Supplier Information Sheet

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Ver 2017

SUPPLIER INFORMATION SHEET


Note: If this form will be filled out electronically, just click on the appropriate box for those info provided with checkboxes.
SUPPLIER INFORMATION

NAME: EMPYREAN BUILDERS CORPORATION


#450 DURIAN ST., JUNA SUBD., MATINA, DAVAO CITY
OFFICE / WAREHOUSE ADDRESS: ✘

TELEPHONE NO(S). 450 DURIAN ST., JUNA SUBD., MATINA, DAVAO CITY

BUSINESS ORGANIZATION: ✘ Corporation Partnership Sole Proprietorship


010-015-625-000
TAX IDENTIFICATION NUMBER:

NATURE OF TRADE: Manufacturer / Principal Authorized / Sole Distributor

Wholesaler Retailer / Reseller

Trader Importer

✘ Others (pls specify)

NO. OF YEARS IN BUSINESS: 6 YEARS

NO. OF PERSONNEL: 45

PRODUCT LINES / BRANDS /


SERVICES RENDERED:

KEY PERSONNEL AND CONTACTS AUTHORIZED TO TRANSACT WITH SUN LIFE:


Name Title / Position Signature
MARLON G. MARINDUE EXECUTIVE SALES MANAGER

Do you have relatives who have worked with us at one time or another, or are presently employed with SUN LIFE? If so
Ye
kindly state name and relationship. N
s ✘ o

Name Relationship

Do you have board member/s, owner’s or key business representative that are presently affiliated with SUN LIFE as
Ye N
Financial Advisor? If so, kindly state name and relationship/position in your company.
✘ s o
Name Relationship

DECLARATION

This certifies that the information provided is true and correct. This also authorizes Sun Life to validate information with the
concerned authorities/parties.

By providing Sun Life with the above personal data, I explicitly authorize and consent to Sun Life's use of said data for
purposes of evaluating our performance as a supplier; availing of our products and services; and other lawful or legitimate
commercial or business purposes necessary for the performance of, or in relation to, a contract or service to which I or the
Supplier is a party. I further represent and warrant that (a) the Supplier has advised its incorporators, shareholders,
directors, officers, representatives, trade references and other individuals whose personal data is indicated above of the
purpose/s of collecting personal data, and (b) obtained the necessary consent and authority to disclose personal data from
your incorporators, shareholders, directors, officers, representatives, trade references and other individuals to Sun Life,
pursuant to the Data Privacy Act, its Implementing Rules and Regulations, and related issuances.

Signed by: MARK JOSEPH A. MERCADER Position:


Ver 2017

Date: ###
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TO BE FILLED OUT BY SUN LIFE
DOCUMENTS CHECKLIST

Company Profile/ List of Goods/ Services Valid Business Permit (Local Permit)

Latest General Information Sheet, GIS (for Corporations) Sample copy of Invoice and Official Receipt

SEC Articles of Incorporation (for newly incorporated Corporations) Certification of Authority to Sell (for Resellers/Distributors)

SEC Articles of Partnership (for Partnerships) Copy of valid ID of Authorized Personnel to transact and declarant

DTI Registration (for Sole Proprietorships) Latest Audited Financial Statement (if applicable)

BIR Certificate of Registration Accomplished Due Diligence Questionnaire / AML Questionnaire

EVALUATION RESULT
Accept Reject Others

Comments:

Approved by:
Business Unit/Supplier Relationship Manager: Date:
Print Name and Signature

Procurement Manager: Date:


Print Name and Signature

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