Step 1 of 4

    GENERAL INFORMATION :

    Fields with asterisks(*) are required

    Type of Company Sole ProprietorshipPartnershipCorporation

    Other Office Locations





    TYPE (ex: Sales Office, Service Center, Warehouse, etc.)





    Employees

    Step 2 of 4

    BUSINESS INFORMATION :

    Fields with asterisks(*) are required

    Dealer Classification:

    DistributorResellerRetailSystems Integrator

    Sales Territory Coverage:

    Metro ManilaNorth LuzonSouth LuzonVisayasMindanao

    Company Size Focus:

    MultinationalsConglomeratesLarge CorporationsSMEsSmall Office/Home Office

    Industry Focus:

    ManufacturingBanking/FinanceRetailIT / TelcoGovernment

    Products Currently Being Sold:

    Payroll System

    Accounting System

    Accounting System

    POS Software

    Timekeeping Devices

    PC/Server

    Others

    Step 3 of 4

    FINANCIAL INFORMATION:

    Fields with asterisks(*) are required

    Primary Bankers:

    Names of Your Banks:



    Branch Locations



    Primary Suppliers:

    Names of Your Major Suppliers




    Credit Limit




    Credit Terms




    Contact Person




    Step 4 of 4

    CONTACT INFORMATION:

    Fields with asterisks(*) are required

    Names







    Emails







    Telephone Numbers







    I declare that all information mentioned above is correct.

    Notes: Please be prepared to submit the following documents after submitting this Application Form.

    DTI Registration or SEC Registration (front page only w/ Registration Number)

    Company Profile