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R.A. 7042
INTERVIEW SHEET
DATE:____________________
1. Name of Applicant : ______________________________________________
2. Business Address : ___________________ Phone No. _________________
3. Residence Address : ______________________________________________
4. Passport No. : ________ Date and Place of Issue _________________
5. Business Activity Applied for and Specific Products/Handled
Activity (Specify if
Manufacturer, Importer,
Exporter, Contractor, etc.)
Service Product
If for Exports, indicate % &
Market for each product
6. Capitalization:
Foreign Currency US$ _________________________
Pesos _________________________
Machinery & Equipment _________________________
(Estimated Valuation)
Other Assets _________________________
Total vvvvvvvvvvvvvvvvvvvvvvvvvvvv
7. Manpower:
Skilled _________________________
Unskilled _________________________
Supervisory _________________________
Others (Specify) _________________________
Total vvvvvvvvvvvvvvvvvvvvvvvvvvvv
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