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    Amber Chloe Martinez
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    This document is an order of payment from the Philippines Department of Health Food and Drug Administration. It provides details for the initial license application of Amber Dishwashing Ingredients and Plastic Bottles Cleaning Products Store, including a 3-year application fee of 9,000 pesos plus a 90 peso legal research fund, for a total of 9,090 pesos. Owner and authorized representative Arriane Nicole Aducal Escuadra and qualified personnel Rogena R Llaguno are listed with their contact and identification information.

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    Order-of-Payment

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    This document is an order of payment from the Philippines Department of Health Food and Drug Administration. It provides details for the initial license application of Amber Dishwashing Ingredients and Plastic Bottles Cleaning Products Store, including a 3-year application fee of 9,000 pesos plus a 90 peso legal research fund, for a total of 9,090 pesos. Owner and authorized representative Arriane Nicole Aducal Escuadra and qualified personnel Rogena R Llaguno are listed with their contact and identification information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    0 views2 pages

    Order of Payment

    Uploaded by

    Amber Chloe Martinez
    This document is an order of payment from the Philippines Department of Health Food and Drug Administration. It provides details for the initial license application of Amber Dishwashing Ingredients and Plastic Bottles Cleaning Products Store, including a 3-year application fee of 9,000 pesos plus a 90 peso legal research fund, for a total of 9,090 pesos. Owner and authorized representative Arriane Nicole Aducal Escuadra and qualified personnel Rogena R Llaguno are listed with their contact and identification information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Republic of the Philippines

    Department of Health
    Food And Drug Administration

    Order of Payment
    General Information
    Reference No.: 8000000822042
    FDA Clearing Account Number 0392-2220-06 (For Landbank OnColl Payment
    Only)
    Product Classification: Household/Urban Hazardous Substances
    Authorization: License To Operate
    Type: Initial Application
    Primary Activity: Distributor
    LTO No. (If applicable): Not Applicable
    Expiry (If applicable): Not Applicable

    Establishment Information

    Company Name: Amber Dishwashing Ingredients and Plastic


    Bottles Cleaning Products Store
    Owner: Arriane Nicole Aducal Escuadra
    Declared Capital: 250K and Below
    Address Type
    #5 Saint Martin St., Jonaville Subd., Brgy. Office
    Nagkaisang Nayon, Quezon City (Damong
    Maliit), Metro Manila-Quezon City, NCR, 1123
    #5 Saint Martin St., Jonaville Subd., Brgy. Warehouse
    Nagkaisang Nayon, Quezon City (Damong
    Maliit), Metro Manila-Quezon City, NCR, 1123

    List of Personnel
    Fullname Type Designation Contact Government ID
    Infomation

    Arriane Nicole Authorized Owner (for sole 09366489765 Type: Philippine


    Aducal Escuadra Representative proprietorships) Passport
    Number:
    P7104151B
    Expiry: 02 July
    2031

    Rogena R Qualified Person Qualified amberdishwashin Type:


    Llaguno Personnel g.fda@gmail.com Professional
    Regulatory
    Commission
    Number:
    0032254
    Expiry: 17 May
    2024

    Payment Details

    Application Fee: 9,000.00


    Number of Years Applied: 3
    Surcharge (if any): 0.00
    Legal Research Fund (LRF): 90.00
    Total Amount: Php 9,090.00
    If payment is made using Bancnet Online Bills Payment Facility (www.bancnetonline.com), an
    additional Php15.00 should be included to the amount due.
    BancNet Payment: Php 9,105.00
    Remarks: Not Applicable

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