REPUBLIC OF THE PHILIPPINESSECURITIES AND EXCHANGE COMMISSION

SEC Building, EDSA, Greenhills,City of Mandaluyong, Metro Manila

APPLICATION OF MULTINATIONAL COMPANY FORREGISTRATION AND LICENSE TO ESTABLISH A

REGIONAL OPERATING HEADQUARTERS IN THE PHILIPPINES

Thehereby applies with the Securities and Exchange Commission underExecutive Order No. 226 otherwise known as the OmnibusInvestments Code of 1987, as amended by R.A. 8756 and itsimplementing rules and regulations, for registration and license toestablish a regional operating headquarters in the Philippines, andsubmits the following statements, undertaking and accompanyingdocuments:

1. The the applicant is a foreign company organized and existingunder the laws of engaged in_____________________ and in internationaltrade with affiliates, subsidiaries, or branch offices in the Asia-PacificRegion and other foreign markets.

2. That the services which it intends to engage III is/are

3. The location of its office III the Philippines IS at

4. That it has affiliates, subsidiaries or branch offices III thefollowingplaces:

NAME ADDRESS

5. That the applicant shall not directly or indirectly engage in thesale and distribution of goods and services of its mother company,branches, affiliates, subsidiaries, or any other company.

6. The applicant shall notify the Board of Investments and theSecurities and Exchange Commission, the Bangko Sentral ngPilipinas, as the case maybe, of any decision to close down or suspendoperation of its headquarters at least fifteen (15) days before the sameis effected.

7. That the applicant shall initially remit into the country withinthirty (30) days from receipt of Certificate of Registration from theSecurities and Exchange Commission, an amount of at least TWOHUNDREDTHOUSANDU.S. DOLLARS(US$200,000) or its equivalentin other foreign currencies and converted the same to the Philippinepeso. The corresponding Certificate of Inward Remittance from localbank showing that it has remitted the said amount shall be submittedto the Securities and Exchange Commission and the Board ofInvestments.

8. ______________ with residence or office addressat _is its local agent in the Philippines empowered to accept service ofsummons and process in all legal proceedings against the companyand of all notices affecting the same.

9. That the applicant undertakes to change the name of thecorporation as herein provided, or as amended thereafter, immediatelyupon receipt of notice or directive from the Securities and ExchangeCommission that another corporation, partnership or person hasacquired a prior right to the use of the name or that the name hasbeen declared as misleading, deceptive, confusingly similar to aregistered name, or contrary to public morals, good customs or publicpolicy.

10. Attached hereto are:

a. Name Verification Slip

b. Indorsement of the Board of Investments

c. A certification from the PhilippineConsulate/Embassy, or the PhilippineCommercial Office or from the equivalen toffice of the Philippine Department Trade andIndustry in the applicant's home country thatsaid foreign firm is an entity engaged ininternational trade with affiliates, subsidiariesor branch offices in the Asia Pacific Regionand other foreign markets. In case thecertification is issued by the equivalent office

•

of the Philippine Department Trade andIndustry, the same shall be authenticated bythe Philippine Consulate/Embassy.

d. A duly authenticated certification from theprincipal officer of the foreign entity to theeffect that the said foreign entity has beenauthorized by its board of directors orgoverning body to establish its regional orarea headquarters in the Philippines.

THEWITNESS SIGNATURE of_______________ hereunto duly authorized to signfor and In behalf of the applicant at__________________ on the day of_____ ,20_.

(Name of Company)

by:

(Signature over printed nameof Authorized Representative)

SUBSCRIBED AND SWORN TO before me, this __ day of____ , 201__ affiant exhibiting to me his/her Community TaxCertificate No. issued at on

NOTARYPUBLICDoc. No.__ ;Page No. __ ;Book No. __ ;Series of 200