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AGENT ACCREDITATION SHEET

Personal Information

Last Name First Name Middle Name

Home Address:
Number Street Barangay City/Province Zip Code

Business Address:
Home Telephone: Business Phone:
Mobile No Email: Sex: M F
Citizenship: _______________ Date of Birth: __________________ Place of Birth: ________________
Tax Identification Number (TIN) __________________________________________________________
Civil Status: Single Married Widow/er Legally Separated Divorced

DOCUMENTS TO BE SUBMITTED
Li Photocopy of Picture page of Valid ID (SSS, Driver’s License, or PRC Broker’s License for Brokers)
Photocopy of Tax Identification Number (TIN)
1 ID picture (2” x 2”)

I hereby confirm that all information given in this Accreditation Sheet are true and correct. I hereby
authorize AMG Group Realty & Development Inc. to validate the accuracy and completeness of the
information stated above. Any and all misrepresentations herein contained as well as any violation of
the rules and procedures and company policies of AMG Group Realty & Development Inc. shall be
considered as valid grounds for the cancellation of my accreditation.

I/We have familiarized myself/ourselves with the REAL ESTATE SERVICES ACT (RESA LAW) and its
implementing rules and regulations. I/We promise to abide by its provisions and all laws governing the
real estate trade and business.

Sales Referrer
Salesperson Signature Over Printed Name
Broker

TO BE FILLED UP BY AMG GROUP REALTY & DEVELOPMENT INC.

Received by: ______________________________ Date received: ________________

NOTES: _______________________________________________________________