This form shall be used to collect your contact information before downloading the form. A representative will contact you about the status of your form and will assists you through out the process.

I. Company Profile

Include area code*
Check if Yes
Representative Information
This is the name you would like to be called. (e.g. Juan Dela Cruz)
Official Representative Name 
Organization Information
(indicate complete name)
SEC/DTI/CDA No

II. Additional Information

Please list detailed product line for buyer-seller matching.
Raw materials. Please specify:
Please indicate any Quality/Standards Certification (e.g. ISO, HACCP, Organic, etc.) if any
(e.g. ISO, HACCP, Organic, etc.)
 (from – to) (mm/dd/yyyy)
(e.g. ISO, HACCP, Organic, etc.)
 (from – to) (mm/dd/yyyy)
(e.g. ISO, HACCP, Organic, etc.)
 (from – to) (mm/dd/yyyy)
Application Requirements

1. Accomplished Application Form

3. Updated BIR Certificate of Registration (Form No. 2303)
4. Mayor’s Permit
5. Latest Financial Statement
6. Photos of Products or Brochure of Services
7. One (1) 2”X2” colored picture of Authorized Representative /Owner
8. Not included in the DTI Watchlist

SCHEDULE OF MEMBERSHIP FEES

1. PHILEXPORT PE4C Cavite Chapter Annual Membership Fee One-time Entrance Fee. [₱ 3,000.00]
2. Regions and Sectoral Business Support Organizations (BSOs) have varying fees approved by their respective Boards. [₱ 700.00]

NOTE:

In lieu of physical plant inspection, pictures of plant/office/products using “GPS Camera” or “GPS Map Camera” applications should be submitted as follows:

a. Facade and interior photos of the company’s office and warehouse with the company’s signage. 
b. Pictures of company’s products. c. Wall-posted Government permits. (eg. Mayor’s Permit, BIR 2303, SEC Registration, DTI Registration, etc.)

SIGNATURE CARD

THIS IS CERTIFY THAT THE ABOVE-MENTIONED PERSONS ARE THE OFFICIAL REGISTERED REPRESENTATIVES OF OUR COMPANY TO PHILEXPORT

(PLEASE NOTIFY PHILEXPORT PROMPTLY OF ANY CHANGE IN THE ABOVE INFORMATION)

DATA PRIVACY DISCLAIMER

Data Privacy Statement and Consent Form as PHILEXPORT member

I understand and agree that by my voluntary engagement of the services of PHILEXPORT, and byproviding my personal information, I am giving consent to PHILEXPORT to collect, store, access, shareand process my personal data, whether manually or electronically, which will be used for the purposesof membership with PHILEXPORT, including use of the Common Bonded Warehouse. 

I am aware of and understand my rights under the Data Privacy Act of 2012 and that while I have the right to object, it is still necessary for PHILEXPORT to collect, store, access, share and process my personal data to inform me of developments and programs, invitations for seminars, workshops and other activities; and enable PHILEXPORT to implement other legitimate services such as advocacy, advisory and facilitation, import & export accreditation & documentation, business matching, project development & management and information collection & dissemination. 

I am aware that no person other than the relevant PHILEXPORT employees, are authorized to access my personal data held in the database, and that all persons who need to access and process my information are required to maintain its confidentiality and compliance with privacy laws. 

I also acknowledge and warrant that this waiver frees PHILEXPORT, its officers and employees from any complain, law suit, or damages in relation to this process. 

I confirm that the contents of this consent form have been explained to me in terms that I understand and that I agree to the provisions stated above. My signature below signifies my voluntary consent to the above.