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Application Form
NMIS application form for sales promotion permit
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Application for the Sales Promotion Permit
Under Articles 116 of R.A. 7394
or The Consumer Act of the Philippines
and Administrative Order No. 1
Fill out the relevant and applicable information in the spaces provided.
Date: _______________
_______________________________________________________________________
(Promo Title)
1. NAME OF SPONSOR: _________________________________________________________
•
Address:_______________________________________________________________
•
Telephone No.:_________________________________________________________
•
Authorized Representative:_______________________________________________
•
Designation:___________________________________________________________
2. NAME OF ADVERTISING AGENCY:______________________________________________
•
Address:______________________________________________________________
•
Telephone No.:________________________________________________________
•
Authorized Representative:_______________________________________________
•
Designation:___________________________________________________________
3. Duration of the Promotion:___________________________________________________
4. Area Coverage:_____________________________________________________________
5. List of participating outlets (attached list):_______________________________________
6. List of Participating products:
(Brand)
Sizes (in metric, enclose English size)
___________________________________
_______________________
___________________________________
_______________________
___________________________________
_______________________
7. Purchased amount required:_________________________________________________
8. Who are qualified to avail? : _________________________________________________
9. How to avail? :____________________________________________________________
10. The Total Cost of Prizes: ____________________________________________________
11. Period of Redemption/ Claim Period:__________________________________________
12. How to claim the prize: _____________________________________________________
ATTACHMENTS:
1. Media Utilized: The advertising material used shall contain the complete mechanics,
duration, prizes and coverage of the promotion. If the advertising material cannot carry
the mechanics, a separate print advertisement shall indicate the complete details of the
promotion, the duration, and the phrase “Per DA‐NMIS Permit No._______ series of
_______.
( ) poster
( ) TV, Cinema
( ) radio
( ) Flyers
( ) streamer
( ) Print Ad
( ) billboard
( ) Mailers
( ) sticker
2. Sales Promotion Mechanics (with complete mechanics)
3. Photocopy of Certification of Product Registration: (if applicable)
4. Letter of request for application address to:
a. NMIS Executive Director
BAI Compound, Visayas Avenue, Diliman, Quezon City
I/We hereby understand and agree that:
1. The submission of letter of application with complete requirements will be one month before
on promo date.
2. The processing of permit shall be on 10 days upon the receipt of the application, provided that
the requirements are complete.
3. If I/ We do not receive any communication from the DA‐NMIS after submission of complete
requirements within the prescribed ten (10) days, the above application shall be deemed
approved.
Authorized Representative of:
ADVERTISING AGENCY
NMIS REPRESENTATIVE
______________________________
_______________________________
SIGNATURE
SIGNATURE
______________________________
_______________________________
Printed Name
Printed Name
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
______________________________
_______________________________
Date
Date
