CORPORATION BOND APPLICATION

Unit 2401, 24th Flr. Antel Corporate Center, 121 Valero St. Salcedo Village, Makati City Tel. # 845-10-33 to 37/ Fax # 845-3272

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Please fill out the form truthfully. Additional information or documents may be requested any time for review as part of the application process. If in any case, answer cannot fit in the space provided, applicant shall attach the same to the application form

BASIC INFORMATION

Registered Company Name

Tax Identification No. (TIN)

Business Address

Tel No.

Nature of Business

Year Incorporated/Established

Paid Up Capital (PHP)

Indicate Major Stockholder/s (With %)

Name of Authorized Bond Signatory

Designation

Tax Identification No. (TIN)

Other Lines of Business Engaged In

LIST OF REAL PROPERTIES OWNED

Date Acquired

Location

Area

Assessed Value (PHP)

Incumbrances

Date Acquired

Location

Area

Assessed Value (PHP)

Incumbrances

Date Acquired

Location

Area

Assessed Value (PHP)

Incumbrances

Date Acquired

Location

Area

Assessed Value (PHP)

Incumbrances

LIST OF OTHER PROPERTIES OWNED

Kind

Acquired Value

Year Acquired

Present Value

Kind

Acquired Value

Year Acquired

Present Value

Kind

Acquired Value

Year Acquired

Present Value

Kind

Acquired Value

Year Acquired

Present Value

TRADE REFERENCES

Company Name

Address

Contact Person

Position

Contact No.

Company Name

Address

Contact Person

Position

Contact No.

Company Name

Address

Contact Person

Position

Contact No.

Company Name

Address

Contact Person

Position

Contact No.

CREDITORS

Name

Year Credit Line Awarded

Loan Amount Released

Present Balance

Name

Year Credit Line Awarded

Loan Amount Released

Present Balance

Name

Year Credit Line Awarded

Loan Amount Released

Present Balance

Name

Year Credit Line Awarded

Loan Amount Released

Present Balance

Name

Year Credit Line Awarded

Loan Amount Released

Present Balance

BANK ACCOUNTS

Bank

Present Balance (PHP)

Bank

Present Balance (PHP)

Bank

Present Balance (PHP)

Bank

Present Balance (PHP)

Bank

Present Balance (PHP)

OTHER INFORMATION

Are you or any members of your firm ever failed in business or compromised with creditors?

Are there any judgements, suits or claims pending against you, or against any member of your firm, or any of your officers? Yes or no? If no, please elaborate.

Are you acting as a surety or bondsman for others, or as an ensorser on their notes or accounts? Yes or no? If so, please specify.

Has any surety company ever paid a loss on you, or any members of your form, or any of your officers? If so, state name of the surety company and provide full details.

INDICATE BELOW ANY BOND YOU HAVE SECURED IN THE PAST

Bonding Company

Amount (PHP)

Obligee

Period of Bond

Date Terminated

Bonding Company

Amount (PHP)

Obligee

Period of Bond

Date Terminated

Bonding Company

Amount (PHP)

Obligee

Period of Bond

Date Terminated

Bonding Company

Amount (PHP)

Obligee

Period of Bond

Date Terminated

Bonding Company

Amount (PHP)

Obligee

Period of Bond

Date Terminated

LIFE INSURANCE

Company

Amount

Beneficiary

Company

Amount

Beneficiary

Company

Amount

Beneficiary

ADDITIONAL RELEVANT INFORMATION ABOUT THE APPLICANT CAN BE INDICATED HERE

Remarks

BOND INFORMATION

Type Of Bond

Amount

Bond in Favor of

For the Purpose of

Conditions/Undertaking of the Bond:

I HEREBY CERTIFY that the above information AND ALL OTHER SUBMITTED DOCUMENTS are TRUE, COMPLETE and CORRECT.

Name & Designation

Upload Signature

SUBSCRIBED AND SWORN to before me in Makati City, Philippines this day of , 20 , affiant exhibiting to me his/her Community Tax Certificate No. , issued at , on , 20 , and TIN- .

NOTARY PUBLIC

Until December 31, 20

GENERAL REQUIREMENTS

Please attach copy ---

Articles of Incorporation & By Laws

Company Profile

Copy of Business Permit/Mayor's Permit/Barangay Clearance

BIR Certificate of Registration

Certificate of Business Registration (DTI)

List of Key Personnel

Latest GIS, Three Years of Audited Financial Statements, Latest Income Tax Return (ITR)

Corporate Authority to Sign Bonds (Secretary's Certificate / Bord Resolution)

Copy of thee Contract/Purchase Order/ Notice of Award or Notice to Proceed for the Bond Applied (Identify Where Undertaking of the Bond is Specifically Stipulated)

At least 2 Co-signors with Proof of Capacity Including Financial Statements

SPECIFIC REQUIREMENTS

Please attach copy ---

Certificate of Completion (For Retention or Warranty)

Invitation to Bid (For Bidder's Bond)

ADDITIONAL REQUIREMENTS IF APPLICANT IS A PARTNERSHIP:

Partnership Agreement

Name of Partners and Address

IF APPLICANT IS A CONTRACTOR:

List of Completed & On-going Projects (Name of Owner, Contract Price, Type of Work, Location and Date of (Target) Completion)

List of Previous and Present Suppliers, List of Tools, Equipments and Machineries Owned

Received By (Branch/Office)

Received By (Head/Office)

Date

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