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    Authorized Service Center Application Form: (Information Shall Be Treated With Confidentiality)

    Uploaded by

    MARIA TERESA TORDECILLA
    This document is an application form for an authorized service center. It requests information such as the business name, address, contact details, type of organization, years in business, owner and officer names, service operations, experience repairing appliances, products repaired, location, bank references, and customer references. The applicant is asked to provide details to be considered for authorization as a service center.

    Copyright:

    © All Rights Reserved

    Authorized Service Center Application Form: (Information Shall Be Treated With Confidentiality)

    Uploaded by

    MARIA TERESA TORDECILLA
    19 views4 pages
    This document is an application form for an authorized service center. It requests information such as the business name, address, contact details, type of organization, years in business, owner and officer names, service operations, experience repairing appliances, products repaired, location, bank references, and customer references. The applicant is asked to provide details to be considered for authorization as a service center.

    Original Description:

    road user permit

    Original Title

    Appl Form 122013

    Copyright

    © © All Rights Reserved

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    This document is an application form for an authorized service center. It requests information such as the business name, address, contact details, type of organization, years in business, owner and officer names, service operations, experience repairing appliances, products repaired, location, bank references, and customer references. The applicant is asked to provide details to be considered for authorization as a service center.

    Copyright:

    © All Rights Reserved
    19 views4 pages

    Authorized Service Center Application Form: (Information Shall Be Treated With Confidentiality)

    Uploaded by

    MARIA TERESA TORDECILLA
    This document is an application form for an authorized service center. It requests information such as the business name, address, contact details, type of organization, years in business, owner and officer names, service operations, experience repairing appliances, products repaired, location, bank references, and customer references. The applicant is asked to provide details to be considered for authorization as a service center.

    Copyright:

    © All Rights Reserved
    of 4

    AUTHORIZED SERVICE CENTER APPLICATION FORM

    (Information shall be treated with confidentiality)

    Business/Company Name: ________________________________


    Complete Address: ________________________________
    Mailing Address: ________________________________
    ____________________________________________________________
    City: _________________ Province: _______________________
    Tel Nos. _________________ Fax No. _______________________
    Mobile No. _________________
    Email Add: _________________ YM/Yahoo Messenger ________________

    Type of Organization:
    ___Proprietorship ___Partnership ___Corporation

    Years of Business: _____________ Year Started: _____________

    Name of Registered Owner/s ____________________________________


    Officers ____________________________________
    ____________________________________
    ____________________________________
    Residential Address ____________________________________
    ________________________________________________________________________
    Telephone No/s ____________________________________
    Civil Status _______ Name of Spouse: ________________________
    No. of Personnel in the Company: ____________
    Name Age Position

    List Name According to Position


    Describe Your Service Operations

    Do you represent any major home appliance manufacturer? If yes, kindly enlist.

    If no, describe any experience you may have in repairing major home appliances

    What kind of products have you repaired?


    Please sketch a vicinity of where your establishment is located.
    (Indicate major landmarks)
    Bank References
    Name of Bank / Address Account Number Type

    Customer References
    Name Address Telephone

    AUTHORIZED SIGNATURE ________________________ DATE: ____________


    Print Name under Signature

    Revised version Dec 2013

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