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Application for Renewal of Registration
AFAB form for registration renewal
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APPLICATION FOR RENEWAL OF
REGISTRATION AS A FAB ENTERPRISE
FOR AFAB USE ONLY
Republic of the Philippines
Office of the President
THE AUTHORITY OF THE FREEPORT AREA OF BATAAN
The Freeport Area of Bataan
Application No.
Date filed:
Renewal Fee: N/A
O.R. no. N/A
Instructions: Please accomplish this form by providing the required information on appropriate spaces. Do not leave any blank space, indicate “N/A” if not
applicable and attach additional sheet/s as Annexes if necessary. Only complete set of documents will be accepted for processing.
COMPANY PROFILE
1. Name of Company: Please write the company’s full name legibly.
2. Office Address: Write or type the company’s full address. Place one letter on each box. Leave one box blank between names.
No. / Building
Street & Barangay
City / Town
Province
Zip Code
3. Office Contact Information: Write or type your company’s full contact details.
Telephone No.
E-mail Address
Fax No.
Website (if applicable)
4. Nature of Business: Please check what applies.
Division of Existing
Corporation
Corporation as its Sole
Business
Partnership
Single Proprietorship
Others (Please Specify): _____________________________________________
5. Name of Contact Person for this application: Write or type the full name in the given sequence. Place one letter on each box. Leave one box blank between names
LAST
FIRST
MIDDLE
6. Contact Information of Contact Person: Write or type full contact details.
Telephone No.
Cellphone No.
E-Mail Address
PROJECT DATA DESCRIPTION
Status of Operation
Facility under Construction
Pre-Operating
Operating
Stopped Operations
Name
List of Existing Clients (Attach separate sheet if necessary)
Country
Product/s Sold
Description of New Project/Expansion
STATUS OF NEW PROJECT/EXPANSION (if applicable)
Approval Date
Status
AFAB-07-05-02_FM_Application for Renewal of Registration as a FAB Enterprise
Page 2 of 3
PERFORMANCE RECORD
Employment Data
Last Year (Actual)
Next Year (Projected)
Average Employment
Financial Data*
Exempt
Special
Regular
Total Gross Income/ Gross Taxable Income
Net Taxable Income / Net Income
Taxes Payable (5% of Gross Income Earned)
*Based on Annual Income Tax Return
Cumulative Investment
Last Year (Actual)*
Next Year (Projected)
Amount
*Based on Audited Financial Statement
SUPPORTING DOCUMENTS AS INTEGRAL PART OF APPLICATION
Letter of Intent
Board Resolution of duly authorized representative / signatory
Resume of Stockholders & Key Management Officer (if there are changes in the officers of the company)
Latest General Information Sheet (GIS) stamped “Received” by the Securities and Exchange Commission (SEC) (for corporation/partnership)
Financial Documents:
Latest Audited Financial Statements (AFS) of enterprise (or parent/management company if applicable) stamped “Received ” by the Bureau of Internal
Revenue
Latest Annual Income Tax Return (ITR) of enterprise (or parent/management company if applicable) stamped “Received ” by the Bureau of Internal
Revenue
Certification from:
AFAB’s Finance Department (FD)
AFAB’s Environmental and Utilities Division (EUD)
Other Government Agencies (if applicable)
Accomplished FAB Enterprise Information Sheet: Contact Details and Key Officers (see Annex A)
Others, Pls. specify____________________________________________
NOTE:
1.
Approval shall be subject to the clearances from the following AFAB Departments/Division:
D I V I S I O N
R E M A R K S
Corporate Planning Department (CPD)
Enterprise Assistance Division (EAD)
Infrastructure and Maintenance Division (IMD)
FAB Residents Division (FRD)
Labor Center (LC)
2.
AFAB reserves the absolute right to require other documents that it may deem necessary to complete its evaluation of the
application of the locator.
AFAB-07-05-02_FM_Application for Renewal of Registration as a FAB Enterprise
Page 3 of 3
APPLICANT'S ADDITIONAL UNDERTAKINGS
In addition to above performance commitments, the applicant also commits to undertake the ff.:
1. To support the goals of transforming the FAB into a modern and world-class metropolis;
2. To help promote the FAB as an investment and tourist destination;
3. To comply with all the rules and regulations on importation/exportation promulgated by government authorities concerned;
4. To establish a separate entity that will exclusively engage in the proposed business activities at the FAB, if so required by AFAB;
5. To submit such periodic reports and other information on its activities in the FAB as may be required by AFAB.
6. To hire, as much as practicable, employees and workers from peripheral areas of the FAB through Labor Center of AFAB, and to abide by existing labor
policies, rules and regulations pursuant to the Labor Code of the Philippines;
7. That pursuant to the provisions of Section 3 and Section 14 of Republic Act No. 3019 [Anti-Graft Act], the applicant-enterprise has not given or promised to give
and will not give any gift to any officer or employee of the Authority of Freeport Area of Bataan in connection with the filing and processing of this application.
8. To adhere to zoning regulations, building and environmental standards prescribed by the authorities concerned; and
9. To comply with the terms and conditions of the lease agreement with AFAB.
Done in the city province of _______________________________this _________ day of_____________,20____
___________________________
(Applicant Firm)
__________________________________________
(Signature over printed name)
__________________________________________
(Position/Designation)
Republic of the Philippines}
City/Province of
}S.S.
_________________________________}
Subscribed and sworn to before me this___________ day of ___________________, 20_______in the City /Province of ____________________. Affiant
exhibited to me his Community Tax Certificate No._____________________ issued at _____________________, on_________________
Doc. No. ___________
Page No.___________
Book No.___________
Series of ___________
Do NOT write anything after this part. TO BE FILLED OUT ONLY BY AFAB PERSONNEL
For the FAB Enterprise Department – Registration Division
Checklist of Attached Documentary Requirements:
Supporting Documents
Remarks
Board Resolution of duly authorized representative / signatory
Resume of Stockholders & Key Management Officer
Latest General Information Sheet (GIS)
Latest Audited Financial Statement
Latest Annual Income Tax Return
Certification from AFAB Environmental and Utilities Division
Certification from AFAB Finance Department
Clearances from other AFAB Departments/Divisions
FAB Enterprise Information Sheet: Contact Details and Key Officers
Clearances from other government agencies, if applicable
Others, Pls. specify____________________________________________
Received by the Registration Division with complete details this _____ day of _____________, 20___.
Received and checked by:
____________________
If you have any questions or inquiries, please feel free to contact the Registration Division at (047) 935-4004 loc. 8115 or (02) 236-5010 loc. 8115
AFAB-07-05-02_FM_Application for Renewal of Registration as a FAB Enterprise
Annex A
FAB ENTERPRISE INFORMATION SHEET: CONTACT DETAILS AND KEY OFFICERS
Company Contact Details
Company Name:
Telephone Number:
Local Numbers (if any):
(please add additional sheet if
necessary)
Fax Number:
E-Mail Address:
List of Officers
Position
President/CEO*
Vice President*
General Manager*
Finance Manager*
Import/Export/Logistics Manager *
Facilities Manager*
Safety Manager*
Name
*or equivalent, Kindly indicate position if different from the ones indicated.
Other Contact Persons
Contact Person 1
Contact Person 2
Name
Position
Telephone No
E-Mail Address
Name
Position
Telephone No
E-Mail Address
Tel No.
E-mail
