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Appraiser's Pre Qualification Form

NEA form for appraiser's pre qualification

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Republic of the Philippines
NATIONAL ELECTRIFICATION ADMINISTRATION
Quezon City
APPRAISER’S PREQUALIFICATION FORM
1. NAME OF APPRAISER

YEAR
ESTABLISHED

TYPE OF
ORGANIZATION

YEAR
ESTABLISHED

FIRM
OWNERSHIP

2. AFFILIATED FIRMS/ ASSOCIATIONS

Type of organization : Individual, Partnership, Corporate or other
3. HOME OFFICE/BUSINESS ADDRESS
Telephone Number
Telex Number
Telefax Numb
E  Mail
4. FORMER APPRAISER’S NAME
If present firm is the successor to or outgrowth of one or more predecessor
firms, indicate name/s of former entity/ies.

5. NARRATIVE DESCRIPTION OF FIRM (use additional sheet if necessary)

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6. DIRECTORS AND KEY OFFICER FIRM
NAME
TITLE

DEGREES

Add Curriculum Vitae showing experience and professional affiliation.
7. TWO PRINCIPAL/PERSONS TO CONTACT
TITLE
NAME

YRS. WITH FIRM

AGE

TELEPHONE NUMBERS

8. PERSONNEL IN PRESENT ORGANIZATION
DISCIPLINE
a) Principal Key Technical

Number

Electrical Engineers
Mechanical Engineers
Civil Engineers
Structural Engineers
Architects
Actuarians
Economists
Others
b) Support Technical (indicate as in above)

c) Administrative Staff

d) Total Number of Permanent Employees

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9. PROJECTS HANDLED BY THE APPRAISER FOR THE LAST FIVE YEARS
Project Name
Year
Role Name of Client/Address
l

Index Fees

Note:
1) Role:

PA  Prime Appraiser
J/V  Joint Venture

2) Index Fee
a. Less than P100,000
b. P100,000 to P250,000
c. P200,000 to P500,000

d. P 1M to P 2M
e. P 2M to P 5M
f. P 5M to P 10M

g. P 10 or greater

I certify that the information in the above prequalification forms are true to the best of my knowledge.

PRESIDENT
SUBSCRIBED AND SWORN to before me this _______ day of _____________ 19___at_____________,
affiant having exhibit to me his/her Residence Certificate No. ______________ issued at______________
on____________________,19___.
NOTARY PUBLIC

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