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Vendor Registration Form
PPA registration form for vendor
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: VENDOR REGISTRATION FORM
Reminder:
1. Please see reverse for the general instructions on how to fill out the form.
2. Asterisks (*) are mandatory fields, fill-up. Shaded items no need to fill-up.
3. Accomplish one (1) copy per Vendor.
4. Submit accomplished Vendor Registration Form to the Procurement Officers of the Resource Management Division for PMO/PDO or the
Administrative Services Department for HO.
5. Attach required supporting documents to this form.
* Action:
[C] Create / [R] Revise / [D] Delete
Vendor Code:
(System Generated)
To be filled out by Vendor
Vendor Details
*1. Vendor Name:
*2. Short Name:
3. DTI Registration Number:
*4. Address:
5. Postal/Zip Code:
6. Country:
P H I
L I
P P I
N E S
*7. TIN:
8. Communications
*Contact Name:
* Telephone 1:
Fax No.:
Telephone 2:
E-mail:
9. Additional Information:
____________________________________________
__________________________________________________________________________________
10. Prepared by: ____________________________________
Date: _________________
For PPA Accounting Use Only
*1. PPA Office:
*Vendor Type: (pls. see reverse for details)
* Vendor Group: (check only 1 that applies)
Contractor
Gov’t. Office
Forwarding Agent
Insurer
Manufacturer
2. Control Accout:
3. Payment Terms:
Port User
4. Payment On-Hold:
Vendor
Yes
BOD
Others
No
5. Payment Method:
6. Witholding Tax Code: (check only 1 that applies)
IV-E: VAT Exempt
IV-Z: Input VAT Zero
Purchases
7. Remarks
Rated Tax Purchases
_________________
IV-C: Input VAT on VATable
Capital Goods Purchases
____________________________
IV-S: Input VAT on
VATable Services
I1:Input VAT on Goods
other than Capital Goods
____________________________
_______
8.
Prepared By/Date:
Authorized By/Date:
Encoded By/Date:
Checked By/Date:
DC v2.0 - 01282004
General Instructions
For PPA Accounting Use Only
1.
Indicate the PPA Office, Vendor Group and Vendor Type in the
spaces provided.
Example:
PPA Office: PMO-North Harbor
Vendor Group: M000 – Manufacturer
Vendor Type: M3 – Manufacturing/Processing Industries
Below is the complete Listing of Vendor Type for quick reference:
Vendor Type
Description
Code
B0
Banking Service
B1
Brokerage Services
B2
Bunkering
Canteen/Restaurant Service/Food
C0
Services/Chandling
C1
Cargo Checking
C2
Cargo Consolidation/Forwarding Services
C3
Cargo Handling Service
C4
Cargo Surveying
C5
Communication/Postal Services
C5
Consultancy Services / Trainers
C7
Container Yard/Container Freight Station
C8
Cooperatives
C9
Curio Shops/Stores
D0
Dredging Service
E0
Equipment/Appliance Hire/Rental
F0
Forwarding Agent
F1
Freight Services
F2
Fumigation
G0
Gasoline/Fuel Stations
I0
ID Lamination
I1
Import/Export
I2
Industrial & Marine Services
I3
Insurance
J0
Janitorial
J1
Job Order Employee
L0
Laundering Services
L1
Lighterage/Barging Operation
L2
Lodging Inns/ Hostel / Hotel
M0
Machinery Shop / Motor Shop
M1
Maintenance Services
M2
Manpower/Manning Services
M3
Manufacturing/Processing Industries
M4
Marine Hauler of Petroleum Products/Others
M5
Maritime Related Services
M6
Maritime Surveying
N0
NGO Services
N1
Non-Regular Employee
O0
Other Government Services
P0
Parking/Garage Services
P1
Passenger Terminal Services
P2
Pharmaceutical Services
P3
Photo Shops
P4
Pilotage
P5
Port Terminal Operators
P6
Porterage Services
P7
Power Barge
P8
Print Media/Publication
P9
Project Contractor
R0
Regular Employee
R1
Reproduction Services
S0
Security & Detective Service
S1
Service Contractor
S2
Shipping Agent Services
S3
Shipping Chandling/Cleaning Services
Vendor Type
Code
S4
T0
T1
T2
T3
V0
V1
V2
V3
V4
V5
V6
W0
W1
W2
W3
W4
W5
U1
2.
Payment Method: AUTOMATIC CHECK
IV-E: VAT Exempt Purchases
Indicate any additional remarks or information about the Vendor’s
account.
Example:
8.
NO
Indicate the Withholding Tax Code applied to the Vendor by
placing a check in the appropriate box provided.
Example:
7.
Payment On-Hold:
The Payment Method Code is pre-supplied.
Example:
6.
Payment Terms: C0000 - Cash
The Payment On Hold is pre-supplied.
Example:
5.
Control Account: 8-81-600 Payables Trade/Business
The Payment Terms is pre-supplied.
Example:
4.
Shipping Services
Telecommunication
Tours & Travel
Towing/Tugging Service
Trucking/Hauling Services
Vendor – Automotive Supplies
Vendor – Computer Supplies
Vendor – Construction Materials and Supplies
Vendor – Gasoline
Vendor – Office Furniture, Fixtures, Equipment
Vendor – Office Supplies
Vessel Maintenance/Repair Service
Warehousing Service
Wastes Disposal Service/Oil Sludge
Water Suppliers/Watering Services
Water Taxi
Weighbridge/Truck Scale Operation
Xerox Rental
Utilities
The Control Account is pre-supplied
Example:
3.
Description
Remarks: Manufacturer of Crude Oil
Indicate Names and Dates and affix respective signatures of the
persons who provided the information, gave authority to encode,
encoded the information and validated the accuracy.
Example:
ALBorbon
01/26/04
Prepared By/ Date:
RDPineda
01/26/04
Authorized By/ Date:
SDDela Cruz
01/27/04
Encoded By/ Date:
RMMedina
01/28/04
Checked By/ Date:
DC v2.0 - 01282004
