2nd Floor, LYR Corporate Building, Gante Avenue, Brgy.

Magugpo South,
Tagum City, Davao del Norte, Philippines, 8100

APPLICATION FOR ACCREDITATION

Please fill out all applicable information and state "N/A" for not applicable. Date:
A. BUSINESS NAME AND ADDRESS
1. Business Structure (Please Check)
Sole Proprietorship
Partnership
Corporation
Cooperative
2. No. of Years in Business :
3. Company Name :
4. Office Address :
5. Contact No. :
6. E-mail Address :
7. Official website/ Page if any :
8. Contact Person :
B. CATEGORY
Local Manufacturer
Local Distributor
Foreign Supplier
Foreign Distributor
Dealer
Contractor
Others (Please specify)
C. PRODUCTS AND SERVICES APPLIED FOR ACCREDITATION (OTHER SERVICES RENDERED)
Specify products and services Applied for accreditation
Civil/Architectural Works
Masonry works
Painting Works
Ceiling Works
Drywall partition works
Tile Works
Mechanical Works Glass Works
Electrical Works/Supply Signages/Advertising
Plumbing Works Roofing Works/Supply
Structured Cabling/Data Steel Fabrication/ Supply
Fire Protection/ FDAS/ Sprinkler System Piping works
Cladding Works Roll-ups installation & Supply
Others, (please specify)

APPLICATION FOR ACCREDITATION

LYR – Engineering Department © 2021

 2nd Floor, LYR Corporate Building, Gante Avenue, Brgy. Magugpo South,
Tagum City, Davao del Norte, Philippines, 8100

D. COMPANY OWNER/ PARTNER, OFFICERS AND AUTHORIZED REPRESENTATIVE

Name Designation
Authorized Representative :
Proprietor :
(If Single Proprietorship)

Spouse :
Name of Partners/ Officers :
(If Partnership/Corporation/Cooperative) :
:

E. BANK REFERENCE
Name of Bank :

Address :

Account Officer :

Contact Information :

F. AUTHORIZATION FOR INTERVIEW AND OCULAR INSPECTION

As part of the accreditation process, we shall conduct an interview on contact person/
authorized representative indicated on this form and ocular inspection of your store, display area,
warehouse, shop, and other facilities. Please signify your willingness to accommodate the team we
will commission to make the interview and ocular inspection by signing the authorization slip below
and return this form duly accomplished with required information, supporting documents and sketch
of your business establishment's location.

AUTHORIZATION LETTER
To Whom It May Concern:

This is to authorize the representative(s) of LYR Group of Companies including its affiliates to
conduct an interview on contact person/ authorized representative and ocular inspection of our
store, display area, warehouse, shop, and other facilities.

For your guidance.

Done by : Designation:

(Signature over Printed Name)

Owner/Authorized Representative

Note: Authorized Representative need to attach Board Resolution if Corporation and/or Cooperative or
SPA (Special Power of Attorney) if Sole proprietor.

APPLICATION FOR ACCREDITATION

G. ACCREDITATION REQUIREMENTS (Put a check/mark “x” if complied, indicate “n/a” if not applicable)

LYR – Engineering Department © 2021

 2nd Floor, LYR Corporate Building, Gante Avenue, Brgy. Magugpo South,
Tagum City, Davao del Norte, Philippines, 8100

NOTE:
All requirements shall be submitted in certified true photocopies (CTC’s) duly signed by authorized representative with name and
designation printed below the signature except as instructed in the form. Otherwise, kindly bring the original copies upon submission of
photocopied documents so we can verify them.

