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Commodity Registration Form
PPA registration form for commodity
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: COMMODITY REGISTRATION FORM
Reminders:
1.
Please see reverse for the general instructions on how to fill out the form.
2.
Asterisks (*) mandatory fields, fill-up.
3.
Shaded items, no need to fill-up.
4.
Accomplish one (1) copy per Customer.
To be filled out by Requesting PMO
Customer Details
Requesting PMO:
Address:
Postal/Zip Code:
Country:
P H
Philippines
TIN:
Commodity Details
Commodity Name:
Commodity Description
Requested by: ______________________________________
Approved by: ______________________________________
Name of Employee
Department/Section Head
Date: _____________________
Date: _____________________
For ICTD Personnel Use Use Only
.
Prepared By/Date:
Authorized By/Date:
Encoded By/Date:
Checked By/Date:
DC v3.0 - 01282004
General Instructions
Indicate the Application type/action by marking the appropriate letter
on the box provided.
9. Indicate Name of the Person who accomplished the form & affix
signature and date when the form was accomplished.
Example:
Action:
Example:
Prepared by: Juan De la Cruz______ Date: 01/16/2004_
C
[C] Create / [R] Revise / [D] Delete
For PPA Accounting Use Only
To be filled out by Customer
1. Indicate the Office Code and Customer Group with respective
descriptions in the boxes/lines provided.
1. Indicate the Customer Name in the boxes provided.
Example: Customer Name:
O
C
L
L
I
M
I
T
E
Example:
PPA Office:
D
O
C
P 0 0 0
Customer Group:
2. Indicate the Customer Short Name in the boxes provided.
Example: Short Name:
PMO-North Harbor
Port Users
2. Surcharge indicator is pre-supplied with default value to “Yes”.
L
Example:
Yes
3. Indicate the Customer DTI Registration No. in the boxes provided.
Example:
DTI Registration No.:
1
5
5
6
9
9
0
0
2
3. Surcharge Code is pre-supplied with default value, if surcharge
indicator is “Yes”.
Example: Surcharge Code: 12% - Int 25% - Penalty
1
4. E-Port is pre-supplied with default value to “No”.
4. Indicate the Customer Address in the boxes provided.
Example:
Example: Address:
S
U
P
E
R
P
I
E
R
1
S
O
U
T
H
A
R
E
T
E
R
M
I
N
A
L
,
No
5. Account Category is pre-supplied with default value to “Cash”.
5
Example:
Cash
6. Bank Guarantee is pre-supplied with default value to “No”.
T
H
A
A
R
O
R
,
M
,
B
A
N
I
P
L
O
R
Example:
No
A
7. Tax Code value is pre-supplied.
5. Indicate the Customer Address ZIP/Postal Code in the boxes
provided. Check consistency of code w/ address above
Example: Zip/Postal Code
1
0
1
Example:
Tax Code: O1 – Output VAT
8. Control Account value is pre-supplied.
3
6. Country value is pre-supplied.
Example:
Example: Country:
9. Payment Term Code value is pre-supplied with default value to
‘Cash”.
Philippines
P H
Example:
Control Account: 8-71-600 Receivables Trade/Business
Payment Terms: C0000 – Cash
7. Indicate the Customer TIN in the boxes provided.
Example: TIN
9 1 2
3 5 7
8 6 0
10. Currency Type value is pre-supplied with default value to” Php
Peso”.
8 6 0
8. Indicate the Customer Contact Person’s Name, Contact Position,
Contact Number/s, Fax No and E-mail Address in the boxes/line
provided.
Philippine Peso
11. Indicate Names and Dates and affix respective signatures of the
persons who provided the information, gave authority to encode,
encoded the information and validated the accuracy.
Example:
Contact Name:
J
U
A
N
Contact Position:
A
G
E
N
Example:
Currency Type:
D
E
L
A
C
R
U
Z
Example:
ALBorbon
01/19/04
Prepared By/ Date:
T
Telephone 1:
0
2
3
0
1
9
2
9
1
Telephone 2:
0
9
1
7
4
3
2
5
5
Fax No.:
0
2
3
0
1
9
2
9
RDPineda
01/19/04
Authorized By/ Date:
SBVitales
01/20/4
Encoded By/ Date:
RDMedina
01/21/04
Checked By/ Date:
2
6
6
E-mail: _ocl@yahoo.com____________________________________
DC v3.0 - 01282004
