New Regular Contractor'S License Application: Checklist of Requirements (FOR SOLE PROPRIETORSHIP) Remarks

Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines

PHILIPPINE CONTRACTORS ACCREDITATION BOARD
NEW REGULAR CONTRACTOR’S LICENSE APPLICATION
PCAB-F-SVD-001a. Revision No. 00, 11/19/2018 | This Form is NOT for sale. Reproduction is Allowed
Checklist of Requirements (FOR SOLE PROPRIETORSHIP) Remarks

A. LEGAL
A.1. (a) Affidavit of Attestation, (b) Integrity Pledge and (c) Contractor’s General Information
(pages 5, 6 and 7)
A.1.1. Certified true copy of Business Name Registration Certificate
(Scope of Business - NATIONAL; Nature of Business - CONSTRUCTION);
A.1.2. Proofs of Employer’s membership with (a) SSS, (b) PHILHEALTH and (c) PAG-IBIG;
A.2. Authority to verify documents with Depository Bank, BIR and other Government
Agencies (pages 8, 9 and 10);
B. TECHNICAL
B.1. Authorized Managing Officer (AMO) Affidavit (page 12);
B.1.1. Original NBI Clearance;
B.1.2. Certificate of Attendance of 2-day AMO Seminar (AMO should pass the
examination);
B.1.3. Certificate of Completion 40-hour Construction Safety and Health Seminar (COSH);
B.2. Sustaining Technical Employee/s (STE/s) Affidavit of Undertaking with copy of valid
PRC ID/s (pages 13-14);
B.2.1. Original NBI Clearance/s;
B.2.2. STE/s Affidavit of Construction Experience (page 15);
B.2.3. STE/s Personal Appearance (page 16);
B.2.4. Certificate of Completion of 40-hour Construction Safety and Health Seminar
(COSH) of at least one (1) of the qualified nominated STEs;
C. FINANCIAL
C.1. Complete Audited Financial Statement (AFS) with accompanying Auditor’s Opinion
Report and Notes dated within the last six (6) months immediately preceding the filing
of application (duly audited and signed on every page by an Independent CPA with
valid PRC-BOA accreditation);
C.2. For EXISTING/OLD companies: AFS for the immediately preceding taxable year and copy
of Annual Income Tax Return (ITR) and Quarterly ITR certified by the BIR;
C.3. Additional documents in support to item C.1 (if applicable) shall be IN THE NAME OF
THE FIRM OR OWNER/SPOUSE:
C.3.1. Cash in Bank: Original copy of Bank Certification / Bank statement of account
certified by Bank Manager of cash deposits as of the BALANCE SHEET DATE;
C.3.2. List of Constructor’s Real Properties (page 18);
C.3.2.1. Certified copy of Transfer of Certificate of Title (TCT) including back page
and Deed of Sale or Tax Declaration of Land;
C.3.2.2. Certified copy of Condominium Certificate of Title and Deed of Sale or
Tax Declaration of Condominium;
C.3.2.3. Certified copy of Tax Declaration of Building and Improvements;
C.3.3. List of Constructor’s Plants, Vehicles and Equipment (page 19);
C.3.3.1. Certified copy by Land Transportation Office (LTO) Certificate of
Registration and Current Official Receipt of Registration of Construction
and/or Transportation / Delivery Vehicles / Equipment reported;
C.3.3.2. Deed of Sale or sales invoices/official receipts of other construction
equipment/machineries;
C.3.4. Schedule of Receivables (page 20);
C.3.5. Construction in Progress: Schedule with complete details (if the amount exceeds
10% of the Net Worth);
C.3.6. Appropriate documents in support of Other Assets;
D. OTHERS
D.1. Authorized Representatives Affidavit (page 22);
D.2. Original signature (preferably with blue ink) of AMO on each and every page of the
application forms including supporting documents.
Note: Please see page 2 for Important Reminders
Date & Time of Visit / Name and Signature of the PCAB/CIAP Window/DTI-ROG Staff
1st Prescreening 2nd Prescreening 3rd Prescreening 4th Prescreening
[ ] Accepted [ ] Comply lacking items [ ] Accepted [ ] Comply lacking items [ ] Accepted [ ] Comply lacking items [ ] Accepted [ ] Comply lacking items
AMO must sign here:

