SUBIC BAY METROPOLITAN AUTHORITY Departmental Quality Form

AO-QF-ACCRED-02
ACCREDITATION OFFICE Rev. No. 03
Regulatory Group Effectivity Date: 05-31-2022
Room 205, 2/Floor, Regulatory Bldg., Labitan St. corner Rizal Highway
, Subic Bay Freeport Zone, Phils. 2222
Tel No. 047-252-4088 Email address: accreditation@sbma.com

APPLICATION FOR PROVISIONAL ACCREDITATION

Name of Firm: _______________________________________________________________________

Office Address: _______________________________________________________________________

Contact Person: __________________________________________ Designation: _________________

Tel. No. ________________________ Fax No._________________ Email Address: _______________

No. of employee assigned within SBFZ:____________________________________________________

Type of Organization (Please Check)

( ) Corporation ( ) Sole Proprietorship ( ) Others_____________________

Nature of Business (Describe specific type of activity intended for SBFZ)

____________________________________________________________________________________

(ONLY COMPLETE SET OF DOCUMENTS WILL BE ACCEPTED FOR PROCESSING)

REQUIREMENTS

1. Mayor’s Permit / Business Registration from Place of Business and DTI, CDA or SEC
(with Articles of Incorporation, By Laws and GIS)
2. List of employees and vehicles going in and out of SBFZ, copy of Driver’s license and LTO
registration)
3. License/Permit or other issuance from concerned government agency for which authorization to
engage in the business activity being applied for is required (i.e. DTI Accreditation for Freight
Forwarding, BOC Certificate of Registration for Customs Brokerage, etc. )

(Original documents must be presented for authentication.)

Application & Accreditation Fee – USD200 (or equivalent in Phil. Pesos at current exchange rate)
I understand that this application for Provisional Accreditation is subject to evaluation and approval by the SBMA and I therefore subject myself
to its existing and future policies, rules and regulation. Any false/fraudulent statement made herein as well as violations on my part of any of that
said policies, rules and regulations shall be sufficient grounds for the denial of this Provisional Accreditation Certificate or revocation of the
same.

NAME: ______________________________________ DATE & TME RECEIVED:_________________________

SIGNATURE: ________________________________ DATE & TIME EVALUATED:_______________________

DATE: ______________________________________ RECEIVED AND EVALUATED BY:___________________

SIGNATURE:____________________________________