FTEB-BLAD Form No.

: APP-SRS
Rev00/05 April 2016

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 : _________________________________ Type of application:
Fax : _________________________________  New  Renewal
Category:
E-mail : _________________________________  Automotive & Heavy Equipment
Date established: ___________________________  Engine & Eng’g Works and Machine Shop
 Electronics, Electrical, Aircon and Refrigeration
Date last registered (R): ______________________  Office machine and data processing equipment
No. of employees: __________________________  Medical/Dental
Capital Investment: __________________________ Star Rating:  Five Star  Four Star
 Three Star  Two Star  One Star

WARRANTY/UNDERTAKING
Our company warrants the quality of workmanship and process undertaken by the shop for a period of
______________________(___) days counted from the date of actual release and delivery of each
and/or job order to the respective customer.
That this warranty does not cover damage caused by misuse, accidents, or alteration of workmanship; in
addition, it is expressly understood that the shop management shall not be liable for any patent defect in
the product and which is not included in the job contract.
I hereby declare that in the event of violation on our part of the above warranty as well as the rules and
regulations promulgated by the Department of Trade and Industry through the Fair Trade Enforcement
Bureau (FTEB) relative to the implementation of P.D. 1572, the same shall be ground for the cancellation
of our accreditation certificate.

_____________________________________
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 _________________________.

Notary Public
Doc. No. _______
Page No. _______
Book No. _______
Series of 20_____.