New Regular Contractor’s License Application (Sole Proprietorship)
PCAB-F-SVD-001a. Revision No. 00, 11/19/2018
This Form is NOT for sale. Reproduction is Allowed
Page 2 of 27
IMPORTANT REMINDERS!
To avoid undue delay in the processing of your application, please take time to read these important reminders:
1. Use the latest application forms which are downloadable at ciap.dti.gov.ph.
2. All required information in the application forms should be properly filled out – handwritten, typewritten or encoded using a computer.
Do not leave an item blank. If an item is not applicable, indicate “N/A”.
3. Attach only the documents that are indicated in the checklist of requirements. In lieu of certified copies of supporting documents,
photocopies may be accepted provided original copies are presented for authentication.
4. Application forms and its corresponding supporting documents should be:
a. arranged according to the checklist of requirements - separators are included in the set of application forms (please
see page 3 for Application Folder Anatomy for more details);
b. fastened in a regular or expanding long/legal size folder (sliding, hardbound and hardcover filing folders are not
allowed);
c. with original signature (preferably with blue ink) by the AMO on each and every page.
5. All applicants are required to pay non-refundable upfront fees (please see last page for detailed fee structure) for all types of license
applications upon acceptance (Board Resolution No. 313, s. 2011).
6. Only the Authorized Managing Officer or one of the two (2) Authorized Representatives of the Firm is allowed to transact with PCAB
(Board Resolution No. 515, s. 2011).
7. Submission of applications can be done at PCAB Makati / CIAP Windows / DTI Regional or Provincial Offices. Transact only with
Authorized PCAB Personnel. Do NOT deal with “Fixers”.
8. Avoid RUSH, DELAY and PENALTY in the filing of renewal application. Contractors may file their application as early as January
or on/before the scheduled filing date (Board Resolution No. 376, s. 2014) as stated below:
LAST DIGIT OF LICENSE NO. FILING MONTH
0 February 1-14
1 February 15-28
2 March 1-15
3 March 16-31
4 April 1-15
5 April 16-30
6 May 1-15
7 May 16-31
8 and new license approved from January to March June 1-15
9 and approved from April to June June 16-30
 Contractors filing their renewal application on or before April 15 may use the previously submitted Audited Financial Statements
(AFS);
 Submission of the required Annual Income Tax Return (ITR) and AFS duly filed with the BIR for preceding taxable year can be
done on or before the release of the renewed license certificate;
 Should the contractor failed to meet the qualification requirement based on the current AFS for its present category, the license
category shall be downgraded to the next lower sustainable category;
 Contractors filing their renewal applications beyond the assigned filing schedule shall be assessed an Additional Processing
Fee (APF) of Php 5,000;
 If the renewal application is filed after June 30, an Additional License Fee (ALF) of Php 5,000 will also be imposed;
9. If there is any Amendment in the Articles of Incorporation / Partnership, submit a copy of the said Amendment approved by the
Securities & Exchange Commission.
10. Sustaining Technical Employee (STE) nomination shall be limited only to one (1) contractor for one Contracting Fiscal Year
(CFY). In case of transfer of employment by the STE, the technical qualifications of the nominating contractor shall be re-evaluated
but the qualifications of the said STE shall only be considered for the new employer for the next CFY, if such transfer of employment is
still valid and existing.
11. In case of Corporate Applicant with Foreign Content, election of Foreign Nationalities in the Board of Directors is allowed in proportion
to their share in capital.
12. Certificate of ISO Accreditation (for additional credit points purposes only).
13. The Board may require the AMO interview to fully determine the qualifications of the applicant (except Renewal of Regular
License and Change of Business Name and Status applications);
14. Financial Threshold for categorization purposes:
ASSET ACCOUNTS ALLOWABLE LIMIT
Cash on Hand Php 500,000 or 1% of Net Worth per AFS whichever is higher
Pre-operating / Organizational Expenses 20% of Net Worth per AFS
Advances to Directors / Officers / Stockholders & Related Interest (DOSRI) 20% of Net Worth per AFS
Deferred Charges 10% of Net Worth per AFS
*The amount in excess of the allowable limit will be excluded from the Net Worth / Equity to arrive at PCAB computed Net Worth / Equity
15. Deposit for Future Subscription / Subscription Receivables is NOT considered part of equity, thus, excluded from Equity for
categorization purposes.
16. Renewing contractors with downgraded category and/or deleted classification/s may apply for upgrading of license category/additional
or revision of classification/s anytime using the prescribed application forms. However, newly licensed contractors may apply for the
same after six (6) months upon approval of license application.
17. New application for registration in government projects should be accomplished in PCAB-F-SVD-006 / PCAB-PAD-ARC-F01
application form which may be filed simultaneously in a separate folder with the PCAB License Application.
18. Mode of Release of License Certificate: (1) Mail using the prepaid pouch (2) Claim at PCAB Makati / CIAP Windows / DTI Regional or
Provincial Offices.
19. For more inquiries, please contact us at 895.4258 / 895.4220 / 09178482427 / ciappcab.main@gmail.com, pcab@dti.gov.ph
Note: Do not include this page in your application folder. For reference use only.
Page 3 of 27
PCAB APPLICATION FOLDER ANATOMY
CLOSED FOLDER
Company Name
This portion is
Type of Application reserved for
(e.g. New Regular License)
application official
reference number
Regular or
expanding
long/legal size
folder
Reserved for
PCAB Sticker
Left portion of the folder Right portion of the folder

OPENED FOLDER
Fastener Fastener
Separator &
Index Tab
Checklist of C. Financial
Separator &
Requirements Index Tab
Separator &
Index Tab
Separator &
Index Tab
A. Legal B. Technical C. Financial D. Other

Checklist of Forms & Forms Forms & Forms &
Require- Supporting &Supporting Supporting Supporting
ments Documents Documents Documents Documents
Page 4 of 27
Separator 1/4
Attach Red
INDEX TAB here, labeled
“A. Legal”
A. LEGAL
Table of Contents:
A.1. (a) Affidavit of Attestation, (b) Integrity Pledge and (c) Contractor’s General
Information (pages 5, 6 and 7)
A.1.1. Certified true copy of Business Name Registration Certificate
(Scope of Business - NATIONAL; Nature of Business - CONSTRUCTION);
A.1.2. Proofs of Employer’s membership with (a) SSS, (b) PHILHEALTH and (c)
PAG-IBIG;
A.2. Authority to verify documents with Depository Bank, BIR and other Government
Agencies (pages 8, 9 and 10);
Page 5 of 27
AFFIDAVIT OF ATTESTATION
In behalf of SOCERA M LUCINARIO CONSTRUCTION

(Name of Firm)
I hereby request that its application for Contractor's License be approved.
I certify to the completeness of the information/documents contained in this application appertaining to the
category/classification the company is applying for and that the information/documents are true and correct.
I further certify that the business name and/or SEC registration of this firm is valid and existing.
I certify furthermore that the SSS, Pag-IBIG, and PhilHealth contributions were remitted in favor of the employees
of this firm.
I am fully aware that:
1. All documents submitted in support to this application are subject to verification before PCAB action;
2. Any discovered misrepresentation of information and/or manifestations of fraud on the application

documents submitted by my firm applicant or its Authorized Representative/Agent/Liaison Officer shall be
subjected to investigation which may result to the disapproval of my application,
denial/suspension/revocation of license and blacklisting of my firm and myself as its Authorized Managing
Officer; and
3. Unconfirmed information/documents submitted to support my firm's qualifications shall be excluded for

categorization/classification purposes.
4. The evaluation of my qualification shall be solely based on the documents submitted at the time the
application was filed/accepted by PCAB.
JOSE M. LUCINARIO
Authorized Managing Officer (AMO)
(Signature over Printed Name)
Republic of the Philippines )

Province of _________________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at

______________________________________________; affiant exhibited to me his/her Community Tax Certificate
No. _______________ issued at ______________________ on _________________ 20 ___.
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
AMO must sign here:

