Bureau of Customs, as evidence by written authority from the company. 2. Thereby present the following information for accreditation with the Bureau of Customs; 2.1, Name of the Firm: a. Head Office Address: Year/s of Stay in the Premises: Nature of Occupation: ( Jowned (leased _( shared Cothers b. Warehouse Address: Year/s of Stay in the Premises: Nature of Occupation: ( Jowned (leased (shared Cothers, . Branch Office Address: Year/s of Stay in the Premises: Nature of Occupation: ( Jowned ()leased _( jshared Oothers |. Contact Number/s: Facsimile Number/s: Email Address*?: ‘Number of Employees: Nature of Company: 2.2. List of Officers / Directors (Please attach Personal Profile or Resume) * smandatory Fed since Matic of Denia /Appxovl willbe send vi Ema3. Thereby attached herewith the following documents: (() BOOR evidencing payment of application fee () BIR Importer Clearance Certificate (BIR-ICC) () Corporate Secretary Certificate for designated signatories, in the import entries with sample original signatures (Original copy of NBI Clerance issued within three (3) months prior to the date of application of responsible officers and majority stockholders. () Two (2) valid government issued IDs, with picture of applicant () Latest General Information Sheet, if a corporation (() Personal rofe of applicant and responsible aficers, duly signed () Company Profile with picture of office and/or warehouse premises () Proot of lanful occupancy of office and warehouse premises () Printed PRS () Previous Certificate of Accreditation/Registration, if applicable (© Ucense/ermiy Accreditation from concerned agency, wen applicable, Le, food (LTO & CPR), rice (NFA), sugar (SRA), etc. (© Indorsement from the Colectorconcemed, if applicable 4. List of Importable Items with clear description in technical and tariff, terms, estimated volumes and values for the next twelve (12) months (Use separate sheet if necessary). |_(General Terms) _ Tariff Heading Technical | Volume - Description