TENANT INFORMATION SHEET

COMPANY INFORMATION

Company Name: Trade Name:

Converge ICT Solutions Inc. Telecommunication

Business Address/ Location:

#99 E. Rodriguez Jr. Ave. Brgy. Ugong, Pasig City

Street Barangay Town/City Province

Brief Description of Company Products and Services Offered:

Information and Communication Technology. Internet Provider

Type of Ownership: [ ] Single Proprietor [ X] Corporation [ ] Partnership

Position: Site Acquisition & Right of Way Consultant

Business Tel. #: 02 6670888 Fax #: __________________ Mobile #: 09155754959

Business Address: _________________________________ URL: ___________________ Email: ____________________

EXISTING BRANCHES (If any):

Location Years in Business:

Business 1: ___________________________________ _________________

Business 2: ___________________________________ _________________

Business 3: ___________________________________ _________________

PERSONAL INFORMATION

MENDZA_____________________ROGELIO__________________________CASTRO
LAST NAME FIRST NAME MIDDLE NAME JR/SR

Gender: Male Female Civil Status: Single Married

Home Address: Blk 34C Lot 30 Phase 2 Kaunlaran Village Navotas City
Street Barangay Town/City Province

Home Tel. No. ____________________None Mobile No. 09155754959

E-mail Address: rogercasmen@gmail.com rcmendoza@convergeict.com

I hereby certify that the information on this tenant profile is true and correct to the best of my knowledge.

________________________________________ _____________________
Signature over Printed Name Date

TENANT’s REQUIREMENT CHECKLIST

Tel.No. 052.284.7000 leasing@gregorianph.com Rizal St. corner Rosario St., Old Albay Dist., Legazpi City
 Please attach the following requirements/documents:

Letter of intent
Accomplished Tenant Information Sheet
2pcs Government Issued Identification Card with photo
Billing such as Electricity Bill, Telephone Bill, Water Bill, and the likes,
Description of Concept and Target Market
List of Products/Merchandise Mix and Price Points
Photocopy of Certificate of Business Registration from the Department of Trade
& Industry (DTI) or Securities and Exchange Commission (SEC)

With Existing Stores:

At least three (3) colored pictures of existing company/stores perspective

(1) For Store Front
(2) For Inner Lay-out
List of Branches with location Map
Franchise Agreement or Certificate of Approval from Franchisor

Note: Only those who have COMPLETED ALL THE REQUIREMENTS will be evaluated and kept on our active file.

TENANT’s REQUIREMENT CHECKLIST

Please attach the following requirements/documents:

Letter of intent
Accomplished Tenant Information Sheet
2pcs Government Issued Identification Card with photo
Billing such as Electricity Bill, Telephone Bill, Water Bill, and the likes,
Description of Concept and Target Market
List of Products/Merchandise Mix and Price Points
Photocopy of Certificate of Business Registration from the Department of Trade
& Industry (DTI) or Securities and Exchange Commission (SEC)

With Existing Stores:

At least three (3) colored pictures of existing company/stores perspective

(3) For Store Front
(4) For Inner Lay-out
List of Branches with location Map
Franchise Agreement or Certificate of Approval from Franchisor

Note: Only those who have COMPLETED ALL THE REQUIREMENTS will be evaluated and kept on our active file.

TENANT’s REQUIREMENT CHECKLIST

Please attach the following requirements/documents:

Letter of intent
Accomplished Tenant Information Sheet
2pcs Government Issued Identification Card with photo
Billing such as Electricity Bill, Telephone Bill, Water Bill, and the likes,
Description of Concept and Target Market
List of Products/Merchandise Mix and Price Points
Photocopy of Certificate of Business Registration from the Department of Trade
& Industry (DTI) or Securities and Exchange Commission (SEC)

With Existing Stores:

At least three (3) colored pictures of existing company/stores perspective

(5) For Store Front
(6) For Inner Lay-out
List of Branches with location Map
Franchise Agreement or Certificate of Approval from Franchisor

Note: Only those who have COMPLETED ALL THE REQUIREMENTS will be evaluated and kept on our active file.

Tel.No. 052.284.7000 leasing@gregorianph.com Rizal St. corner Rosario St., Old Albay Dist., Legazpi City