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BUSINESS NAME EASTWORLD MOTOR INDUSTRIES CO


BUSINESS ADDRESS SAN NICOLAS POBLACION CONCEPCI

ACCREDITATION NO. R03-12-0035

REPORT TYPE SELECTION:


1
2
3

REPORT TYPE 1

TOTAL REPORT ITEMS 4

SALES TYPE SELECTION:


1 PLAIN SALES REPORT
2 SALES TRANSFER TO
3 SALES TRANSFER FROM
SALES TYPE: 1 (NOTE: SELECT SALES TYPE ABOVE)

BUYER TYPE SELECTION


IND INDIVIDUAL
ORG ORGANIZATION
BUYER TYPE: IND (NOTE: SELECT BUYER TYPE ABOVE)

TRANSFER DISPOSITION OF STOC


ENGINE NUMBER CHASSIS NUMBER DEALER'S/OPERATOR'S NAME
(TRANSFER,TRANSFER TO,
TRANSFER FROM)

JL156FMI-517A021633 LAAAAKJB5H0004324
JL156FMI-517A021535 LAAAAKJB2H0004281
JL156FMI-517A020992 LAAAAKJBXH0004240
JL1P50FMH17A019621 LAMSXKHJ7H0001078

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OTOR INDUSTRIES CORP.

OBLACION CONCEPCION TARLAC


(NOTE: ACCREDITATION NUMBER IS LEFT
BLANK IF OPERATOR IS NON-ACCREDITED.)

ENGINE AND CHASSIS


ENGINE ONLY
CHASSIS ONLY

(NOTE:SELECT REPORT TYPE ABOVE.)

TYPE ABOVE)

TYPE ABOVE)

SPOSITION OF STOCKS
ACCREDITATION INVOICE NUMBER INVOICE DATE INVOICE AMOUNT
NUMBER

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SOLD TO DETAILS
INVOICE INVOICE DATE INVOICE AMOUNT LAST NAME
NUMBER (required)

1615
1616
1617
1618

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INDIVID
FIRST NAME (required) MIDDLE NAME BIRTHDATE BIRTH
(required) (required) PLACE (required)

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Single M
Married F
Separated
Divorced

INDIVIDUAL INFORMATION
CITIZENSHIP CIVIL FATHER'S NAME MOTHER'S NAME SEX
(required) STATUS (required) (required) (M/F)
(required) (required)

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HEIGHT WEIGHT CONTACT EMAIL PHONE TAX ID NO.


(cm) (kg) DETAILS ADDRESS NO.
(required) (required) (required)

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ORGANIZA
ORGANIZATION NAME ORG
(required) MNEMONIC (required)

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ORGANIZATION INFORMATION
PRIMARY CONTACT (required) CONTACT DETAILS (required)

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FORMATION
EMAIL ADDRESS PHONE NO.

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01 - Region 1
02 - Region 2
03 - Region 3
04 - Region 4
05 - Region 5
06 - Region 6
07 - Region 7
08 - Region 8
09 - Region 9
10 - Region 10
11 - Region 11
12 - Region 12
13 - National Capital Region
14 - Cordillera Admin. Region
15 - CARAGA Region
16 - ARMM

TAX ID NO. REGION


NO. (required)

03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3

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ADDRESS INFORM
BARANGGAY MUNICIPALITY
DESCRIPTION (required) DESCRIPTION (required)

BALUTU CONCEPCION
TALIMUNDOC SAN MIGUEL CONCEPCION
STA RITA CONCEPCION
STA RITA CONCEPCION

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ADDRESS INFORMATION
PROVINCE DESCRIPTION HOUSE/
(required) BLDG. NO.
(required)

TARLAC
TARLAC
TARLAC
TARLAC

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NFORMATION
STREET (required) ZIP CODE ADDRESS
(required)

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AREA (required)

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BUSINESS NAME EASTWORLD MOTOR INDUSTRIES CO


BUSINESS ADDRESS SAN NICOLAS POBLACION CONCEPCI

ACCREDITATION NO. R03-12-0035

REPORT TYPE SELECTION:


1
2
3

REPORT TYPE 1

TOTAL REPORT ITEMS 16

SALES TYPE SELECTION:


1 PLAIN SALES REPORT
2 SALES TRANSFER TO
3 SALES TRANSFER FROM
SALES TYPE: 1 (NOTE: SELECT SALES TYPE ABOVE)

BUYER TYPE SELECTION


IND INDIVIDUAL
ORG ORGANIZATION
BUYER TYPE: IND (NOTE: SELECT BUYER TYPE ABOVE)