 ONE-TIME SUPPLIER (Applicable to one-time purchase of unique materials and services)

Mayor/Business Permit
DTI/SEC Registration
BIR Certificate of Registration (BIR Form 2303)

 REGULAR SUPPLIER (Submit only applicable documents to your business)

1. Company Profile
2. DTI Certificate of Registration (Single Proprietorship) - RENEWABLE EVERY 5 YEARS
3. SEC Registration Certificate (Corporation/Partnership) or CDA Registration Certificate (Cooperative)
4. Articles of Incorporation/Association and By-Laws / Partnership or Articles of Cooperation and By-
Laws (Cooperative)
5. BIR Application for Registration (BIR Form 1903) / BIR Application for Registration Information
Update (BIR Form 1905) + BIR Form 0605
6. BIR Certificate of Registration (BIR Form 2303)
VAT
Non-VAT
7. BIR Authority to Print with Printer's Certificate of Delivery of Receipts and/or Invoice

H. PORTFOLIO

Kindly attach your company’s portfolio. History and current details about your company,
including what your business does, how many employees you have, corporate organization chart,
personnel organization chart, past & current projects, locations and etc.

I. CONTRACTOR ACCREDITATION AGREEMENT

1. LYR Group of Companies is authorized to collect personal information directly from the
contractor through this form and/or any documents given for the said accreditation. LYR Group of
Companies reserves the right to use the collected information from this form and supporting
documents at the Company’s own discretion, with regard to the accreditation process.

2. LYR Group of Companies shall operate and hold personal data under strict confidentiality if
the data are not intended for public disclosure as declared by the contractor and/or specifically
covered by a separate written confidentiality agreement prepared by the contractor.

3. LYR Group of Companies does not guarantee invitation to biddings or awarding of projects
after a contractor completes the accreditation process. The evaluation of the contractor submittals
shall only determine the type of project the contractor shall be qualified to bid, only if the contractor
passes the accreditation process. This Contractor Accreditation is for LYR Group of Companies
Contractor Management (Engineering Department) information purposes only.

4. LYR Group of Companies reserves the right to reject or disregard applications from blacklisted
contractors and new applicants that do not meet LYR Group of Companies’ Company Standards.

LYR – Engineering Department © 2021

 2nd Floor, LYR Corporate Building, Gante Avenue, Brgy. Magugpo South,
Tagum City, Davao del Norte, Philippines, 8100

5. LYR Group of Companies shall not be responsible for costs and expenses incurred by the
contractor during Application for Accreditation. Any reimbursements of expenses shall not be
entertained.

6. LYR Group of Companies reserves the right to contact all references provided by the
contractor to verify authenticity of its application and references, visit any contractor work locations,
and interview any contractor personnel during the entirety of the Application for Accreditation
period. Refusal of the contractor to allow LYR Group of Companies to probe contractor activities
during accreditation shall put the accreditation on hold or, in a case to case basis, shall lead to the
cancellation of the contractor application.

J. CONTRACTOR DECLARATION

I attest that my participation in the LYR Group of Companies Contractor Accreditation is

voluntary. I declare that I have the proper authority to disclose the relevant information contained
within.
I hereby declare to the information supplied in this application, including all the attachments, are
true and correct, and the testimonials, certificates, letters of authorization and documents as given
by the persons whose names appear on them and submitted with this application are true and
genuine.
I understand how the personal information content in this application will be used and I consent
to the use, transfer, and disclosure of the information for legitimate business purposes of LYR Group
of Companies and in connection with a potential business relationship with my company.
I understand that any misrepresentation of information here and any effort to influence the LYR
Group of Companies representative’s decision in the evaluation of my application will put me and my
company in the LYR Group of Companies Blacklist. I recognize that LYR Group of Companies reserves
the right to hold legal implications for unlawful activities my company shall be involved in, in
connection to the accreditation process.

Done by : Designation:

(Signature over Printed Name)

Owner/Authorized Representative

Note: Authorized Representative need to attach Board Resolution if Corporation and/or Cooperative or
SPA (Special Power of Attorney) if Sole proprietor.

Noted by: Approved by:

KEVIN C. RUBINOS,CE ALEXANDER GREGORY C. RUBINOS

Engineering Admin Head Senior Vice President
LYR GROUP OF COMPANIES LYR GROUP OF COMPANIES

LYR – Engineering Department © 2021