DEPARTMENT OF SCIENCE AND TECHNOLOGY

TO SET F 19
Regional Office No. VII Revision 1
Lahug S & T Complex, Sudlon, Lahug 06-Nov-2014
Cebu City 1of 2

CAPE EVALUATION FORM:

Company Profile:
Name of Company        
Address        
Tel/ Fax No.        
Contact Person/s        
Position        
Email Address        
Product Lines        
 
Senior Persons With
Male Female Total
Number of Personnel: Citizen Disability (PWD)
Regular        
Contractual/Casual        
Subcontractor/s        
Total        
Company Background        
Date Established        
Type of Business        
Major Product Line        
Operator Male Female Remarks
Machines Available:
       
       
       
       
  Total      
Annual Volume of
Production        
Estimated Value        
Total Asset        
Market:        
Local        
Foreign        
 
Technical Assistance Needed:        
         
         
         
 DEPARTMENT OF SCIENCE AND TECHNOLOGY
TO SET F 19
Regional Office No. VII Revision 1
Lahug S & T Complex, Sudlon, Lahug 06-Nov-2014
Cebu City 2 of 2

Technical Problems Identified:        

         
         
         
Management Targets:        
         
         

Signature:  
Date: