Fair Trade Enforcement Bureau (FTEB) Business Licensing and Accreditation Division (BLAD) Accreditation of Freight Forwarders (PSB AO6 s.2005) List of Foreign and Domestic Principal/Agents Company Name:

Country

City/Port

Name of CompanyAgent/Principal

Shipping BBBox to the Philippines?* Y/N

Address

Telephone No.

Fax No.

E-mail Address

Contact Persons/Designation

* Put Y (for yes), if this particular agent ships balikbayan boxes to the Philippines which your company delivers to its ultimate consignees? Otherwise, put N- for No.

Prepared by:

Certified true and correct:

Name/Date

___________________________________ Signature, Name & Position of Authorized Officer/ Date

Instructions: 1. Enumerate all your agents and principal (both foreign and domestic, if applicable). One Line (row) per agent or principal/city/country. 2. Add rows, if necessary, to accommodate all your principals/agents/network. 3. Save in worksheet (MS Excel/OpenCalc) file format. To name file, use your company name and date this form was accomplished; ex.: your company name is ABCD Forwarders, Inc. and you accomplished this sheet on February 11, 2015, your file name should be: ABCDForwarders28July2016. 4. Submit a signed copy (by the authorized signatory) and an e-copy via email: [email protected], cc: [email protected]; [email protected]; [email protected]; [email protected]; [email protected];[email protected]. 5. Inform FTEB-BLAD, thru your account officer, of any changes in the information within fifteen (15) days after the changes took effect. 6. For further inquiries, please call the Business Licensing and Accreditation Division at tel. no.: 890-4892. CPG-FTEB-BLAD-Form No.31/rev.00/10.06.16

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