BIG “E” FOOD CORPORATION

LEMON SQUARE

No. 91 Sampalok St., Bo. Libtong

Meycauayan, Bulacan

CAIS NO.___________________

CREDIT APPLICATION INFORMATION SHEET

Strictly Confidential

TRADE NAME :_________________________________________________________________

BUSINESS NAME :_________________________________________________________________

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TELEPHONE NO. :_________________________________________________________________

TYPE OF BUSINESS :_________________________________________________________________

( ) Sole Proprietorship ( ) Corporation

( ) Partnership ( ) Cooperative

TIN: ___________________________________________________ Sec Registration No._____________

NAME OF OWNER AND HOME ADDRESS

NAME ADDRESS

_____________________________________ _______________________________________

_____________________________________ _______________________________________

_____________________________________ _______________________________________

MODE OF PAYMENT: CASH ( ) CHECK ( )

OTHER PRINCIPAL/CREDITORS: (List firms who are now extending credit)