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Business Data

Business Name

Date Business Started

Business Address

Contact No.

Email Address

No. of years engaged in present business

Nature of Business

No. of branches, if any

Type of Organization

No. of Employees

SEC Reg. No. (if Corporation)

DTI Reg. No. (if Sole Proprietorship / Partner)

Ave. Daily Sales

VAT

Non-VAT

VAT No.

Name of Stockholders / Incorporated

Address (Office/Home)

Position in Company

Directorships in other companies

Personal Data of Owner

Name

Birthdate

Gender

Male

Female

Position in Company

Monthly Income (Gross)

Home Address

Type of Residence

Owned

Rented

Living with relatives

Mortgaged

Contact No.

Civil Status

Citizenship

No. of Dependents

Social & Civic Affiliations

Name other companies with similar holdings / positions

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Business Data

Bank Reference

Trade Reference

Personal Data of Owner

Attachments

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Business Data

Bank Reference

Trade Reference

Personal Data of Owner

Attachments