Republic of the Philippines
NATIONAL CONCILIATION AND MEDIATION BOARD
Department of Labor and Employment
Intramuros, Manila

APPLICATION TO BE A QUALIFIED BIDDER



Date _________________

The Chairman
Pre-Qualification, Bids and Awards Committee
National Conciliation and Mediation Board
Intramuros, Manila


Madam:

            I have the honor to apply as a qualified bidder of the National Conciliation and Mediation Board. The following information is hereby given, under oath, for your consideration:



Name: __________________________________________
Address: ________________________________________
Citizenship: ______________________________________
Nature of Business: ________________________________
Articles of Establishment: ________________________________________________________
____________________________________________________________________________

The following supporting papers are also submitted herewith:

1. Incorporation or Partnership Papers
2. Registration with the securities and Exchange Commission or Bureau of Commerce
3. Statement of Assets and Liabilities
4. License (Business Occupation tax Receipts or (PTR)/Equivalent (VAT)
5. Citizenship of the Partnership or Corporation
6. Supplier's Accreditation Certificates issued by the Department of Trade and Industries



                                                                                                            _________________
                                                                                                                    Applicant


Republic of the Philippines)
CITY OF MANILA) S.S

        Subscribed and sworn to before me by _________________ this ______ day of ____________ _________, applicant exhibited  to  me  his/her  Community  Tax Certificate  No. ___________________ issued  at _____________________ on   _______________, 20_____.




                                                                                                                Notary Public

Doc. No. _____
Page No. _____
Book No. _____
Series of _____

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