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Accreditation form

DTI accreditation form for service and retail shop

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 SERVICE & REPAIR SHOPS
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
G/F, UPRC Bldg., 315 Sen. Gil J. Puyat Avenue
Makati City, Metro Manila 1200 Philippines
Sir:
We are respectfully applying for accreditation pursuant to Presidential Decree No. 1572,
Empowering the Secretary of Trade to Regulate and Control the Operation of Service and Repair
Enterprises for Motor Vehicles, Heavy Equipment and Engines and Engineering Works; Electronics,
Electrical, Airconditioning and Refrigeration; Office Equipment; Medical and Dental Equipment; and
Other Consumer Mechanical and Industrial Equipment, Appliances or Devices, including the Technical
Personnel Employed therein, and its implementing rules and regulations; and certify that the
information and documents attached are true and correct.
Business Name: _________________________________________________________________________
Business Address: _______________________________________________________________________
Name of Applicant: ____________________________________ Position__________________________
Tel
Fax

: ___________________________________
: ___________________________________

E-mail : ___________________________________
Date established: ____________________________
Date last registered (R): _______________________
No. of employees: ___________________________
Capital Investment: ___________________________

Type of application:
 New
 Renewal
Category:
 Automotive & Heavy Equipment
 Engine & Eng’g Works and Machine Shop
 Electronics, Electrical, Aircon & Refrigeration
 Office Machine & Data Processing Equipment
 Medical/Dental
Star Rating:
 Five Star
 Four Star
 Three Star  Two Star
 One Star
____________________________________
Signature over Printed Name
(affiant)

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 gov’t issued ID:
______________________________ No.: _____________________ issued at ______________________ on
_____________________ valid until _____________________.
Notary Public
Doc. No. _______
Page No. _______
Book No. _______
Series of 20_____.

CPG-FTEB-BLAD-Form No.04/rev.00/10.06.16
 
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