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2/F Phoenix Building

# 33 kamuning Road, QC
T (632) 927-9112 F (632)9260341
DECLARATION OF INTENT TO BE ACCREDITED AND SUPPLIER COMMITMENTS
TO: The Purchasing Department
Attention: Chief Operating Officer
Thru: Purchasing Department
Our Company, Cosmic Technologies Inc.. Would like to apply for accreditation with the intent to supply
products and or services to EXCITE/TOUCHPOINT, subject to its standard accreditation process and
documentary requirements. We understand and will comply with the requirements for accreditation
including the disclosure of our Company's financial condition, submission of audited financial statements,
ownership and management structure, product and service lines, track record in the industry including
dealings with other stakeholders. We shall keep our delivery, cost and quality commitments as well as
provide timely update on the status of the Purchase Order (PO) awarded to our Company. We shall deal
with Excite/Touchpoint Purchasing Department and other employees in a professional and transparent
manner with due observance to ethical business practice to avoid potential or actual fraud or fraudulent
situations that may create a negative perception on the purchasing transactions. We shall report taking of
bribe and unauthorized solicitation of favors for the personal benefit of Purchasing staff and other
employees; conflict of interest; unfair treatment; discrimination and other situations that are contrary to
good governance and professional business practice.
We further understand that EXCITE/TOUCHPOINT will monitor and measure our performance, and shall
impose appropriate corrective measures to ensure that our actions are aligned and compliant to the
Standards of EXCITE/TOUCHPOINT with regard to its Policy. We will also practice continuous
improvement on our part with the aim of becoming a reliable strategic partner of EXCITE/TOUCHPOINT.
Should our performance fail and we are unable to institute the proper corrective measures, or we breach
the PO and Contract terms and conditions including the terms of our accreditation, we recognize that
these will be sufficient grounds for our Accreditation to be revoked and cancelled by
EXCITE/TOUCHPOINT, leading to our de-listing from the Accredited suppliers List, subject to the due
process to be undertaken by EXCITE/TOUCHPOINT.
Authorized Suppliers Representatives:

Authorized Suppliers Representative

_________________________________
Position/Print Name/Signature/Date

_________________________________
Position/Print Name/Signature/Date

EXC-PUR-OO1F

2/F Phoenix Building


# 33 kamuning Road, Quezon
City
T (632) 927-9112 F (632)9260341

SUPPLIERS ACCREDITATION FORM


Company Name: Cosmic Technologies Inc.
Registered Address: Unit 1002 10/F Pearl of the
orient tower 1240 Roxas Blvd., brgy 667 Zone
072 Ermita, Manila
Telephone No.(s) :

Fax No: 521-8999

Website Address

E-mail Address:accounting@cherrymobile.com.ph

: www.cherrymobile.com.ph

Contact Person:

Position:

DTI/SEC. Reg.No: CS200905947

Date Reg.with DTI/SEC:April 28, 2009

TIN/Value Reg.No.:

TIN/VAT Reg. Date: 007-286-271-000

007-286-271-000

Business Reg. No.: 2016018286


ISO Certified:

Yes ____

Bus. Reg. Date:


No __X__

ISO Certificate No.: N/A

Credit Terms:

Credit Limit:

Date Established: April 28, 2009

Market/Industries Served:

COMPANY OFFICERS
NAME

EXC-PUR-OO1F

POSITION

ADDRESS

TEL. NO.

NATIONALITY

Chiu, Roger

President

60 Street, Villa Ernesto


Subd. Casa CDO

Filipino

Ngu, Maynard

CEO

Filipino

Chiu,
Edward
Ngu,
Michelle
Marie
Ngu, Milton

Director

1438 Sagat Street,


Paco, Manila
Tomas Soro 16th.,
Nazareth, CDO
1438 Sagat Street,
Paco, Manila
1621 Peafrancia st.
Paco, Manila

Filipino

COS
CFO

Filipino
Filipino

BANK REFERRENCES
NAME
Banco De Oro
Bank of the Philippine
Islands

BRANCH/ADDRESS
Padre Faura A. Mabini branch
Dewey Branch

CONTACT PERSON/TEL. NO.


Ms. Anna /536-9678

Metrobank

Taft Ave. branch

Ms. Jen/536-3043

CONTACT PERSONS
NAME

POSITION

DEPARTMENT

TEL.
NO.

NATIONALITY

Ginalyn Tan
Fe Varilla
James Tecson

Finance Head

Accounting Dept.

Filipino

General Manager
Logistics Supervisor

Sales Department
Logistic Department

Filipino
Filipino

AFFILIATED COMPANIES & RELATED BUSINESS


COMPANY NAME

EXC-PUR-OO1F

% OF
OWNERSHI
P

ADDRESS & CONTACT


NO.

Versatile Customer Care Solutions


Inc.
MSN Lifestyle
QR Technologies Philippines Inc
Optimus Mobile Technologies
Incorporated
Kosmos Technomobile Inc

5 MAJOR CLIENTS
COMPANY NAME

ADDRESS

CONTACT NO.

Globe Telecom

Pioneer corner Madison st.


Mandaluyong city
Unit 6 #45 Mapang-akit st. Brgy.
Pinyahan, Quezon City

730-4287

Siena Mobile

928-9377

CONTACT
PERSON
Anafelia C.
Libron
Jerry Siena

ORGANIZATIONAL STATUS
Number of regular employees

Outsource

PRODUCTS OR SERVICE CATEGORY


Dealer

Transport / Service Provider

Fabrication

Manufacturer

Printing

Technical

Advertising

Office/ Janitorial Supplies

Cons Materials

Catering

OTHERS

Rental
Medical

Please specify Retail/Trading

LIST OF TOOLS, EQUIPMENT, MACHINERY FOR BUSINESS OPERATION


______________________________________________________________________
______________________________________________________________________

EXC-PUR-OO1F

OWNERSHIP STRUCTURE
Is this company a division or a subsidiary of another company? Yes

No

If yes, what is the name of the parent company?


___________________________________________________________________________
If yes, in what country is the parent company located?
____________________________________________________________________________________

DOCUMENTS SUBMITTED
Letter of Intent
Company Profile
Articles of Incorporation
By Laws
VAT Registration Certificate
DTI/SEC Certificate
Audited Financial Statement (2 years)
Certificate of Registration of Owner (s)
Municipality/Mayors Permit
Business Permit
Copy of ITR Previous Year
Sample Copy of Purchase Order/Job Order (from 5 Major Clients)
Sample Copy of Official Receipt
Sample Copy of Invoice
Location (Sketch) Office-store and Warehouse
Note: Please do not leave any item blank. Write N/A if information requested is not applicable to your company.

The undersigned hereby confirms that the above information is true and correct, and that we are
the duly authorized to enter into this accreditation agreement and the supporting documents attached
hereto are genuine and authentic.
I hereby authorize EXCITE, INC. to obtain pertinent information from clients, banks and any other
source necessary for the objective of evaluation for this application. The undersigned also authorizes the
release of any information as needed by EXCITE, INC from any of the above listed source of information.

__________Fe Varilla____________
Signature over Printed Name
General Manager

_______Maynard Ngu_______
Signature over Printed Name
President/Chief Executive Officer

NOTE: You will be notified on the result of the evaluation for Excite, Inc. Vendor Accreditation.

EXC-PUR-OO1F