Page 6 of 27
PCAB INTEGRITY PLEDGE

We believe that the construction industry is one of the most susceptible to all forms of corruption that hampers the
noble objectives towards national progress and global competitiveness.
As frontrunners of nation-building, we acknowledge our major role and responsibility in ensuring that we carry out
our tasks guided by ethical standards and equipped with the necessary capability for the successful prosecution of
our contracts.
In view thereof, we pledge the following:
 We will present only true qualifications to PCAB so that we may be evaluated properly and be given the
category and classification where we should rightfully belong;
 We will uphold the dignity of the license and not be instruments for unlicensed contractors to undertake
construction projects through license lending nor through false joint ventures/consortium or pseudo
combinations which is inimical to the public safety/interest;
 We will not employ unlicensed sub-contractors/specialty contractors which is a clear circumvention of the
requirement that all contractors must be licensed;
 We will absolutely shun away from any form of collusion that destroys the very essence and integrity of
biddings;
 We will not engage in bribery or do any act which constitutes graft or corrupt practice which is the root
cause of bloated contract amounts;
 We will not use sub-standard materials which will in any way compromise the safety, reliability and
performance of the built environment;
 We will not abandon our contracts and we will implement our projects faithfully in accordance with the
prescribed specifications thereof;
 We will provide the necessary resources, financial and technical capability in carrying out our contractual
obligations, and as far as possible, within the stipulated time of completion;
 We are aware that we will be imposed disciplinary action should we violate any of the commitments hereof
or the PCAB Code of Ethics or be found to be a party to corruption.
JOSE M. LUCINARIO
SOCERA M LUCINARIO CONSTRUCTION
Name of Company

Province of _________________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at

____________________________________________________________; affiant exhibited to me his/her
Community Tax Certificate No. _______________ issued at __________________ on _________________ 20 ___.
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
AMO must sign here:

Page 7 of 27
CONTRACTOR’S GENERAL INFORMATION

Note: Please use additional sheets if necessary.
Name of Firm: (as per DTI)
Office Address Telephone/Fax No. (include area code)
41-B DADISON ST. PERICOHON BARANGAY 56 TACLOBAN LEYTE
If Provincial based, contact address in Manila, if any
#3 DONA PACITA ST. MATANDANG BALARA QUEZON CITY
3Website (if any) Official E-mail Address (required) Mobile No.

N/A sml.construction.builders@gmail.com +639398379217
Type of Firm Equity
Sole Proprietorship Filipino: 100% Foreign: 0% Nationality: Filipino
International Organization for Standardization (ISO) Certification (for additional credit points, please check, if any)
[ ] ISO 14001:2004 [ ] OSHAS 18001:2007 [ ] ISO 9001:2008 [ ] ISO 9001:2015
DTI Business Name Registration No. Registration Date (mm/dd/yyyy) Expiry Date (mm/dd/yyyy)
3190550 07/18/2021 07/182026
Firm’s SSS No. Firm’s Tax Identification No. Firm’s PhilHealth No. Firm’s PAG-IBIG No.
80-0228896-1-000 202-691-648-00000 013050000104 210015380002
Category Applied for Principal Classification Applied for Other Classification/s Applied for
(please check only one) (please check only one) (please check, if any)
[ ] General Engineering [X] General Building [X] General Engineering [ ] General Building
[ ] AAAA [X] B X
[ ] Trade [ ] Specialty (please specify below): [ ] Specialty (please specify below):

[ ] AAA [ ]C
[ ] AA [ ]D
[ ]A [ ] E/Trade
2-day AMO Seminar

Participant Host/Organizer Inclusive Dates Venue
JOSE PEME Consultancy
LUCINARIO INC.
40-hour Construction Safety & Health Seminar (COSH)
Participant Company Position Course Provider Inclusive Dates Venue
J3 TRAINERS
SHENLEY ROSE EXECUTIVE &
MAY 30- JUNE 28 2022 WEBINAR
LUCINARIO ASSISTANT CONSULTANT
INC
Certified correct by:
JOSE M. LUCINARIO
(Signature over printed name)
AMO must sign here:

Page 8 of 27
AUTHORITY TO VERIFY DOCUMENTS WITH DEPOSITORY BANK
THE MANAGER
_________________________________
Banco de Oro Northbay Blvd.
514 Northbay blvd, corner Lacson st. Brgy. Navotas
Subject: Bank Account Number : 001660185791
Sir:
Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency under the
Department of Trade and Industry, any information they need regarding the subject account with your bank.
I am applying for a contractor's license from PCAB and part of their evaluation process is the verification of
bank deposits and other assets of an applicant.
This will serve as your authorization to release any information that may be requested by PCAB regarding
the above subject account.
Thank you.
Very truly yours,
Name of Firm:
By: ABELARDO M. LUCINARIO
Authorized Signatory with the Bank

Date:_______________________
AMO must sign here:

Page 9 of 27
AUTHORITY TO VERIFY DOCUMENTS WITH B.I.R.
THE REVENUE DISTRICT OFFICER
Atty. Aynie E. Mandajoyan-Dizon

BIR Regional Office Director – Region 14- Eastern Visayas
BIR Regional Office Building,
Government Center, Candahug Palo, Leyte
Subject: Income Tax Return (ITR) and Audited Financial Statement (AFS) as of _____
Sir:
Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency under the
Department of Trade and Industry, any information they need regarding the subject ITR and AFS filed with
your office.
I am applying for a contractor's license from PCAB and part of their evaluation process is the verification of
ITR and AFS of an applicant.
This will serve as a waiver on the confidentiality provision of Section 270 of the National Internal Revenue
Code of 1997 (memorandum circular No.28, 2006 dated May 08, 2006) and your authorization to release any
information that may be requested by PCAB regarding the above subject document/s.
Thank you.
Very truly yours,
JOSE M. LUCINARIO
Date:____________________
AMO must sign here:

Page 10 of 27
AUTHORITY TO VERIFY DOCUMENTS WITH GOVERNMENT AGENCIES
The Philippine Contractors Accreditation Board (PCAB) is hereby authorized to verify and secure
information and/or copies of documents submitted by or in the name of the firm to any or all of the following
agencies relative to its application filed with the PCAB:
1. Securities and Exchange Commission (SEC)
2. Land Registration Authority (LRA)
3. Land Transportation Office (LTO)
4. Social Security System (SSS)
5. Professional Regulation Commission (PRC)
6. Philippine Health Insurance Corporation (PhilHealth)
7. Home Development Mutual Fund (Pag-IBIG)
JOSE M. LUCINARIO
Date:______________________
AMO must sign here:

Page 11 of 27
Separator 2/4
Attach Blue
“B. Technical”
B. TECHNICAL
Table of Contents:
B.1. Authorized Managing Officer (AMO) Affidavit (page 12);

