Scribd Logo
Upload

Welcome to Scribd!

  • Form A Foodlane Application Form

    Uploaded by

    Greg Tayona
    41 views1 page
    This document is an application form for accreditation to transport food commodities. It requests information such as the applicant's name, business details, vehicle details including make, model, plate number and capacity. It also asks for registration certificate details, types and volumes of commodities to be transported, and delivery schedules. The applicant signs and dates the form, which is then reviewed and a certificate and sticker number are issued if approved.

    Original Description:

    Original Title

    FORM-A-FOODLANE-APPLICATION-FORM (1).docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an application form for accreditation to transport food commodities. It requests information such as the applicant's name, business details, vehicle details including make, model, plate number and capacity. It also asks for registration certificate details, types and volumes of commodities to be transported, and delivery schedules. The applicant signs and dates the form, which is then reviewed and a certificate and sticker number are issued if approved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    41 views1 page

    Form A Foodlane Application Form

    Uploaded by

    Greg Tayona
    This document is an application form for accreditation to transport food commodities. It requests information such as the applicant's name, business details, vehicle details including make, model, plate number and capacity. It also asks for registration certificate details, types and volumes of commodities to be transported, and delivery schedules. The applicant signs and dates the form, which is then reviewed and a certificate and sticker number are issued if approved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORM A

    REPUBLIC OF THE PHILIPPINES


    Department of Agriculture
    OFFICE OF THE SECRETARY
    Elliptical Road, Diliman, Quezon City
    1100 Philippines

    FOODLANE ACCREDITATION
    APPLICATION FORM

    Name of applicant: _____________________________________________________


    Nature of business: _____________________________________________________
    Business Address: _____________________________________________________
    Telephone no.: _________________________________________________________
    Name of group/affiliations: __________________________________________
    Vehicle Model/Brand: _________________________________________________
    Vehicle Plate Number: _________________________________________________
    Type of vehicle: ________________________________________________________
    Gross Capacity: _______________________________________________________
    Certificate of Registration Number: ____________________ Date issued: ___________
    Official Receipt of Registration: _________________________ Date issued: ___________
    Commodity/ies transported: _____________________________________________
    Volume of Commodities transported:___________________________________
    Schedule of delivery/ies: _________________________________________________

    ____________________________________
    Signature over Printed Name
    Position _______________________________
    Date ____________________________________
    ____________________________________________________________________________________________________________
    (to be filled-up by DA personnel)

    ACCREDITATION CERTIFICATE CONTROL NO. _____________________ Date Issued___________


    STICKER NO. _______________________________________

    (insert LOGO of
    DA issuing
    agency) Name and Signature of Authorized DA Personnel

    You might also like