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Authority to Operate as General Sales Agent (GSA) for Cargo
CAB application form for authority to operate as general sales agent for cargo
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CAB-REF-06-001 J
Revised 08/2007
Republic of the Philippines
Department of Transportation and Communications
CIVIL AERONAUTICS BOARD
OLD MIA ROAD, PASAY CITY,
Metro Manila
APPLICATION FOR AUTHORITY TO OPERATE AS
CARGO SALES AGENT (CSA) / BREAKBULK
FOR LICENSED AIRFREIGHT FORWARDER
1. Identification of Applicant:
CAB CASE NO. EP ________
4. Address of principal office:
(a) Name:
(b) Name in which applicant wishes Operating Authorization to
5. Mailing address:
be issued:
2. Type of application:
Telephone No(s):
Original
Renewal
E-mail:
3. Date of filing:
Fax:
6. Form of organization:
Corporation
Partnership
Sole Proprietorship
7. Place of incorporation or under whose
Other (Specify)
8. Date of incorporation or
laws company is authorized to operate:
formation of company:
9. Stockholders, partners, owners, officers or members of applicant:
(a) Full Name:
(b) Address:
(c) Title:
(d) Citizenship
(e) % of stock or
(Country):
other interest:
10. Board of Directors of Applicant:
(a) Full Name:
(b) Address:
(c) Citizenship
(d) % of stock or
(Country):
other interest:
11. Description of current business activities and length of time engaged therein:
12. Previous business experience related to transportation activities:
Dates
Description
From
To
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13. Capitalization: authorized capital stock, subscribed and paid-up capital of applicant:
a.) Authorized
b.) Subscribed:
c.) Paid-up:
14. Principal to be represented by applicant as CSA for licensed airfreight forwarder:
15. Address of principal:
16.Previous principal represented by applicant CSA:
17.Submit with this application, in original and three (3) copies the documents enumerated in the attached list of requirements.
CERTIFICATION
I certify that the information contained in this application, and in the attachments hereto, is complete and accurate to the best of my
knowledge.
__________________________________
Signature over printed name of applicant
__________________________________
Date
__________________________________
Title / Designation
================================================================================================================
O A T H
Subscribed and sworn to before me this _______________ day of _____________________________, 20______. Affiant
exhibited to me his residence Certificate No. _________________________ issued on ________________________, 20______
at ___________________________________________________.
__________________________________________
Notary Public
My commission expires ______________________
Doc. No. _____________________________
Page No. _____________________________
Book No. ____________________________
Series of 20 __________________________
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