Head Office: 8th Floor, Galleria Corporate Center,

EDSA corner Ortigas Avenue,

Quezon City, Philippines

+632 8631 8855

General Information

Customer / Single Proprietorship

ZJJ CONSTRUCTION AND DEVELOPMENT SERVICES CORPORATION
Business Name:
Partnership
Trade Name: ZJJ CONSTRUCTION Business Ownership: Corporation
Line of Business: GENERAL CONSTRUCTION Government Agency
Others, please specify
VILLA ELENA SUBDIVISION
Unit/Room No. Building/Subdivision Name ______________________________________

BLK 4 LOT 17 BRGY LANGKAAN I DTI/SEC Number:

Complete
Address: House No. Street Name Barangay TAX INFORMATION:

DASMARINAS CAVITE PHILIPPINES 4114 Tax type: TIN/Company Registration No.:

City Province/State Country Zip Code
VAT Inclusive
009-385-088-000
Company Zero-rated
Website: www.zjjconstruction.com roboliverfelipe@zjjconstruction.com
Email: Non VAT Date of Registration: 10/10/2016
Contact Number/s: 0920 956 4617 Facsimile: N/A
GROUP TYPE:

Warehouse AGENT CONTRACTOR PARTNERSHIP OTHERS, pls specify

Address: _________________
BLK 5 LOT 16 STATELANDVIEW, BRGY BUENAVISTA III, GENERAL TRIAS, CAVITE BROKER EMPLOYER SUPPLIER _________________
_________________
Warehouse
N/A BUYER GOV'T AGENCY TENANT
Telephone/Mobile:

AIRCONDITIONING SYSTEM: Supply and Installation

AIRCONDITIONING SYSTEM: Repairs & Maintenance

ARCHITECTURAL SCALE MODEL

CLEANING EQUIPMENT, SUPPLIES & SERVICES

CONSTRUCTION MATERIALS: Please specify details: _______________________________________________________________________________________

CONSTRUCTION MATERIALS: Please specify details: _______________________________________________________________________________________

DIGITAL MARKETING AGENCY, SERVICES, ETC.: Please specify details: _________________________________________________________________________

FIRE PROTECTION: Please specify details: ______________________________________________________________________________________________

GOLF MAINTENANCE: Please specify details: ____________________________________________________________________________________________

HEAVY EQUIPMENT (Trucks, Cranes, Forklift, Others): ____________________________________________________________________________________

HEAVY EQUIPMENT (Repairs & Maintenance)

HOME & OFFICE FURNITURE

Category/ies:
HOME APPLIANCES & EQUIPMENT

ICT HARDWARE, SOFTWARE, ETC

INKS & TONERS

OFFICE EQUIPMENT, SUPPLIES, ETC.: Please specify details: ________________________________________________________________________________

SOUND SYSTEM

SUPPLY & INSTALLATION (Kitchen Cabinets, Doors & Windows, Tiles, etc): _____________________________________________________________________

SWIMMING POOL CONSTRUCTION, EQUIPMENT, SUPPLIES & MAINTENANCE SERVICES: ______________________________________________________________

TENT: RENTAL OR SUPPLY

TURNKEY CONTRACTOR

VEHICLES

VEHICLE REPAIRS & MAINTENANCE

OTHERS, Please specify: ___________________________________________________________________________________________________________

Owner's/Shareholder's Profile Authorized Contact Person/s:

Name (ln, fn, mn) Position % of Ownership
Name (ln, fn, mn) & Position Telephone & Mobile Number Email
1. JOSEFINA DADAY PRESIDENT 20%
2. JESSICA DADAY MANAGER 20% ROB OLIVER FELIPE
3. JOSIE DIRKS MANAGER 20% 0920 956 4617
4. ZARINA FELIPE SECRETARY 20% roboliverfelipe@zjjconstruction.com
5. ROB OLIVER FELIPE MANAGER 20% Payment Terms:
6. CASH ON DELIVERY (COD) _______ DAYS
7. 7 DAYS 50% DP - 50% upon Delivery
8. 30 DAYS Full Payment before Delivery
9. 45 DAYS Others, please specify
60 DAYS _________________________
10.
Bank Information
Bank & Branch Account Name Account Number Contact Person Contact Number/s
1. SECURITY BANK - DASMARINAS FCIE ZJJ CONSTRUCTION AND DEVT' SERVICES CORP TBA TBA TBA
2. METROBANK - MANGGAHAN GEN TRIAS ZJJ CONSTRUCTION AND DEVT' SERVICES CORP TBA TBA TBA
Note: Provide Certificate of Good Credit standing from at least one (1) active major bank.
Clients
Major Clientelle Address Contact Person Contact Number Email
1. FEDERAL LAND INC. 20F GT TOWER, AYALA AVE. MAKATI Engr. Dennis Mejica 0906 540 2190 N/A
2. SAN MIGUEL PROPERTIES INC. 40 SAN MIGUEL AVE. ORTIGAS CENTER Engr. Leo Salinas 0917 502 4688 N/A
3. PIAA GARMENTS PHILS. INC. FCIE, 4TH STREET PH1, DASMARINAS CAVITE MS. EDER 0936 897 0392 N/A
DATA PRIVACY AUTHORIZATION
By affixing my signature below, I hereby authorized CATHAY LAND, INC/CASERTA COMMERCIAL, INC AND AGINCOURT to:
a)   Collect personal information that can be used to assess the suitability of application for Business Partner Registration;
b)   Use and disclose personal information to its personnel and/or third party by disseminating data by physical and/or electronic means to conduct:
b.1. Invitations for bidding and official CATHAY LAND INC/CASERTA COMMERCIAL INC/AGINCOURT RETAIL INC suppliers’ events
b.2. Product and/or services inquiries; Award Endorsement; and the like
b.3. Reviews related to contracts and performance evaluations
b.4. Continuous improvement with existing internal policies that may affect both consensual parties
c)   Keep and store all necessary data provided in physical and electronic records within CATHAY LAND INC/CASERTA COMMERCIAL INC/AGINCOURT RETAIL INC's secured premises;
d)   Handle all collected information with utmost confidentiality and ensures that appropriate standards of privacy practice and security are applied to protect personal information against misuse or loss.

Authorized By: _______________________________________________________ ______________________

Signature Over Printed Name Date
Sales Team Role
*Team Role/s:
BROKER SALES AGENT SR. PROPERTY INVESTMENT CONSULTANT
BROKER COORDINATOR SALES MANAGER TEAM LEADER
BROKER NETWORK COORDINATOR SR. SALES OFFICER IN CHARGE OTHERS, pls specify:
SR. BROKER COORDINATOR PROPERTY INVESTMENT CONSULTANT

To be filled up by CATHAY LAND INC.

Accounting
Control Account *Tax Group
Input Tax - GOODS (12%) EXCLUDED INPUT VAT Transactions
Input Tax - SERVICES (12%) EXEMPT
*Tax Status Input Tax - CAPITAL GOODS > 1M (12%) Output Tax - VATABLE
LIABLE EXCLUDED INPUT VAT Transaction EXEMPT
Input Tax - CAPITAL GOODS ≤ 1M (12%) Output Tax - ZERO-RATED

*Withholding Tax Input Tax - ZERO-RATED Output Tax - EXEMPTED

YES NO input Tax - EXEMPTED

REQUEST VALIDATION SAP ACCREDITATION

Validated By: Reviewed & Approved By: Reviewed & Encoded By: Validated By: SAP CODE:

_________________________________ ______________________________________
_______________________________ _________________________________
Signature Over Printed Name/ Date Immediate Head Date Signature Over Printed Name/ Date System Administrator Date