COVER SHEET

COMPANY REGISTRATION AND MONITORING DEPARTMENT

Nature of Application SEC Registration Number

REGISTRATION

Company Name
N E G R O S I S L A N D G U A R D I A N S
B R O T H E R H O O D I N C .

Principal Office ( No./Street/Barangay/City/Town)Province)

B R G Y . B I O - O S , A M L A N ,
N E G R O S O R I E N T A L

ZIP CODE

6 2 0 0

COMPANY INFORMATION
Company's Email Address Company's Telephone Number/s Mobile Number

0953 336 8546

CONTACT PERSON INFORMATION
The designated person MUSTbe a Director/Trustee/Partner/Officer/Resident Agent of the Corporation

Name of Contact Person Email Address Telephone Number/s Mobile Number

Manuel Theodore Imbo manoling101968@gma 0953 336 8546

il.com
Contact Person's Address
Brgy Cadawionan, Dumaguete City, Negros Oriental

To be accomplished by CRMD Personnel

Date Signature
Assigned Processor :

Document I.D.

Received by Corporate Filing and Records Division (CFRD)

Forwarded to: Docu

m
Corporate and Partnership Registration
Division
Green Lane Unit
Financial Analysis and Audit Division
Licensing Unit