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Seafreight Forwarders Application Form

DTI application form for sea-freight forwarders

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Fair Trade Enforcement Bureau
Business Licensing and Accreditation Division
APPLICATION FOR ACCREDITATION OF SEAFREIGHT FORWARDERS
G/F, UPRC Building, 315 Sen. Gil J. Puyat Avenue, Makati City 1200 Philippines
Tel. Nos.: (6 32) 890-4892  E-mail: fteb_blad@dti.gov.ph

_________________
(Date)

THE DIRECTOR
Fair Trade Enforcement Bureau (FTEB)
G/F, UPRC Bldg., 315 Sen. Gil J. Puyat Avenue
Makati City, Metro Manila, 1200 Philippines
Sir/Madam:
We are respectfully applying for accreditation pursuant to PSB Administrative Order No. 6, Series of
2005, otherwise known as Revised Rules on Freight Forwarding, and certify that all the information and
documents submitted together with this application form are true and correct.
We undertake to engage only in activities of the category/ies applied for and approved by FTEB.
Name of Company : ____________________________________________________________________
Address: _____________________________________________________________________________
Tel. No. : ____________________________________
E-mail : ____________________________________

Fax : ___________________________________
TIN : ___________________________________

Type of Application:
 New
 Renewal
 Additional Category
 Branch ________________________________

Category/ies applied for: (please initial each
category checked)
____ 1. Non-Vessel Operating Common Carrier
____ 2. International Freight Forwarder
____ 3. Domestic Freight Forwarder

___________________________________
Signature over Printed Name
AFFIANT
____________________________________
Position
Republic of the Philippines
)
City/Municipality/Province of______) SS
Subscribed and Sworn to before me this ________ day of ___________ 20______ in the
City/Municipality/Province of ____________________; affiant exhibiting to me his/her valid government
issued ID ___________________ issued at _____________ on _____________ valid until ____________.

Notary Public
Until December 31, 20____
Doc. No.: ______
Page No.: ______
Book No.: _______
CPG-FTEB-BLAD-Form No.16/rev.00/10.06.16
 
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