B.1.1. Certificate of Attendance of 2-day AMO Seminar (AMO should pass the
examination);
B.1.2. Certificate of Completion 40-hour Construction Safety and Health Seminar
(COSH);
B.1.3. Original NBI Clearance;
B.2. Sustaining Technical Employee/s (STE/s) Affidavit of Undertaking with photocopy of
valid PRC ID/s (pages 13 and 14);
B.2.1. Original NBI Clearance/s;
B.2.2. STE/s Affidavit of Construction Experience (15);
B.2.3. STE/s Personal Appearance (page 16);
B.2.4. Certificate of Completion of 40-hour Construction Safety and Health
Seminar (COSH) of at least one (1) of the qualified nominated STEs;
Page 12 of 27
AUTHORIZED MANAGING OFFICER (AMO) AFFIDAVIT

Note: Please accomplish this affidavit properly. Please use additional sheets if necessary.
2x2 Picture
Republic of the Philippines ) of AMO
Province of ______________)
City/Municipality of ________) S.S
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
LUCINARIO JOSE MANDREZA
Citizenship mm dd yyyy Last Name First Name Middle Name
Born on 11 25 1960 Single N/A N/A N/A
FILIPINO
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and 435 DULIG, LABRADOR PANGASINAN
residing at:
having duly sworn to in accordance with law depose and say:
1. That I am the Authorized Managing Officer of : SOCERA M LUCINARIO CONSTRUCTION
________________________________________________________________________________________
(Name of Firm)
with position of: DIRECTOR OF ENGINEERING
___________________________________________________________________________________________________
(Position in the Firm)
2. That I possess the following educational attainments (attach additional sheet if necessary)
Inclusive Dates
Name of School Address Course
From To
DIVINE WORD UNIVERSITY TACLOBAN CITY BSCE 1980 1984
NATIONAL UNIVERSITY MANILA SANITARY ENGINEERING 1986 1987
3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 of IRR of R.A. 4566)
Dates of
Designation / Position Company / Nature of Business Address Job Description Employment
From To
PROJ.
PROJECT JAN JUNE
ENGINEER/PROPRIETO JONALOU ENTERPRISES PANGASINAN
SUPERVISION 2013 2017
R
PROJECT Nov. April
PROJ. ENGINEER AL SWAYEH CO. RIYADH KSA
SUPERVISION 1991 2007
PROJ
Engineer I DPWH CAR - BAGUIO 1990 1991
SUPERVISION
4. That I possess knowledge of the building, safety, health, & lien laws of the Republic of the Philippines & the rudimentary
administrative principles of construction contracting from my work experiences in item 3 above and from the following
training/seminars (Ref. Sec. 20 of IRR of R.A. 4566):
5. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any act of
omission liable for disciplinary action by myself or in collaboration with any other person (Section 4.2 of IRR of R.A. 4566)
6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude (Section 4.2 of IRR
of R.A. 4566)
7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shall cause my
disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or a license applicant with PCAB .
8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whatever sources PCAB may
consider appropriate
9. That I certify under pain of perjury that all information on this affidavit are true and correct.
FURTHER AFFIANT SAYETH NAUGHT.
JOSE M. LUCINARIO
SUBSCRIBED AND SWORN to before me this _____ day of __________________________________________________ 20___

at ___________________________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. _____________ issued at _________________________________________ on ______________ 20________.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
AMO must sign here:
Page 13 of 27
SUSTAINING TECHNICAL EMPLOYEE (STE) AFFIDAVIT OF UNDERTAKING

Note: Please accomplish this affidavit properly. Refer to the next page for STE qualification requirements.
2x2 Picture
Republic of the Philippines ) of STE
Province of ______________)
I,
LUCINARIO JOSE
mm dd yyyy Single / Last Name First Name Middle Name
Born on 11 25 1960 DIZON NANCY VELORIA
Married to
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and 435 DULIG LABRADOR PANGASINAN
residing at
Telephone / Mobile No. (required) Email Address (required)
with 0929-2850909 sml.construction.builders@gmail.com
having been duly sworn in accordance with law depose and say:
1. That I am a duly licensed ___CIVIL ENGINEER____ and holder of PRC License No. 0041161
(Profession)
valid up to Nov 25, 2025, as evidenced by a copy of my PRC ID posted below;
Course / Profession
That I hold a Bachelor's Degree in
CIVIL ENGINEERING
2. Name of School Inclusive Dates
Given at: Given on:
DIVINE WORD UNIVERSITY 1980-1984
That my Tax Identification Number is : 948 660 533 000
3.
and my Social Security System Number: 038 706 0417
That I am employed on a regular and full-time Name of Firm
basis by: SOCERA M LUCINARIO CONSTRUCTION
4. Position in the Firm Contracting Fiscal Year (CFY)
With the position of DIRECTOR OF as STE for
2022 - 2023
ENGINEERING
5. That I am not presently employed by either a private company or any government office or government owned/controlled
corporation, nor a full time instructor, nor working abroad;
6. That I am not a holder of a valid contractor's license;
7. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any
act or omission liable for disciplinary action by myself or in collaboration with any other person;
8. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude;
9. That I am fully aware that my failure to notify the PCAB of my disassociation from my present employer within 30 days from
such disassociation shall cause my disqualification from being a Sustaining Technical Employee, an Authorized Managing
Officer and an applicant for a contractor’s license with PCAB;
10. That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB may
consider appropriate;
11. That I am executing this affidavit to attest to the truth of the foregoing.
JOSE M. LUCINARIO
Sustaining Technical Employee (STE)
SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___ at ___________________________;
affiant exhibited his/her Community Tax Certificate No. _____________ issued at __________________ on ______________ 20___.
Doc. No. NOTARY PUBLIC

Page No. Until December 31, 20 ___
Book No.
Series of 20
___
-PASTE HERE- -PASTE HERE-
ACTUAL SIZE clear copy of ACTUAL SIZE clear copy of

valid PRC ID CARD valid PRC ID CARD
(Front) (Back)
AMO must sign here:

