PHILSTEEL HOLDINGS CORP.

Kindly Fax to Credit Dept (02) 840-5370

Philsteel Tower, 140 Amorsolo St.,
Legaspi Village Makati City Credit Investigator
Sales Representative:______
Philsteel Co. / Market
Date:____________

CUSTOMER INFORMATION SHEET

BUSINESS NAME : _______________________________________________________________________________

BUSINESS ADDRESS : _______________________________________________________________________________
Tel. Nos. : _____________________________________ F ax No. : _______________________

Type of Business: ( )Sole Proprietorship - ( )Partnership - ( )Corporation Year Established : _____________________

Business Reg. No. (DTI / SEC ): ___________________________________ Date Registered : _____________________
Nature of Business: _____________________________________________ No. of Employees: _____________________

REGISTERED OWNER / PARTNERS / PRINCIPAL STOCKHOLDERS

NAME POSITION RESIDENTIAL ADDRESS

__________________________________________ _____________________________ ___________________________

__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________

AUTHORIZED CHECK SIGNATORIES

NAME POSITION SPECIMEN SIGNATURE

__________________________________________ _____________________________ ___________________________

__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________

AUTHORIZED P.O. / CONTRACT SIGNATORIES

__________________________________________ _____________________________ ___________________________

__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________

BUSINESS ADDRESS STATUS (Owned/Rent/Leased)

Head Office : __________________________________________________________ _____________________
Main Store : __________________________________________________________ _____________________
Branches : __________________________________________________________ _____________________
Warehouses : __________________________________________________________ _____________________
Plant / Project Site : __________________________________________________________ _____________________
Motorpool : __________________________________________________________ _____________________

SALES INFORMATION

Average Annual (or Monthly) Sales: _________________________ Based on: ( ) Estimate ( ) Financial Statements
Composition of Sales: _____________ % CASH BASIS ____________ % CREDIT BASIS - (Terms Extended) ___________
Areas Covered: __________________________________________________________________________________________

ALLIED BUSINESS/ AFFILIATES/ SUBSIDIARIES/ OTHER BUSINESS

NAME OF BUSINESS NATURE ADDRESS

__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________
__________________________________________ _____________________________ ___________________________
FIXED ASSETS

Properties / Equipment / Vehicles Mortgaged (Yes) (No)

____________________________________________________ If yes: Name of mortgager:_________________________
____________________________________________________ Amount of amortization: __________________________
____________________________________________________ No. of years/terms: ______________________________
____________________________________________________ Insurance Coverage: _____________________________

TRADE REFERENCES

SUPPLIERS TEL. NO. CONTACT PERSON TERMS

GI Sheets _______________________________ _______________ _________________________ _____________

Cements _______________________________ _______________ _________________________ _____________
Lumber _______________________________ _______________ _________________________ _____________
Steel bars _______________________________ _______________ _________________________ _____________

Plywood _______________________________ _______________ _________________________ _____________

Paint _______________________________ _______________ _________________________ _____________

Others _______________________________ _______________ _________________________ _____________

BANK REFERENCES

NAME OF BANK BRANCH CA/SA NO. CREDIT FACILITY CONTACT PERSON

___________________ ____________ ______________________ ___________________ ___________________

___________________ ____________ ______________________ ___________________ ___________________
___________________ ____________ ______________________ ___________________ ___________________
___________________ ____________ ______________________ ___________________ ___________________
___________________ ____________ ______________________ ___________________ ___________________

By signing below, I confirm that the information given by me is true and correct.

I understand that falsifying any of the information on the enclosed documents is sufficient ground for rejection of my
application. I understand that should my application be denied, Philsteel Group of Companies has no obligation on its
part to furnish the reason for such rejection, or return my application form.

I / we herby authorize the Philsteel Group of Companies, and its representatives, to verify and investigate such
information for the purpose of credit line evaluation, and that the references indicated herein are likewise authorized to
provide any information relative to this application.

AUTHORIZED SIGNATORIES

_________________________
Sign over printed name

_________________________
Sign over printed name

IMPORTANT: To facilitate the immediate processing of your credit line application, please fill up this form
completely and submit the requirements indicated below:

For Sole-Proprietorship: For Partnership & Corporation:

 DTI Reg. Cert.  SEC & DTI Reg. Cert.  Articles of Inc.
 Audited FS – Last 2 years  Audited FS – Last 2 years  Company Profile

PHILSTEEL GROUP:

PHILMETAL
STEELCORP