Pagcor Registry Local

PROCUREMENT AND PROPERTY DEPARTMENT
PAGCOR REGISTRY
LOCAL SUPPLIERS NEW
A Sure bet for Progress in
Gaming, Entertainment
and Nation Building
PAGCORS VISION
We will captivate our

customers with a worldclass
gaming
and
entertainment
experience,
improved
infrastructure,
more
competitive
facilities,
and
a
highly
professionalized
manpower;
We will showcase to the

world the exceptional
Filipino way of serving
customers;
We will be a pillar for

national progress by
instilling integrity as the
backbone
of
our
regulatory
duties,
investing
in
the
education of Filipinos,
and
promoting
Philippine
tourism,
culture and arts.
PAGCORS MISSION
To achieve operational
excellence,
revenue
growth and competitive
advantage.
To attain and enforce a
regulatory
framework
that
preserves
the
integrity and propels the
development of the
Philippine
gaming
industry.
To continue being a
responsible
and
responsive partner of
the
Philippine
government
in
its
nation-building
programs.
To actively participate
in efforts of the tourism
sector to transform the
Philippines
into
an
exciting
R&R
and
entertainment haven for
local
and
foreign
travellers alike.
List of Requirements for inclusion in PAGCORs registry of suppliers:

1. Company Information Form
2. Company Profile including list of clients
3. List of products/items being offered including brochures and catalogues (if
any)
4. Detailed location sketch of company office, factory and/or warehouse
Legal Documents:
5. Copy of Registration Certificate from:
a. Securities and Exchange Commission (SEC) including Articles of
Incorporation / Co-Partnership and By-Laws or
b. Department of Trade and Industry (DTI)
6. Photocopy of the following documents:
a. Valid and current Mayors Permit / municipal license
b. BIR Registration Certificate
c. Valid or current Certificate of Dealership/Exclusive Distributorship (if
applicable)
d. Valid Certificate of PhilGEPS Registration
e. Valid and current Licenses required by law (applicable to your line of
business)
Financial Documents:
7. Photocopy of Latest Income and/ or Business Tax Returns either filed
and paid manually or electronically through the Electronic Filing and Payment
System of the BIR per E.O. 398, RR 3 -2005 and RMC 16-2005. Photocopy
of Latest Audited Financial Statements issued by BIR.
Other Requirement/s:
8. Certification from the supplier/contractor that all proposals to be submitted to
PAGCOR are VAT exclusive (3 copies).
9. Notarized secretarys certificate (in case of corporation, partnership or joint
ventures) or a special power of attorney (in case of sole proprietorship)
appointing the duly authorized and designated representative of the supplier.
10. Notarized certificate attesting that the supplier is free and clear from any
outstanding tax liabilities to the government.
NOTE:
1. Kindly present all original documents upon submission of required
documents to Suppliers Evaluation Division for comparison.
2. For Suppliers with intention to join Public Bidding, Kindly submit a
Tax Clearance Certificate issued by Bureau of Internal Revenue in
advance for record/ reference purposes.
Control No: ___________
A Sure bet for Progress in

Gaming, Entertainment
and Nation Building
PAGCORS VISION
We will captivate our

customers with a worldclass
gaming
and
entertainment
experience,
improved
infrastructure,
more
competitive
facilities,
and
a
highly
professionalized
manpower;
Type of Application : ( ) Initial

Type of Transaction : ( ) For bidding
V.A.T.
: ( ) Exclusive
Registered Name
of Firm
Office Address
Tel Numbers
We will be a pillar for

national progress by
instilling integrity as the
backbone
of
our
regulatory
duties,
investing
in
the
education of Filipinos,
and
promoting
Philippine
tourism,
culture and arts.
Company Website
To achieve operational
excellence,
revenue
growth and competitive
advantage.
To attain and enforce a

regulatory
framework
that
preserves
the
integrity and propels the
development of the
Philippine
gaming
industry.
To continue being a
responsible
and
responsive partner of
the
Philippine
government
in
its
nation-building
programs.
To actively participate
in efforts of the tourism
sector to transform the
Philippines
into
an
exciting
R&R
and
entertainment haven for
local
and
foreign
travellers alike.
( ) Renewal
( ) NOT for bidding
( ) Inclusive
GENERAL INFORMATION:
We will showcase to the

world the exceptional
Filipino way of serving
customers;
PAGCORS MISSION
COMPANY INFORMATION
FORM
Fax Numbers
E-mail Address
T.I.N. Number
V.A.T. Number
Type of Firm
Nature of Business
( ) Sole Proprietorship ( ) Corporation

( ) Partnership
( ) Cooperative
( ) Others
( ) Manufacturer
( ) Dealer / Trader
( ) Exclusive Distributor( ) Services
( ) Broker / Forwarder ( ) Others (Specify)
Products and/or Services offered (subject for verification by PAGCOR

representatives)
Page 1 of 2
LICENSES / CERTIFICATES
Registration /
License No.
Date of
Registration
Expiration Date
(mm/dd/yyyy)
DTI Business Name

Registration
SEC Certificate of Registration
( for Partnership or Corporation)
Mayors Permit / Municipal
License
BIR Registration Certificate
Others:
Location of warehouse, shop or branches

Description:
B Branch
Registered Name
Address
W Warehouse
S Shop
Contact
Number
Foreign / Local principals represented in the Philippines

Company Name
Address
Product / Item
Contact
information
Note: Please prepare a separate sheet if necessary.
Authorized Representatives of the company (at least 2)

Name
Designation
Contact Nos.
Note: Include key officers in the list of authorized representatives
Page 2 of 2
Signature
SAMPLE FORM
(FOR LOCAL SUPPLIERS ONLY)
CERTIFICATION
I, __(Representative of the Company)___, of legal age, ___(civil status)__, Filipino

and residing at _____(Address of the Representative)__, under oath, hereby depose
and say:
1. That I am the ___(Position in the Company)__ of the ___(Name of the
Company)_ , with office at ______(Address of the Company)___;
2. That each of the documents submitted is an authentic copy or a true and faithful
reproduction of the original, complete and that all statements and information
provided therein are true and correct;
3. That I am making this statement as part of the requirement for inclusion in
PAGCORs registry of suppliers ____(Name of the Company)___.
IN FAITH WHEREOF, I hereby affix my signature this _____ day of ____, 20___ at
______, Philippines.
_____________________
AFFIANT
SUBSCRIBED AND SWORN TO before me this ________, day of ______ 20__,
affiant exhibiting to me his/her Community Tax Certificate No. ________ issued on
_______ at ____________, Philippines.
_____________________
(Notary Public)
Until
PTR No.
Date
Place
TIN
Doc. No. __________
Page No. __________
__________
__________
__________
__________
__________
Book No. __________

Series of __________
SAMPLE FORM
(FOR LOCAL SUPPLIERS ONLY)
***** SUPPLIERS LETTERHEAD *****
AUTHORIZATION
This is to authorize the Philippine Amusement and Gaming Corporation (PAGCOR)

representatives to: 1) inspect our facilities, office assets and merchandise; and 2) verify the
authenticity of the documents we submitted for inclusion in PAGCORs registry of suppliers.
This shall include the following, but not limited to:
1. Bureau of Internal Revenue (BIR)

2. Securities and Exchange Commission (SEC)
3. Department of Trade and Industry (DTI)
4. Other agencies that can attest to our track record
It is understood that all information gathered will only be used for the aforesaid purpose.
Thank you.
_____________________________
(Name and Signature of Official)*