TRANSFER DISPOSITION OF STOC


ENGINE NUMBER CHASSIS NUMBER DEALER'S/OPERATOR'S NAME
(TRANSFER,TRANSFER TO,
TRANSFER FROM)

152FMHPA127734 LAMSXKHF7G0016473
152FMHPA127574 LAMSXKHF7G0016198
152FMHPA127551 LAMSXKHF7G0016437
JL156FMI-516A066856 LAAAAKJB0G0013365
152FMHPA127739 LAMSXKHF7G0016235
JL156FMI-516A066811 LAAAAKJB9G0013297

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152FMHPA127273 LAMSXKHF7G0016689
152FMH16A13477 LHJXJHLA8GB451545
JL156FMI-516A065975 LAAAAKJB1G0012936
JL156FMI-516A043665 LAAAAKJB8G0009208
152FMH16A15005 LHJXJHLA5GB452877
152FMHPA127521 LAMSXKHF7G0016590

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OTOR INDUSTRIES CORP.

OBLACION CONCEPCION TARLAC


(NOTE: ACCREDITATION NUMBER IS LEFT
BLANK IF OPERATOR IS NON-ACCREDITED.)

ENGINE AND CHASSIS


ENGINE ONLY
CHASSIS ONLY

(NOTE:SELECT REPORT TYPE ABOVE.)

TYPE ABOVE)

TYPE ABOVE)

SPOSITION OF STOCKS
ACCREDITATION INVOICE NUMBER INVOICE DATE INVOICE AMOUNT
NUMBER

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SOLD TO DETAILS
INVOICE INVOICE DATE INVOICE AMOUNT LAST NAME
NUMBER (required)

1550 11/29/16 35,000


1556 12/12/16 35,000
01559 12/18/16 35,000
1560 12/18/16 39,000
1565 12/24/16 35,000
1567 12/27/16 39,000

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1568 12/28/16 35,000


1569 1/2/17 40,500
1570 1/4/17 39,000
1571 1/4/17 39,000
1572 1/4/17 40,500
1573 1/5/17 35,000

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INDIVID
FIRST NAME (required) MIDDLE NAME BIRTHDATE BIRTH
(required) (required) PLACE (required)

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Single M
Married F
Separated
Divorced

INDIVIDUAL INFORMATION
CITIZENSHIP CIVIL FATHER'S NAME MOTHER'S NAME SEX
(required) STATUS (required) (required) (M/F)
(required) (required)

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HEIGHT WEIGHT CONTACT EMAIL PHONE TAX ID NO.


(cm) (kg) DETAILS ADDRESS NO.
(required) (required) (required)

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ORGANIZA
ORGANIZATION NAME ORG
(required) MNEMONIC (required)

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ORGANIZATION INFORMATION
PRIMARY CONTACT (required) CONTACT DETAILS (required)

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FORMATION
EMAIL ADDRESS PHONE NO.

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01 - Region 1
02 - Region 2
03 - Region 3
04 - Region 4
05 - Region 5
06 - Region 6
07 - Region 7
08 - Region 8
09 - Region 9
10 - Region 10
11 - Region 11
12 - Region 12
13 - National Capital Region
14 - Cordillera Admin. Region
15 - CARAGA Region
16 - ARMM

TAX ID NO. REGION


NO. (required)

03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3

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03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3

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ADDRESS INFORM
BARANGGAY MUNICIPALITY
DESCRIPTION (required) DESCRIPTION (required)

STA CRUZ CONCEPCION


STA MONICA CONCEPCION
STA MONICA CONCEPCION
SAN ISIDRO CONCEPCION
PANDO CONCEPCION
CASTILLO CONCEPCION

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STA RITA CONCEPCION


TALIMUNDOC SAN MIGUEL CONCEPCION
PITABUNAN CONCEPCION
PANALICSICAN CONCEPCION
STA CRUZ CONCEPCION
STO N INO CONCEPCION

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ADDRESS INFORMATION
PROVINCE DESCRIPTION HOUSE/
(required) BLDG. NO.
(required)

TARLAC
TARLAC
TARLAC
TARLAC
TARLAC
TARLAC

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TARLAC
TARLAC
TARLAC
TARLAC
TARLAC
TARLAC

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NFORMATION
STREET (required) ZIP CODE ADDRESS
(required)

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AREA (required)

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concepcion

BUSINESS NAME EASTWORLD MOTOR INDUSTRIES CO


BUSINESS ADDRESS SAN NICOLAS POBLACION CONCEPCI

ACCREDITATION NO. R03-12-0035

REPORT TYPE SELECTION:


1
2
3

REPORT TYPE 1

TOTAL REPORT ITEMS 16

SALES TYPE SELECTION:


