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5 Information for the Conduct of Investigation Pursuant to the Safeguard Measure Act

TC form for information for the conduct of investigation pursuant to the safeguard measure act RA 8800

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: TC Form 4
REQUEST FOR WITHDRAWAL /
SUSPENSION OF TARIFF CONCESSION

For TC use only

TCI (WS) No.: ________________
Date : ______________________
Records Officer : ______________

(To be submitted in triplicate)

GENERAL INFORMATION
A.

Petitioner
1.

Name of Petitioner:

_______________________________

2.

Name of President:

_______________________________

3.

Contact Details:
a. Office
Contact Person:
Position:
Tel./Fax Nos.:
Email Address:
Address :
b.

_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

Plant/Factory
Contact Person:
Position:
Tel./Fax Nos.:
Email Address:
Address:

_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

4.

SEC Registration No.:
Date Registered:

_______________________________
_______________________________

5.

BOI Registration No.:
Date Registered:

_______________________________
_______________________________

6.

ISO Certification (type and no.): _________________________
Date Registered:
_______________________________

Page 1 of 8

TC Form 4| Revised July 2016

II.
A.

PRODUCT INFORMATION

Subject Article(s)
Subject Article

AHTN
Subheading No.

Applied MFN

Rate of Duty (%)
(Name of FTA)
Existing
Requested

A1. Brief Description, Specification, and Uses of Subject Article(s)

A2. Brief Description of Production Process of Subject Article(s)

Page 2 of 8

TC Form 4| Revised July 2016

B.

Reasons for the Request

B.

Expected Benefits of Withdrawal/Suspension of Tariff Concession (in terms of lower
selling prices, cost savings, among others) – for monitoring by the Commission

Page 3 of 8

TC Form 4| Revised July 2016

III.

RELEVANT ECONOMIC AND FINANCIAL DATA

(For the last three (3) years. Please use additional sheets if there is more than one subject article being
requested for withdrawal/suspension of tariff concession.)
A.

Production, Sales and Inventory Data
A1. Production Data (Please indicate size, type or grade of the subject article)
Product:
Actual Production
Volume
Value (P)
(unit of measure)

Annual Rated Capacity
(unit of measure)

Year

A2. Sales Data (Please indicate size, type or grade of the subject article)
Product:
Domestic
Volume
(unit of
measure)

Year

Value
(P)

Export
Market
Share (%)

Volume
(unit of
measure)

Value
(P)

Country of
Destination

A3. Beginning and Ending Inventory (Please indicate size, type or grade of the subject article)
Product:
Year

B.

Beginning Inventory
Volume
Value (P)
(unit of measure)

Ending Inventory
Volume
Value (P)
(unit of measure)

Employment
Year

Page 4 of 8

Total Number of
Employees

Number of Employees
Directly Involved in Production

TC Form 4| Revised July 2016

C.

Selling Prices (Please indicate size, type or grade of the subject article)
Product:

Domestic Selling Price of
subject article (local product)
(P/unit)*

Year

Domestic Selling Price of
Imported Counterpart (P/unit)*

*indicate unit of measure
D.

Importation of Subject Article (for the last five years)
Year

Volume /
unit of measure

E.

Landed Cost
(P/unit)

Additional Investments/ Expansion Programs

F.

Value
(CIF US$)

Other Known Philippine Manufacturers
Name of Company

G.

Address

Known Major Producers in ASEAN/Concerned Exporting Countries
Country
Country 1
Country 2

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Name of Company
Company 1
Company 2
Company 3
Company 1
Company 2
Company 3

Address

TC Form 4| Revised July 2016

H.

Production Cost
Production Cost (Note: If product is of different grade, sizes, types or models, choose one that is
most representative and/or saleable).
Product Specification _______________________________________________
Unit of Measure ___________________________________________________
1.

2.

Unit Cost of Production
Materials and Supplies:
Direct raw materials (locally produced)
(1)________________________
(2)________________________
(3)________________________
(4)________________________
(5)________________________
Direct raw materials (imported)
(1)________________________
(2)________________________
(3)________________________
(4)________________________
(5)________________________
Direct Labor
Manufacturing Overhead:
Indirect Labor
Fuels:
Gasoline
Diesel
Bunker
Others (Please specify)
Electricity
Water
Packaging
Depreciation
Other Costs (Please specify)
i. _________________________
ii. _________________________
iii. _________________________

AHTN Code

Tariff Rate (%)

Per Unit cost (P)

____________
____________
____________
____________
____________

__________
__________
__________
__________
__________

___________
___________
___________
___________
___________

____________
____________
____________
____________
____________

__________
__________
__________
__________
__________

___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________
___________

Administrative Expenses
Selling Expenses
3.

Total Unit Cost

___________
___________

Total Cost to Produce and Sell

___________

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TC Form 4| Revised July 2016

IV. CERTIFICATION

I hereby certify that all information contained herein is true and correct and relate to the subject
article(s).
I commit that any additional information required will be submitted within ten (10) working days
after receipt of request from the Commission. Non-submission will render the request dropped.

Petitioner’s Signature over Printed Name

Page 7 of 8

TC Form 4| Revised July 2016

GENERAL INFORMATION AND INSTRUCTIONS
A.

Steps in Applying for Withdrawal / Suspension of Tariff Concession under Section 1609 of the Customs
Modernization and Tariff Act (CMTA):
Step
Activities
Fees
Unit/Person-In-Charge
1
Present petition letter with TC Form
Tariff Specialists of the
4 (three copies) for evaluation 1
Financial Studies Division
--and Commodities Studies
Division - to assess
completeness of documents
2
Proceed to Cashier to pay fees 1
Cashier
P5,000.00 per
tariff heading
(Filing Fee)

3

Proceed to Records Unit for
submission of petition letter and TC
Form 4 and assignment of
Reference Number 1
Ocular Inspection of Plant Facilities 2
Public Hearing / Consultation 3

4
5
6
7

Submission of position paper 5
Check status of investigation on TC
website 6

P50.00 per tariff
heading (Legal
Research Fund Fee)

Records Officer

----Petitioner/s to pay
publication cost 4
-----

1

Processing time for steps 1 to 3: 1 hour
Parties will be informed of schedule of ocular inspection
3
Parties will be notified of schedule of public hearing
4
Notice of billing will be sent to parties
5
Parties will be informed of deadline for submission of position papers
6
TC website: www.tariffcommission.gov.ph

Technical Team
Presiding Officer
Records Officer
International Trade Studies
Division / Planning,
Management and Information
Systems Division

2

B.

Required attachments upon submission of TC Form 4:
1.
2.
3.
4.

Petition Letter
Tariff Commission Advance Ruling on Tariff Classification, if any
Company Profile
Audited Financial Statements (for the last three years)

C.

Information deemed confidential should be so marked.

D.

Notes:





The Tariff Commission reserves the right to request additional information deemed necessary in the
investigation.
Non-submission of required information within ten (10) working days from receipt of TC notification will
render the petition dropped, without prejudice to re-filing of the same petition after six (6) months.
Information submitted is subject to verification.
For any clarification, please call the Office of the Director, Research, Investigation and International
Trade Analysis Service (RIITAS): 433-58-98/ 926-74-76

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TC Form 4| Revised July 2016
 
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