Page 14 of 27
STE QUALIFICATION REQUIREMENTS
1. A technology professional, such as engineer or architect, duly licensed by the Professional Regulation
Commission (PRC).
2. Holder of a valid PRC ID
3. With three (3) years minimum actual construction experience.
4. A full-time employee of the nominating contractor, not associated professionally or by employment with
any other party, particularly a party engaged in construction or construction-related activities.
5. Have none of the following disqualifications:
a) Involvement, in any capacity, in any construction malperformance of grave consequence, suggestive

of his negligence, incompetence and/or malpractice;
b) Involvement, by himself or in collaboration with any other person or firm, in any act or omission liable
for disciplinary action of which he/she is or the other person or firm was found guilty by the PCAB
Board;
c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and
d) If formerly a Sustaining Technical Employee or an Authorized Managing Officer of any construction

firm but disassociated there from, failure to notify the Board of his disassociation in accordance
with paragraph 5 and 6 of the Affidavit of Undertaking.
This is to certify that I have verified with PRC the above stated professional eligibility/registration of the
Sustaining Technical Employee. Affiant herein and found the same to be true and correct.
JOSE M. LUCINARIO
__________________________________________
Date
AMO must sign here:

Page 15 of 27
STE AFFIDAVIT OF CONSTRUCTION EXPERIENCE

Note: To be accomplished by the NEWLY nominated STE. Please use additional sheets if necessary.

Province of ______________)
I, JOSE M. LUCINARIO, single/married, Filipino, of legal age, with postal address at 435 DULIG LABRADOR
PANGASINAN, having been duly sworn in accordance with law depose and say that the projects enumerated below
constitute my full & complete construction experience.
Name and Work Nature/Scope of Work Project Duration

Complete Address of Employer/ Classification Assignment (mm/dd/yyyy)
Name & Location of Projects Undertaken (GE, GB, SP) (Proj. Engr.) From To
AL SWAYEH Co. RIYADH KSA GB Proj. Engineer 07-19-97 05-19-99
 Construction of Saudi American Bank –
Prince Abdullah St. Riyadh KSA
AL SWAYEH Co. RIYADH KSA GE Proj. Engineer 01-20-92 02-30-94

 Yanbu – Jeddah Diversion Road
Concreting and Drainage System
DPWH – CAR BAGUIO GE Supervising Engineer 10-15-90 8-30-91

 Restoration Labey-Lak-Amen Ambuklao
Road Baguio
CAVITE IDEAL CONST. ALMANZA LAS PINAS GE Proj. Engineer 02-01-88 11-01-88
 Const. of Shore Protection (Break Water)
Dalahican Cavite
That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB
may consider appropriate;
That I am executing this affidavit to attest to the truth of the foregoing.
JOSE M. LUCINARIO
Sustaining Technical Employee (STE)
SUBSCRIBED AND SWORN to before me this ________ day of ___________________________________ 20_____

at ______________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. ______________ issued at ___________________________ on ____________________ 20___.
NOTARY PUBLIC
Doc. No
Page No.
Book No.
Series of 20 _____.
AMO must sign here:

Page 16 of 27
STE PERSONAL APPEARANCE

Note: To be accomplished and signed by the NEWLY nominated STE. The STE Personal Appearance is valid only for three (3)
months from the date signed by the PCAB/CIAP Window/DTI Personnel.
Name of STE
LUCINARIO JOSE MANDREZA
Profession PRC ID No. Expiration Date
CIVIL ENGINEER 0041161 11-25-2025
Present Employer (Company Name)
SOCERA M. LUCINARIO CONSTRUCTION
I hereby confirm the following:
1. The veracity of the information reflected on the STE Affidavit and Affidavit of Construction Experience
that I executed in favor of the above present employer;
2. That I am fully aware that my failure to notify the PCAB of my disassociation from the above-stated
nominating firm and any misrepresentation in the attached forms shall cause my disqualification as
sustaining technical employee, or authorized managing officer, or a licensee applicant with PCAB per
Board Resolution No. 401, Series of 2001.
3. That I have been previously connected with the following companies and disassociated therefore:
Date of Date of
Previous Employers (Company Name) Position
Employment Resignation
JONALOU ENTERPRISES Jan. 2013 June 2017 Proj. Engineer
AL SWAYE CO. RIYADH KSA Nov. 1991 April 2007 Proj. Engineer
DPWH CAR - Baguio 1990 1991 Engineer I
Cavite Ideal Construction 1988 1989 Proj. Engineer
4. Other Remarks:
_____________________________________________________________________________________
_____________________________________________________________________________________
Valid I.D.(s) Presented:
1. PRC ID No: 0041161 JOSE M. LUCINARIO

STE’s Signature
2. Driver’s License No: N04-85-010614
________________________
Date Signed
-----------------------------------------------------------------------
To be filled out by PCAB/CIAP Window/DTI-ROG Personnel
Signature over Printed Name STE’s Specimen Signature (during interview)

Date:
Date:
PCAB/CIAP Window/DTI-ROG Office:
Page 17 of 27
Separator 3/4
Attach Yellow
“C. Financial”
C. FINANCIAL
Table of Contents:
C.1. Complete Audited Financial Statement (AFS) with accompanying Auditor’s Opinion
Report and Notes dated within the last six (6) months immediately preceding the filing of
application (duly audited and signed on every page by an Independent CPA with valid PRC-
BOA accreditation);
C.2. For EXISTING/OLD companies: AFS for the immediately preceding taxable year
and copy of Annual Income Tax Return (ITR) and Quarterly ITR certified by the BIR;
C.3. Additional documents in support to item C.1 (if applicable) shall be IN THE NAME
OF THE FIRM OR OWNER/SPOUSE:
C.3.1. Cash in Bank: Original copy of Bank Certification / Bank statement of
account certified by Bank Manager of cash deposits as of the BALANCE SHEET
DATE;
C.3.2. List of Constructor’s Real Properties (page 18);
C.3.2.1. Certified copy of Transfer of Certificate of Title (TCT) including
back page and Deed of Sale or Tax Declaration of Land;
C.3.2.2.Certified copy of Condominium Certificate of Title and Deed of Sale
or Tax Declaration of Condominium;
C.3.2.3.Certified copy of Tax Declaration of Building and Improvements;
C.3.3. List of Constructor’s Plants, Vehicles and Equipment (page 19);
C.3.3.1. Certified copy by Land Transportation Office (LTO) Certificate of
Registration and Current Official Receipt of Registration of Construction
and/or Transportation / Delivery Vehicles / Equipment reported;
C.3.3.2. Deed of Sale or sales invoices/official receipts of other
construction equipment/machineries;
C.3.4. Schedule of Receivables (page 20);
C.3.5. Construction in Progress: Schedule with complete details (if the amount
exceeds 10% of the Net Worth);
C.3.6. Appropriate documents in support of Other Assets;
Page 18 of 27
LIST OF CONSTRUCTOR’S REAL PROPERTIES