________________________________
(Company Name & Address)
* IMPORTANT: Signatory must be the highest official (President or Proprietor) of the company.
SAMPLE FORM
(FOR SOLE PROPRIETORSHIP)
REPUBLIC OF THE PHILIPPINES
______________
SPECIAL POWER OF ATTORNEY
I, (NAME OF THE REPRESENTATIVE) of legal age, (STATUS) with business

address at (ADDRESS), after being duly sworn to in accordance with law hereby depose
and state that:
1) I am the (POSITION) of (COMPANY NAME) a sole proprietorship duly
organized and existing in accordance with the Philippine laws, with the
same business address as stated above;
2) That I am designating (NAME OF REPRESENTATIVE), (POSITION) be
authorized to deal, bid and transact, for and behalf of the (NAME OF THE
COMPANY) with the PAGCOR regarding all the procurement activities.
RESOLVED, further that (NAME OF REPRESENTATIVE), be authorized as he/she

is hereby authorized to accomplish, sign, execute, deliver and receive all papers
and/or documents in connection with and/or pursuant to the PAGCOR
Transactions.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ______
2013 in ________________.
_____________________________________
Affiant
SUBSCRIBED AND SWORN to before me this ________ day of _______2013 in ________.
Affiant is personally known to me and exhibited to me his ______________________ which is
valid until _________2013.
DOC. NO.:____
PAGE NO.: ___
BOOK NO.:____
SERIES OF 2013
SAMPLE FORM
(FOR CORPORATIONS)
REPUBLIC OF THE PHILIPPINES
______________
SECRETARYS CERTIFICATE
I, (NAME OF THE REPRESENTATIVE) of legal age, (STATUS) with business

address at (ADDRESS), after being duly sworn to in accordance with law hereby depose
and state that:
1) I am the duly appointed Corporate Secretary of (COMPANY NAME) a
corporation duly organized and existing in accordance with the Philippine
laws, with the same business address as stated above;
2) As such, I have custody of all the corporate records of said corporation;
3) At the special meeting held on (DATE OF MEETING), the following resolution

was unanimously approved by the directors present:
RESOLVED, as it is hereby RESOLVED that (NAME OF

REPRESENTATIVE) (DESIGNATION) of the corporation be authorized as he/she
is hereby authorized to deal, bid and transact, for and behalf of the (NAME OF
THE COMPANY) with the PAGCOR regarding all the (PROJECT NAME) of PAGCOR
in the (NAME OF COMPANY).
RESOLVED, further that (NAME OF REPRESENTATIVE), be authorized as he/she
is hereby authorized to accomplish, sign, execute, deliver and receive all papers
and/or documents in connection with and/or pursuant to the foregoing
authority;
There being no further business before the meeting, the same on motion
adjourned.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ______
2013 in ________________.
_____________________________________
Affiant
SUBSCRIBED AND SWORN to before me this ________ day of _______2013 in ________.
Affiant is personally known to me and exhibited to me his ______________________ which is
valid until _________2013.
DOC. NO.:____
PAGE NO.: ___
BOOK NO.:____
SERIES OF 2013

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PROCUREMENT AND PROPERTY DEPARTMENT

We will captivate our

We will showcase to the

We will be a pillar for

List of Requirements for inclusion in PAGCORs registry of suppliers:

Control No: ___________

A Sure bet for Progress in

We will captivate our

Type of Application : ( ) Initial

We will be a pillar for

To attain and enforce a

We will showcase to the

( ) Sole Proprietorship ( ) Corporation

Products and/or Services offered (subject for verification by PAGCOR

DTI Business Name

Location of warehouse, shop or branches

Foreign / Local principals represented in the Philippines

Note: Please prepare a separate sheet if necessary.

Authorized Representatives of the company (at least 2)

Note: Include key officers in the list of authorized representatives

I, __(Representative of the Company)___, of legal age, ___(civil status)__, Filipino

Book No. __________

***** SUPPLIERS LETTERHEAD *****

This is to authorize the Philippine Amusement and Gaming Corporation (PAGCOR)

1. Bureau of Internal Revenue (BIR)

(Name and Signature of Official)*

(Company Name & Address)

SPECIAL POWER OF ATTORNEY

I, (NAME OF THE REPRESENTATIVE) of legal age, (STATUS) with business

RESOLVED, further that (NAME OF REPRESENTATIVE), be authorized as he/she

I, (NAME OF THE REPRESENTATIVE) of legal age, (STATUS) with business

3) At the special meeting held on (DATE OF MEETING), the following resolution

RESOLVED, as it is hereby RESOLVED that (NAME OF

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* SUPPLIERS LETTERHEAD *