1 PLAIN SALES REPORT
2 SALES TRANSFER TO
3 SALES TRANSFER FROM
SALES TYPE: 1 (NOTE: SELECT SALES TYPE ABOVE)

BUYER TYPE SELECTION


IND INDIVIDUAL
ORG ORGANIZATION
BUYER TYPE: IND (NOTE: SELECT BUYER TYPE ABOVE)

TRANSFER DISPOSITION OF STOC


ENGINE NUMBER CHASSIS NUMBER DEALER'S/OPERATOR'S NAME
(TRANSFER,TRANSFER TO,
TRANSFER FROM)

152FMHPA124839 LAMSXKHF7G0015995
JL156FMI-516A056288 LAAAAKJBXG0010201
JL156FMI-516A056419 LAAAAKJB7G0010236
JL156FMI-516A056463 LAAAAKJB8G0010567
152FMHPA124403 LAMSXKHF7G0015476
ZS154FMI-45F300837 LZSJCJLCXF5200921

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152FMHPA124252 LAMSXKHF7G0015804
JL156FMI-516A055825 LAAAAKJB9G0010562
JL156FMI-516A043375 LAAAAKJB2G0009429
JL156FMI-516A043474 LAAAAKJB3G0009276
152FMH16A01963 LHJXJHLA4GB448738
JL156FMI-516A056415 LAAAAKJB1G0010720

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OTOR INDUSTRIES CORP.

OBLACION CONCEPCION TARLAC


(NOTE: ACCREDITATION NUMBER IS LEFT
BLANK IF OPERATOR IS NON-ACCREDITED.)

ENGINE AND CHASSIS


ENGINE ONLY
CHASSIS ONLY

(NOTE:SELECT REPORT TYPE ABOVE.)

TYPE ABOVE)

TYPE ABOVE)

SPOSITION OF STOCKS
ACCREDITATION INVOICE NUMBER INVOICE DATE INVOICE AMOUNT
NUMBER

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SOLD TO DETAILS
INVOICE INVOICE DATE INVOICE AMOUNT LAST NAME
NUMBER (required)

01543 11/10/16 35,000


01546 11/17/16 39,000
01547 11/25/16 39,000
01549 11/29/16 39,000
1551 12/1/16 35,000
01553 12/3/16 47,000

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1552 12/3/16 35,000


1554 12/7/16 39,000
1555 12/12/16 39,000
1558 12/15/16 39,000
1561 12/19/16 40,500
1563 12/21/16 39,000

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INDIVID
FIRST NAME (required) MIDDLE NAME BIRTHDATE BIRTH
(required) (required) PLACE (required)

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Single M
Married F
Separated
Divorced

INDIVIDUAL INFORMATION
CITIZENSHIP CIVIL FATHER'S NAME MOTHER'S NAME SEX
(required) STATUS (required) (required) (M/F)
(required) (required)

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HEIGHT WEIGHT CONTACT EMAIL PHONE TAX ID NO.


(cm) (kg) DETAILS ADDRESS NO.
(required) (required) (required)

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ORGANIZA
ORGANIZATION NAME ORG
(required) MNEMONIC (required)

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ORGANIZATION INFORMATION
PRIMARY CONTACT (required) CONTACT DETAILS (required)

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FORMATION
EMAIL ADDRESS PHONE NO.

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01 - Region 1
02 - Region 2
03 - Region 3
04 - Region 4
05 - Region 5
06 - Region 6
07 - Region 7
08 - Region 8
09 - Region 9
10 - Region 10
11 - Region 11
12 - Region 12
13 - National Capital Region
14 - Cordillera Admin. Region
15 - CARAGA Region
16 - ARMM

TAX ID NO. REGION


NO. (required)

03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3

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03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3
03 - Region 3

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ADDRESS INFORM
BARANGGAY MUNICIPALITY
DESCRIPTION (required) DESCRIPTION (required)

STO CRISTO CONCEPCION


STA RITA CONCEPCION
TINANG CONCEPCION
CASTILLO CONCEPCION
STO NINO CONCEPCION
STO DOMINGO II CAPAS

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SAN ROQUE LAPAZ


GREEN VILLAGE CONCEPCION
STO CRISTO CONCEPCION
SAN VICENTE CONCEPCION
TALIMUNDOC SAN MIGUEL CONCEPCION
DOLORES CAPAS

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ADDRESS INFORMATION
PROVINCE DESCRIPTION HOUSE/
(required) BLDG. NO.
(required)

TARLAC
TARLAC
TARLAC
TARLAC
TARLAC
TARLAC

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TARLAC
TARLAC
TARLAC
TARLAC
TARLAC
TARLAC

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NFORMATION
STREET (required) ZIP CODE ADDRESS
(required)

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AREA (required)

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