Note: Fill-out this form if applicable. Please use additional sheets if necessary.
REAL PROPERTIES OF THE FIRM AS OF THE BALANCE SHEET DATE

COMPLETE *TCT-CLT/ LOCATION ACQUISITION ACQUISITION
DESCRIPTION CCT/TD (Street No., Barangay,
COST DATE
(Type of Land/Building) NUMBER Municipality/City, Province)
*LEGEND:
TCT – Transfer Certificate of Title
CCT – Condominium Certificate of Title
TD – Tax Declaration
CLT – Certificate of Land Title
JOSE M. LUCINARIO
Date:________________________
AMO must sign here:

Page 19 of 27
LIST OF CONSTRUCTOR’S PLANTS, VEHICLES AND EQUIPMENT

Note: Fill-out this form if applicable. Please use additional sheets if necessary.
A. DELIVERY AND TRANSPORTATION EQUIPMENT OF THE FIRM AS OF BALANCE SHEET DATE

COMPLETE DESCRIPTION ACQUISITION BOOK
Year Cost VALUE
Vehicle Brand / Type Plate No. OR No. / Date Date (Php)
Model (Php)
FORD RANGER NAX 4035 2018
OVERALL TOTAL VALUE Php Php
B. MACHINERIES/PLANTS AND OTHER CONSTRUCTION EQUIPMENT OF THE FIRM AS OF BALANCE SHEET DATE
ACQUISITION BOOK
COMPLETE
SERIAL NO. Cost VALUE
DESCRIPTION Date
(Php) (Php)
OVERALL TOTAL VALUE Php Php
JOSE M. LUCINARIO
Date:_________________________
AMO must sign here:

Page 20 of 27
SCHEDULE OF RECEIVABLES as of ________

Note: To be accomplished if the applicant's receivable accounts (accounts/contracts & other receivable) exceed 50% of the
total Net Worth/equity as of the latest audited balance sheet submitted in support of its application . Please use additional
sheets if necessary.
Amount Due for

Name of Projects Age Client Name / Complete Address
Collection
Certified Correct by:
____________________________________________ JOSE M. LUCINARIO

Printed Name and Signature of External Auditor Printed Name and Signature of AMO
AMO must sign here:

Page 21 of 27
Separator 4/4
Attach Orange
“D. Others”
D. OTHERS
Table of Contents:
D.1. Authorized Representatives Affidavit (page 22);

Page 22 of 27
AUTHORIZED REPRESENTATIVES AFFIDAVIT

Note: To be accomplished by the AMO.

Province of ______________)
I, LUCINARIO JOSE MANDREZA
mm dd yyyy Last Name First Name Middle Name
born on Single
11 25 1960
and Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
residing 345 DULIG LABRADOR PANGASINAN
at:
having duly sworn to in accordance with law depose and say:
That I am the Name of Firm
Authorized
Managing SOCERA M. LUCINARIO CONSTRUCTION
1. Officer of :
Room/Floor/Unit/Bldg. Name, Lot/Block/Ph. No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
with office
41-B DADISON ST. PERICOHON BRGY. 56 TACLOBAN CITY
address at:
That I appoint two (2) representatives, whose pictures and signatures appear below:
Name of Representatives and Signature of Representatives
Pictures (2x2) of Representatives
Positions in the Firm over Printed Name
Representative 1 Representative 1 Representative 1
SHENLEY ROSE LUCINARIO
2.
Representative 2 Representative 2 Representative 2
to transact business with PCAB; i.e, present for pre-screening my application for contractor’s license or any
application related thereto, file/follow-up, submit documents, receive notices/license in connection with the said
application and the like.
That I am aware that I am responsible/liable for any or all acts/representation made by my representatives in
3.
connection with the functions stated herein.
4. That I undertake to notify PCAB in the event that this appointment is modified, amended or revoked.
That I have read and fully understood and complied with the requirements of PCAB Board Resolution No. 515 s.
5.
2011 (copies of required documents are attached).
JOSE M. LUCINARIO
SUBSCRIBED AND SWORN to before me this _________ day of ____________________________, 20_____ at

_____________________________________________________; affiant exhibited his/her Community Tax Certificate
No. _____________________ issued at _____________________________ on ________________ 20_________.
NOTARY PUBLIC
Doc. No.
Page No.
Book No.
Series of 20 ___
AMO must sign here:

Page 23 of 27
Page 24 of 27
GUIDELINES FOR CLASSIFICATION AND CATEGORIZATION OF CONTRACTORS

1. CLASSIFICATION means the area of operation that a contractor can engage
is based on the technical experience of his sustaining technical employee (STE). A contractor may apply for and
be issued more than one classification, one of which shall be designated as his principal classification.
2. CATEGORY indicates the graded level of aggregate capability of a contractor
with respect to his principal classification and is based on predetermined qualification criteria which include
financial capacity, experience of STE, track record and equipment. Evaluation of category shall be based on the
following criteria quantified by credit points in scales as determined by the Board.
2.1. FINANCIAL CAPACITY shall be in term of Net Worth based on the latest Audited Financial Statements
(AFS) submitted to the Bureau of Internal Revenue (BIR), or paid-up capital based on the latest audited
financial statements submitted to the Securities and Exchange Commission (SEC), if a newly-organized
partnership or corporation. PCAB has the right to reject or reduce portion thereof if, upon verification, the
reported assets of the contractor were found to be erroneous or not adequately supported with appropriate
documents. Corresponding credit points is 1 for every P100,000.00 of the value of Net Worth/Stockholder’s
Equity.
2.2. EQUIPMENT CAPACITY shall be in term of book value as reflected in the constructor’s latest audited
financial statement submitted to the BIR or the SEC, whichever is applicable, or equipment owned which
are in operational condition and applicable to construction of the classification in which the constructor is to
be categorized. Said owned equipment shall include units under installment and/or under lease purchase.
Corresponding credit points is 1 for every P100,000.00 of the NBV of the contractor owned equipment.
2.3. EXPERIENCE OF FIRM shall be in terms of:
2.3.1. Aggregate number of years in which the constructor firm, under the same business identify, has
been actively engaged in construction contracting operation. Corresponding credit points is 10 for
every year of actual construction operation as a licensed contractor; and
2.3.2. Average Annual Value of Work Completed by the firm during the past three (3) years or, if
constructor’s license is less than three (3) years, since being licensed, based on the audited
financial statements submitted to the BIR. Corresponding credit points is one (1) for every
P100,000.00 of the annual value of work accomplishment.
2.4. EXPERIENCE OF TECHNICAL PERSONNEL shall be the sum total of individual experience of each STE
nominated to the classification and shall be subject to the qualification requirement of each category as
indicated in the PCAB Classification and Categorization Table. Said individual experience of the STE shall
be as defined and qualified below:
2.4.1. The experience shall be in term of aggregate number of years in which the STE, in his present
employment as well as previous, has been involved in construction is to be categorized.
2.4.2. It shall include only the years in which he was performing in managerial/supervisory capacity
bearing on construction operation and/or contract implementation.
2.4.3. It shall be subject to a creditable ceiling of thirty (30) years, over which no excess shall be
recognized.
Corresponding credit point is five (5) for every year of experience in construction.
The category of a contractor shall be determined on the basis of the number of points credited on the
aggregate/combined experience of all its qualified STE. Only STEs who meet the minimum individual
experience required shall be considered in determining aggregate experience and credit points. Thus, in
order to qualify to the technical capacity requirement for category “AAA”, the contractor must have qualified
STEs whose individual experience is not less than ten (10) years with a creditable ceiling of thirty (30)
years and have an aggregate/combined experience of at least sixty (60) years.
3. In determining a contractor’s category, his qualification must satisfy all the
minimum requirements, corresponding to the classification and category applied for, qualified and rated according
to equivalent credit points and shall be the lowest sustainable by all three determinants as follows:
3.1.1. Financial Capacity
3.1.2. Experience of STE
3.1.3. Overall credit points based on the four qualification criteria referred to in item 2
of these guidelines.
Page 25 of 27
GUIDELINES FOR THE LICENSING OF CATEGORY QUADRUPLE A CONTRACTORS

Board Resolution No. 079, series of 2017
INTRODUCTION
The Quadruple A category license is a new category that will allow for the issuance of a regular license (with
annotation) to contractors with more than 40% foreign equity participation.
SCOPE OF REGISTRATION
A newly organized domestic corporation (up to 100% foreign-owned) whose purpose is construction is eligible to
apply for the category. Likewise, a licensed contractor who has an Equity / Net Worth at least Php 1 Billion may apply
for upgrading to Quadruple A.
There will be two types of Quadruple A Licenses:
1. Quadruple A Platinum - locally owned licensed contractors with at least Php 1 Billion equity
2. Quadruple A Gold - foreign-owned domestic corporation with at least Php 1 Billion equity
AUTHORIZED MANAGING OFFICER (AMO)
The AMO may be a foreigner provided that the foreign AMO complies with the PCAB qualification standards of a
Filipino AMO. The AMO should be at least 35 years old.
The AMO should complete the AMO seminar, COSH and pass the AMO examination and interview by the Board.
FINANCIAL QUALIFICATION
The Financial Qualification shall be evidenced by Audited Financial Statements with at least Php 1 Billion equity. For
newly organized foreign owned subsidiaries, the equity of PHP 1 Billion in cash shall be evidenced by inward
remittance through the Banko Sentral ng Pilipinas.
TECHNICAL QUALIFICATION
The Technical Qualification shall be that of the AAA category.
LIMITATION OF THE LICENSE
Quadruple A Gold contractors may undertake private projects under the following contract cost:
• For VERTICAL PROJECTS - minimum contract cost of PHP 5 Billion
• For HORIZONTAL PROJECTS - minimum contract cost of PHP 3 Billion
Quadruple A Platinum contractors may undertake government and private projects of any contract cost.
The Quadruple A category shall be limited to general contractors. However, Quadruple A contractors may engage
licensed subcontractor/specialty contractors to work on portions of its projects.
RENEWAL
Quadruple A Gold contractors should maintain the Financial and Technical Qualifications for Quadruple A category. If
a Quadruple A contractor does not maintain its P 1 Billion equity, its license will be invalidated.
Quadruple A Platinum contractors who fail to meet the Financial and Technical Qualifications shall be downgraded to
the highest category they will qualify for.
Page 26 of 27
PCAB Categorization – Classification Table
(Board Resolution No. 201, series of 2017)
Minimum Qualification Requirements
(2)
(1) **Sustaining Technical
*Financial Capacity Employee (STE) (3)
Classification Category Construction Experience ***Overall
Aggre- Credit
Minimum Indivi- Minimum
Credit gate Points
Networth / dual Credit
Points (man-
Equity (P) (years) Points
years)
A. GENERAL ENGINEERING AAAA 1,000,000,000.00 10,000.00 10 60 300 10,300.00
GE-1 (Road, Highways, Pavement, AAA 180,000,000.00 1,800.00 10 60 300 2,850.00
Railways, Airport Horizontal
Structure, and Bridges) AA 90,000,000.00 900.00 10 50 250 1,365.15
GE-2 (Irrigation or Flood Control)
A 30,000,000.00 300.00 7 21 105 475.00
GE-3 (Dam, Reservoir or Tunneling)
GE-4 (Water Supply) B 10,000,000.00 100.00 5 10 50 177.50
GE-5 (Port, Harbor or Offshore
Engineering) C 6,000,000.00 60.00 3 3 15 105.50
D 2,000,000.00 20.00 3 3 15 35.00
B. GENERAL BUILDING AAAA 1,000,000,000.00 10,000.00 10 60 300 10,300.00

GB-1 (Building or Industrial Plant) AAA 180,000,000.00 1,800.00 10 60 300 2,810.00
GB-2 (Sewerage or Sewage System)
AA 90,000,000.00 900.00 10 50 250 1,345.00
GB-3 (Water Treatment Plant & System)
A 30,000,000.00 300.00 7 21 105 471.00
GB-4 (Park, Playground or Recreational
Work)
B 10,000,000.00 100.00 5 10 50 175.50
C 6,000,000.00 60.00 3 3 15 96.50
D 2,000,000.00 20.00 3 3 15 35.00
C. SPECIALTY
AAAA 1,000,000,000.00 10,000.00 10 60 300 10,300.00
SP-FW (Foundation Work)
SP-SS (Structural Steel Work)
SP-CC (Concrete Pre-casting, Pre-
Stressing or Post-tensioning) AAA 180,000,000.00 1,800.00 10 60 300 2,410.00
SP-PS (Plumbing & Sanitary Work)

