LASTNAME FIRST NAME MIDDLE NAME AGE/BDAY Nationality

CHINA BANK SAVINGS - BUSINESS FORM

DATE/TIMEVISIT:

SUBJECT:
TRADING NAME: ____________________________________________________ YRS IN OPERATION: __________
TYPE OF BUSINESS:
BUSINESSOF
NATURE NAME: ____________________________________________________
BUSINESS: ___________________________ Single Proprietorship
CONTACT: ______________
Partnership

Corporation Cooperative

BUSINESS ADDRESS: ____________________________________________________________________________

REGISTERED OWNER: ___________________________ NO. OF BRANCHES: _____________

MACHINERIES/EQUIPMENT: LOCATION OF BRANCHES:

1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

ESTIMATED INVENTORY: ESTIMATED INCOME:

SEEN: _____________________ SEEN: _____________________

AS CLAIMED BY SUBJECT/INFORMANT: AS CLAIMED BY SUBJECT/INFORMANT:

______________________ ______________________

NO. OF EMPLOYEES:
OFFICE/BUSINESS DESCRIPTION:
SEEN: _____________________

AS CLAIMED BY SUBJECT/INFORMANT:
_______________________________________________
______________________
LOT AREA: _________ FLOOR AREA: _________
 TYPE OF OWNERSHIP: OWNED RENTING USED FREE IF RENTED: MONTHLY RENTAL: _____________

LESSOR NAME: __________________________

TYPE OF REGISTRATION:

1.____________________________________________ VALIDITY: _________________ DTI REG. NO. ____________

2. ____________________________________________VALIDITY: _________________

3. ____________________________________________VALIDITY: _________________

4. ____________________________________________VALIDITY: _________________

5. ____________________________________________VALIDITY: _________________

OBSERVATION:

Brisk business No business activity observed

With business activity observed No signage seen

With business signage Poor business location

Good business location

Business is within commercial area

CLASSIFICATION: FLOODED? POCO AREA?

Residential area Yes Yes

Commercial area No No

Industrial area Yes - During heavy rains only

Mixed residential-commercial Yes - gutter deep

Mixed residential industrial Yes - knee deep

Agricultural Yes - waist deep

Agro-industrial

OTHER INVETORIES:
Operates 7 days a week; (time)

Observed to have (no. of clients/customer) during time of visit.

Information obtained from _______________