SEARCH
Philippine Government Forms All in One Location
Tweet
Share
Assesment Slip
NMIS assessment slip for product registration
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: ARED- PRODUCT REGISTRATION’S COPY
CASHIER’S COPY
National Meat Inspection Service
National Meat Inspection Service
A S S E S S M E N T
S L I P
DATE:
A S S E S S M E N T
S L I P
DATE:
Company Name
Address/Tel no.
Accreditation No./Validity
Manufacturer
: ______________________________________________________
: ______________________________________________________
: ______________________________________________________
Distributor/Wholesaler
Importer
Exporter
Wholesaler
PRODUCT INFORMATION
Brand name and Product
Name
Company Name
Address/Tel no.
Accreditation No./Validity
Manufacturer
: ______________________________________________________
: ______________________________________________________
: ______________________________________________________
Distributor/Wholesaler
Importer
Exporter
Wholesaler
PRODUCT INFORMATION
Brand name and Product
Name
:
Packaging Types and Sizes
:
Registration Number
:
Manufacturer
:
Packaging Types and Sizes
:
Registration Number
:
:
Manufacturer
:
Repacker
:
Repacker
:
Distributor
:
Distributor
:
Others (Pls. specify)
:
Others (Pls. specify)
:
Number of Samples
: ______________
Number of Samples
: ______________
Expiration Date:
Loose Labels:_________________
APPLICATION DETAILS
Expiration Date:
Loose Label ________________
APPLICATION DETAILS
Application Type
Application Type
Initial
Initial
Renewal
Renewal
Re-application
Re-application
No. of Validity Years Applied for
2 yrs
5 yrs
No. of Validity Years Applied for
OTHER REQUESTS
Amendment of CPR
Re-issuance/Reconstruction of CPR
Others, pls. specify
PAYMENT DETAILS
Surcharge
5 yrs
OTHER REQUESTS
Amendment of CPR
Re-issuance/Reconstruction of CPR
Others, pls. specify
EVALUATOR
Fee
2 yrs
PAYMENT DETAILS
:
CASHIER
Amount
:
EVALUATOR
Fee
:
CASHIER
Amount
:
:
OR Number
:
Surcharge
:
OR Number
:
TOTAL
:
Date Issued
:
TOTAL
:
Date Issued
:
Evaluated by
:
Received by
:
Evaluated by
:
Received by
:
RECEIPT DETAILS
Name
RECEIPT DETAILS
:
Signature
:
KJFSLFJASKFJALDFJLAFJLSKDJFLAKSJDFLJASKDFJALSD
Name
:
Signature
:
KJFSLFJASKFJALDFJLAFJLSKDJFLAKSJDFLJASKDFJALSD