SP-EE (Electrical Work)
SP-ME (Mechanical Work)
AA 90,000,000.00 900.00 10 50 250 1,145.00
SP-AC (Air-conditioning or Refrigeration)

SP-ES (Elevator or Escalator)
SP-FP (Fire Protection Work) A 30,000,000.00 300.00 7 21 105 421.00
SP-WP (Waterproofing Work)
SP-PN (Painting Work)
SP-WD (Well-Drilling Work) B 10,000,000.00 100.00 5 10 50 165.50
SP-CF (Communication Facilities)
SP-MS (Metal Roofing & Siding
Installation)
C 6,000,000.00 60.00 3 3 15 90.50
SP-SD (Structural Demolition)
SP-LS (Landscaping)
SP-EM (Electro Mechanical Work) D 2,000,000.00 20.00 3 3 15 35.00
SP-NF (Navigational Facilities)
D. SP-TRADE Trade/E 100,000.00 1.00 none none none 1.00
* Minimum Qualification Requirements for Principal Classification
** For Other Classification/s, Minimum of 3 Years Actual Construction Experience
*** Overall credit points inclusive of Equipment Capacity (1 point/P100Th); Experience of Firm (10 points/year of active existence); and
1 point/P100Th of 3 year Average Annual Volume of Work Accomplished; and COMTCP points if STEs are COMTCP certified
Page 27 of 27
FEE STRUCTURE
New Regular License Application

Category
Fee Particulars AAAA AAA AA A B C D E/Trade
Filing Fee 1,200 1,200 1,200 1,200 1,200 1,200 1,200 1,200
Classification Fee
Principal 4,800 4,800 2,400 480 240 144 48 nil
Other/s (chargeable for
2,400 2,400 1,200 240 120 72 24 nil
each classification)
Categorization Fee 100,000 43,200 21,600 7,200 4,800 2,400 1,200 nil
License Fee 100 100 100 100 100 100 100 100
Documentary Stamp Tax 30 30 30 30 30 30 30 30
Legal Research Fund 12 12 12 12 12 12 12 12
Grand Total (P) 108,542 51,742 26,542 9,262 6,502 3,958 2,614 1,342
Forms of Payment - Cash / Postal Money Order or Manager’s Check or Cashier’s Check payable to “CIAP” /
Online payment via Landbank (visit ciap.dti.gov.ph for more information)

New Regular Contractor'S License Application: Checklist of Requirements (FOR SOLE PROPRIETORSHIP) Remarks

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Department of Trade & Industry Philippines

Construction Industry Authority of the Philippines

Checklist of Requirements (FOR SOLE PROPRIETORSHIP) Remarks

AMO must sign here:

PCAB APPLICATION FOLDER ANATOMY

Left portion of the folder Right portion of the folder

A. Legal B. Technical C. Financial D. Other

In behalf of SOCERA M LUCINARIO CONSTRUCTION

I hereby request that its application for Contractor's License be approved.

I am fully aware that:

2. Any discovered misrepresentation of information and/or manifestations of fraud on the application

3. Unconfirmed information/documents submitted to support my firm's qualifications shall be excluded for

Republic of the Philippines )

SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at

AMO must sign here:

PCAB INTEGRITY PLEDGE

In view thereof, we pledge the following:

Republic of the Philippines )

SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at

AMO must sign here:

CONTRACTOR’S GENERAL INFORMATION

SOCERA M LUCINARIO CONSTRUCTION

Office Address Telephone/Fax No. (include area code)

41-B DADISON ST. PERICOHON BARANGAY 56 TACLOBAN LEYTE

If Provincial based, contact address in Manila, if any

#3 DONA PACITA ST. MATANDANG BALARA QUEZON CITY

3Website (if any) Official E-mail Address (required) Mobile No.

[ ] Trade [ ] Specialty (please specify below): [ ] Specialty (please specify below):

2-day AMO Seminar

AMO must sign here:

AUTHORITY TO VERIFY DOCUMENTS WITH DEPOSITORY BANK

Subject: Bank Account Number : 001660185791

Very truly yours,

SOCERA M LUCINARIO CONSTRUCTION

By: ABELARDO M. LUCINARIO

Authorized Signatory with the Bank

AMO must sign here:

AUTHORITY TO VERIFY DOCUMENTS WITH B.I.R.

THE REVENUE DISTRICT OFFICER

Atty. Aynie E. Mandajoyan-Dizon

Very truly yours,

AMO must sign here:

AUTHORITY TO VERIFY DOCUMENTS WITH GOVERNMENT AGENCIES

1. Securities and Exchange Commission (SEC)

2. Land Registration Authority (LRA)

3. Land Transportation Office (LTO)

4. Social Security System (SSS)

5. Professional Regulation Commission (PRC)

6. Philippine Health Insurance Corporation (PhilHealth)

7. Home Development Mutual Fund (Pag-IBIG)

AMO must sign here:

B.1. Authorized Managing Officer (AMO) Affidavit (page 12);

AUTHORIZED MANAGING OFFICER (AMO) AFFIDAVIT

NATIONAL UNIVERSITY MANILA SANITARY ENGINEERING 1986 1987

SUBSCRIBED AND SWORN to before me this _____ day of __________________________________________________ 20___

SUSTAINING TECHNICAL EMPLOYEE (STE) AFFIDAVIT OF UNDERTAKING

Doc. No. NOTARY PUBLIC

-PASTE HERE- -PASTE HERE-

ACTUAL SIZE clear copy of ACTUAL SIZE clear copy of

SUBSCRIBED AND SWORN to before me this day of _______ 20 at

SUBSCRIBED AND SWORN to before me this day of _______ 20 at

SUBSCRIBED AND SWORN to before me this _ day of ____________________________________________ 20_

SUBSCRIBED AND SWORN to before me this day of _______________________ 20_

SUBSCRIBED AND SWORN to before me this _ day of ________________, 20_ at