Dost Application Form by whm52276

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									                         TECHNOLOGY RESOURCE CENTER
                                TECHNO CENTER
                            LEASE APPLICATION FORM

                                       Bldg. No(s). applied for: _________________
COMPANY PROFILE

Business Name

Business Address


Telephone No.

Fax No.

Product Line(s)

Type of Organization

Start of Operation

Starting Capital

Present No. of Workers                    Office

                                          Factory

                                          Sub-con

Authorized Representative


I hereby agree to pay the sum of FIFTY THOUSAND PESOS (P50,000.00) and FIVE
THOUSAND PESOS (P5,000.00) per building representing commitment fee and processing fee,
Respectively upon filing of this application. It is understood that the said fees are non-refundable
should I decide to withdraw from this application.

However, the commitment fee shall be applied as part of the security deposit required in the lease
contract.

I further hereby declare that the information contained herein and in the attached requirements are
true and correct. It is understood that any misrepresentation thereof may be considered grounds for
disqualification of this application.


                                                         _________________________________
                                                                Authorized Representative
                                                                (Signature over printed name)
                                                         _________________________________
                                                                        Date
                                                                             Annex A

                              PROJECT DESCRIPTION


BRIEF DESCRIPTION:       (brief history of the company and a background of the project planned
within the complex)




PRODUCT LINES:



MANAGEMENT: (education background/work experience of the key people who will handle the
project)
        Principal Officers:




MAJOR STOCKHOLDER:

                                                Amount                                  Amount
        Name            Nationality            Subscribed           % Share             Paid-up




Total                                                                   100%
                                                ========                                =========


                                      CAPITAL STRUCTURE:


                   Capitalization                                          Present

                    Authorized


                    Subscribed


                      Paid-up


TECHNICAL PROFILE:
        Projected Manpower Requirement (use separate sheet if necessary)

                                                            Proposed
        Position                    Existing                (first year)             Wage Bracket
                                    (in no)                  (in no.)                 (monthly)
   Machinery and Equipment Line-up (use separate sheet if necessary)


                                    Existing
         Description                (in no.)                     Proposed (in no.)
                                                       1st yr.          2nd yr.      3rd
                                                 yr.
PROJECTED PRODUCTION CAPACITY:



            Year             Monthly Output      Manpower Complement
                             (in 20/40 FCL)


           Present


                1st


                2nd


                3rd


                4th


                5th


MARKET:
   Buyer’s Profile
    Existing:


                      Name                    Address
        Prospective:


                       Name                       Address




ESTIMATED PROJECT COST:




                                         Equity       Others   Total
Machinery and Equipment
Building Improvements
Furniture and Fixtures
Working Capital
Total

        PROJECTED ANNUAL GROSS SALES:


              Year                Gross Sales
            Present
               1st
               2nd
               3rd
               4th
               5th
WASTE DISPOSAL:




                  __________________________________
                         Authorized Representative
                         (Signature over printed name)

                  __________________________________
                               Date

								
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