DEALERSHIP INQUIRIES

Business Identity

These fields correspond to the heading of the Uybontiong Customer Information Sheet.

Business name / trade name * Registered business name / legal name * Business Tax Identification No. (TIN) * DTI / SEC / CDA registration no. Business type * Legal structure * Years in business * Website / Facebook page

Registered Business Address & Contact Information

Matches Section I of the Customer Information Sheet.

House No. / Floor / Building * Street / Block / Lot No. * Barangay * Town / Municipality / City * Province * Zip code * Mobile number * Office landline no. Business email address * Authorized business representative * Representative position / role *

Owner Home Address & Contact Information

Matches Section II of the Customer Information Sheet.

Complete name of owner * House No. / Floor / Building * Street / Block / Lot No. * Barangay * Town / Municipality / City * Province * Zip code * Mobile number * Home landline no. Email address *

Bank Information

Matches Section III. Add up to four bank references/accounts used by the business. This information is visible only to authorized management users.

Supplier References

Matches Section IV of the Customer Information Sheet. Add suppliers who can confirm your purchasing history.

Business Capacity & Partnership Plan

Additional information used by Uybontiong management to evaluate market fit, operating capability and growth potential.

Business Location Sketch & Documents

Section V of the Customer Information Sheet is created from your directions/map information or uploaded sketch. Required source-document attachments are marked with an asterisk.

2 x 2 Picture *JPG or PNG - max 8 MB Copy of Business Registration *PDF, JPG or PNG - max 8 MB Copy of Valid Government ID of Owner *PDF, JPG or PNG - max 8 MB Sketch / map of business locationPDF, JPG or PNG - max 8 MB BIR Certificate of Registration (Form 2303)PDF, JPG or PNG - max 8 MB Current Mayor's / Business PermitPDF, JPG or PNG - max 8 MB Storefront / business premises photoJPG or PNG - max 8 MB Other supporting documentPDF, JPG or PNG - max 8 MB

The first three attachments mirror the checklist on the supplied Uybontiong Customer Information Sheet. Additional documents are retained privately for management evaluation.

Declaration, Printed Name & Consent

The generated Customer Information Sheet includes the declaration, customer printed name and date. Management may still request an original wet-signed copy.

I declare, under the penalties of perjury, that this form has been issued in good faith, verified by me and to the best of my knowledge and belief is true and correct and the regulations issued under authority thereof.

Customer print name / authorized signatory * Date *

I certify that the information and documents submitted are true and accurate to the best of my knowledge. * I authorize Uybontiong Agriventures Corp. to use and verify this information for legitimate dealership/partnership evaluation, including contacting the business, banks or supplier references when necessary. *

Submission does not guarantee approval, territory assignment, product availability, pricing, exclusivity or credit.

Bank Name	Account No.	Branch	Address	Bank Contact Details

Supplier Name	Products / Items Bought	Address	Contact Person	Contact Number

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