APPLICATION FOR ACCREDITATION ICARE 2016 - Partnership

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APPLICATION FOR ACCREDITATION & REGISTRATION

(CORPORATION-PARTNERSHIP-COOPERATIVE)

February 25, 2016

Intelligence Group (IG)


Account Management Office (AMO)

I, _______Engr. Ann Magdalene Chua____, of legal age, with postal address at


Chua Compound Zaldivar Subd., City Heights, General Santos City after having been duly
sworn in accordance with law, hereby depose and say that:

1. I am the AVP - General Manager of Allied Pacific Packaging Solutions


Corporation duly authorized to file this application for accreditation and
registration with the Bureau of Customs, as evidenced by the written authority
from the company.

2. I hereby present the following information for accreditation with the Bureau of
Customs;

2.1 Name of the Firm: Allied Pacific Packaging Solutions Corporation

a. Head Office Address: No. 96 Gov. M.C. Cuenco Banilad Cebu City

Year/s Of Stay in the premises:______8______________________


Nature of occupation: ( )owned ( / )leased ( )shared
( )others ________________________________

b. Warehouse Address: Richmond Global City Silway 7 Polomolok South


Cotabato
Year/s Of Stay in the premises: _____8_______________________
Nature of occupation: ( )owned ( / )leased ( )shared
( )others ________________________________

c. Branch Office: Allied Pacific Packaging Solutions Corporation- CDO

d. Year/s of Stay in the premises: _________10 months______________


Nature of occupation: ( )owned (/)leased ( )shared
( )others ________________________________

e. Telephone Number/s: ____083-878-3122

f. Facsimile Number/s: 083-878-3037

g. Email Address*: A amchua@alliedpackaging.com.ph

h. Number of Employees: _______110____________________________


i. Nature of Company: Manufacturing

*Mandatory Field since Notice of Denial/Approval will be send via Email*


2.2 List of Officers/ Directors (Please attach PERSONAL PROFILE or
RESUME)

Ritche C. Rivera
Roy C. Rivera
Engr. Ann Magdalene Dionisio

3. I hereby attached the following documents:

( ) BCOR evidencing payment of application fee


( ) BIR Importer Clearance Certificate (BIR-ICC)
( ) Corporate Secretary Certificate or Special Power of Attorney (SPA) for
designated signatories (with sample original signatures) in the import
entries.
( ) Original copy of NBI Clearance issued within three (3) months prior to date
of application of responsible officers/majority stockholders.
( ) Two (2) valid government issued I.D., with picture
( ) Printed copy of CPRS profile of applicant.
( ) Personal profile of responsible officers/majority stockholders.
( ) Company Profile with picture of premises
( ) License/permit/accreditation from concerned agency, when applicable, i.,e.
Food (LTO&CPR), rice (NFA), sugar (SRA), etc.

4. List of Importable Items with clear description in technical and tariff terms,
estimated volumes and values for the next twelve (12) months (Use separate
sheet if necessary).

Commodity Technical / Volume Value

Tariff Terms

PAPER C1S 4810.19.90 600 mt 1050 USD/MT

PAPER C2S 4810.19.90 54 MT 850 USD/MT

PAPER BOARDS 4810.19.90 2000 MT 0.41 USD /PC

CMYK INK 3215.11.10 18 MT 850 USD/MT

VARNISH 3209.10.90 24000 LITER 332 PHP/LITER

SPRAY POWDER 8424.89.10 2400 KGS 320 PHP/KGS

IPA 2905.12.00 24000 LITER 18000 PHP/DRUM

PLATE CLEANER 3823.70.90 480 liter 250 php/ LITER

TRI FOUNTAIN 3823.70.90 2400 liters 275 php/liter

GUM FINISHER 3811.90.90 216 gal 2000 php/gal


REPUBLIC OF THE PHILIPPINES )

___________________________ ) S. S.

SWORN UNDERTAKING

I hereby certify under oath that all the above information are true and correct; all
documents submitted in support of this application are true copies of the original,
subject to verification; any misinterpretation and/or manifestation of fraud in this
application shall be a ground for the disapproval of my application, and blacklisting of
our firm and the undersigned as the applicant.

As specified in Section 2.2 of CMO No. 4-2014, I hereby undertake to (a) to


receive notice by e-mail; (b) to strictly abide with existing rules and regulations on the
Statement of Full Description of Imported Articles; (c) to notify the BOC-AMO of any
changes in the designated signatory and e-mail addresses; and (d) to obtain knowledge
of the contents of a declaration, and to attest to the veracity thereof;

I fully understand that failure to comply with the undertaking will result in the
cancellation and revocation of the accreditation as importer, without prejudice to the
imposition of any other criminal sanction for violation of the Tariff and Customs Code of
the Philippines, and other customs laws and regulations.

AFFIX 2x2 of
Proprietor/Applicant Very truly yours,
Latest photo, should
Not be more than 3
Months old)
****************************** APPLICANT’S NAME

By:

Ann Magdalene Chua

T.I.N.
______________________

SUBSCRIBED AND SWORN to before me this _______________________ day of


________________________________in Manila, Philippines , affiant exhibiting to me
his/her _________________________ issued at _______________________ on
______________________.

NOTARY PUBLIC

Doc No. ___________


Page No. __________
Book No. __________
Series of __________

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