#49 E. Fernandez St.

, San Juan, Metro Manila, Philippines 1500

Tel. : (632) 723-7959 (Trunk Line), 744-1389 to 91
Fax (632) 724-5998 H/P No.: 0917-8364491
E-mail: info@fairetech.com

DEALERSHIP APPLICATION FORM

Company Profile
Business Name : Amecor Construction Corporation
Main Office Address : Unit 306, Fabricare Bldg. 8459 Dr. Arcadio Santos Avenue, San Antonio, Sucat, Paranaque
Website : www.amecor.net
Telephone Nos. : (02)255-4373
Fax Nos. :
Year Established : 2017
Nature of Business : Contractor
Company Facilities
Retail Store Showroom ✔ Office Warehouse Others (please specify)___________________
Company Marketing Initiatives
Telemarketing Email Blast Walk-in / Referrals ✔ Ads Others (please specify)___________________
Average Annual Gross Sales
below 1 million 1 million to 5 million 5 million to 10 million ✔ 10 million and above

Technical Expertise
✔ With own experience technical staff/installers ✔ Sub-contact Others (please specify)_______________________
Number of Employees
3 Key Personnel 4 Staff
Products & Services Offered (Please provide attachments if necessary)
Products Brand Manufactured At
Fire Detection and Alarm System Demco Malaysia

Business Information
Type of Business : ✔ Corporation Sole Proprietorship Partnership Freelance

Business License No. : Issued On :

Name of Partners (if Partnership) or Name of Incorporators (if Corporation):
Name Position Address
Leo A. Villanueva CEO / President
Juanito Basbas CFO / Chief Financial Officer
Christino Ariel Cornejo COO / Chief Operating Officer

Affiliated Company / Branches / Other Offices:

Branch / Affiliate Address Tel. No.

Present Suppliers:
Company Address / Tel. No. / Contact Person Terms Credit Limit

Customer References:
Company/Contact Person Address Contact Nos.

President / Owner
Name : Leo A. Villanueva
Telephone No. : (02) 254-4373 Fax No. :
Mobile No. : 09054940947 Email Address : leo@amecor.net
 #49 E. Fernandez St., San Juan, Metro Manila, Philippines 1500
Tel. : (632) 723-7959 (Trunk Line), 744-1389 to 91
Fax (632) 724-5998 H/P No.: 0917-8364491
E-mail: info@fairetech.com

Authorized Personnel
SALES : PRIMARY : ALTERNATE
Name : John Meneses :
Position : Sales Representative :
Email Address : john@amecor.net :
Tel. No. : (02)255-4373 :
Fax No. : :
Mobile No. : 09212641117 :
Specimen Signature : :

PURCHASING : PRIMARY : ALTERNATE

Name : Bernadeth Gadingan :
Position : Purchasing Officer :
Email Address : berna@amecor.net :
Tel. No. : (02)255-4373 :
Fax No. : :
Mobile No. : 09386691337 :
Specimen Signature : :

ACCOUNTING : PRIMARY : ALTERNATE

Name : Jun Basbas :
Position : Chief Financial Officer :
Email Address : jun@amecor.net :
Tel. No. : (02)255-4373 :
Fax No. : :
Mobile No. : 09458296679 :
Specimen Signature : :

TECHNICAL : PRIMARY : ALTERNATE

Name : Joelubell Detablan :
Position : Technician :
Email Address : joe@amecor.net :
Tel. No. : (02)255-4373 :
Fax No. : :
Mobile No. : 09386691337 :
Specimen Signature : :

OTHER REQUIREMENTS:
✔ Company Profile ✔ Business Permit (Mayor's Permit)
SEC/DTI Registration ✔ BIR Registration
Articles of Incorporation ✔ Organizational Chart
✔ Location Map Valid ID (for Freelance)

I hereby certify that all information given is true and correct, and agree to notify Faire Technologies, Inc. of any changes thereon. I
authorize Faire Technologies, Inc. to investigate all information and references contained in this profile sheet.

Signature

Name : John Meneses Department : Sales

Position : Sales Representative Date : May 28, 2019