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: FM-PNL-01 :0 : Mar. 11, 2009 : 1 of 1

SUPPLIER'S INFORMATION SHEET

Sta. Clara International Corp.
The following information shall be filled-up by the applicant supplier and to be submitted to Purchasing Department

Rev. No. Eff. Date Page

COMPANY DATA
COMPANY NAME HEAD OFFICE ADDRESS ARZADON ENTERPRISES MADAYEGDEG, SOUTH NATIONAL HIGHWAY, CITY OF SAN FERNANDO, LA UNION 2500 E-MAIL ADDRESS: jep_mapuatech@yahoo.com FAX (072) 888-38-42 TELEPHONE TELEPHONE 0918-2578-865

TELEPHONE (072) 700-4286, 700-4056 , 0918-2578 -865

BRANCH (SISTER CO.) ARZADON ENGINEERING AND MACHINE SHOP Add: Abatan, Buguias, Benguet PLANT/WAREHOUSE(S)

BUSINESS DATA
FORM OF BUSINESS SOLE PROPRIETORSHIP KIND OF BUSINESS MANUFACTURER DISTRIBUTOR TIN VAT 103-279-499-000 DATE & PLACE OF ISSUE 01/01/1996, SFC, L.U. SEC REGISTRATION NO. N/A AUTHORIZED CAPITAL STOCK DATE TRADE DEALER OTHERS SSS NO. 01-1260626-6 DATE & PLACE OF ISSUE DATE TOTAL ASSETS PARTNERSHIP CORPORATION

DOMESTIC TRADE REGISTRY NO. PAID-UP CAPITAL

ORGANIZATIONAL STRUCTURE
PRINCIPAL OFFICERS ENGR. JAIME O. ARZADON ENGR. JEFFERSON G. ARZADON POSITION POSITION POSITION CONTACT PERSON(S) ENGR. JAIME O. ARZADON ENGR. JEFFERSON G. ARZADON CHRISTINE G. ARZADON ENGR. EMAFLOR V. FABRO POSITION POSITION POSITION POSITION GENERAL MANAGER ASSISTANT MANAGER OFFICE ADMINISTRATOR SERVICE ADVISOR GENERAL MANAGER ASSISTANT MANAGER

BUSINESS REFERENCES
BANK REFERENCES ADDRESS TEL NO. CONTACT PERSON

RCBC
TOP 5 CLIENTS SAN MIGUEL CORPORATION DSWD EMPERADOR DISTILLERS BANGKO SENTRAL NG PILIPINAS HOLCIM PHILIPPINES

SAN FERNANDO CITY, LA UNION

ADDRESS CATBANGEN, SAN FERNANDO CITY, LA UNION SEVILLA, SAN FERNANDO CITY, LA UNION QUEZON CITY/ BIDAY, SAN FERNANDO, LA UNION SEVILLA, SAN FERNANDO CITY, LA UNION TAGUIG CITY/ QUIRINO, BACNOTAN, LA UNION

(072) 700-5557
TEL NO. 072 888-2141 072 888 2505 02 709 2020 072 252 5632 072 888 4252

MS. LYNN RIMANDO

CONTACT PERSON ENGR. RICHARD BURGUILLOS MR. BENJAMIN BALDO MR. ZALDY VILLEGAS MS. BETA CERVANTES MR. ARCHIE BAMBAO

PRODUCTS/SERVICES OFFERED
MAJOR PRODUCTS/SERVICES ENGINEERING AND MACHINE WORKS, REPAIR OF MOTOR VEHICLES SECONDARY SERVICES PAINTING, AIRCON SERVICES, AUTOMOTIVE MAINTENANANCE & CAR SERVICES 15 DAYS TO 30 DAYS TERMS OF PAYMENT 15 DAYS TO 30 DAYS

THIS IS TO CERTIFY THAT THE ABOVE INFORMATION ARE TRUE AND CORRECT.
PRINTED NAME ENGR. JAIME O. ARZADON SIGNATURE POSITION: GEN.MANAGER DATE:

ATTACHMENTS: (photocopies only)

( ( ( ( ( ( ( ) SEC / BOI Registration ) VAT Registration ) Mayor's Permit ) Company Profile ) Latest Audited Finacial Statements (For the last 2 years) ) Authorization/Certification of Representative to transact business w/ 2x2 pic ) Organizational Chart

Remarks from Purchasing

Suppliers Data and Information reviewed and checked by:

Purchasing Officer
FM-PNL-01

Purchasing Manager
July 04, 2009