Customer Information Sheet
Customer Information Sheet
Customer Information Sheet
Warehouse Address :
Owner's Address :
Corporation/Partnership
SEC No. :
Documents Required
- New Reseller Form
Date Issued : - others:
Authorized Capital :
Subscribed Capital :
Paid Up Capital :
Sole Proprietorship
DTI Registration No. :
Documents Required
Date Issued : - New Reseller Form
- Others:
Amount Capital :
Paid Up Capital :
Company Officers
Trade Reference
Major Suppliers
Product Monthly Contact
Company Address Phone No. Terms Credit Limit
Purchase Purchase Person
Major Clients
Product Monthly Contact
Company Address Phone No. Terms Credit Limit
Purchase Purchase Person
Bank Reference
Savings Account Branch
Bank Name Branch Phone No. Current Account No. ADB
No. Manager
Business Operations
Days : Office Delivery Schedule :
hours :
Optional:
Number of Branches :
Yes No
2. Terms will only be given after submitting the proper documents and after the credit investigation has taken place.
3. Only cheques with the accredited accounts specified in the Bank Reference will be accepted.
I certify that all information provided above are true and correct. Accomplished this __________ day of
________________, __________.
Name : _____________________________________
Signature: ___________________________________
Designation: _________________________________
_____________________________________________________________________________________________________
For Accounting purposes :
Approved
Terms:______________________
Credit
Limit:__________________________