BOI FORM 501 - Rboi Armmrboi.armm.gov.ph/uploads/APP_FILES/new/BOI-Form-501-(fillable... · Web...
Transcript of BOI FORM 501 - Rboi Armmrboi.armm.gov.ph/uploads/APP_FILES/new/BOI-Form-501-(fillable... · Web...
BOI FORM 501 APPLICATION NO. :Agri, Fishery & Other Resource-based Projects DATE ACCEPTED :(Revised as of 01 December 2014)
REPUBLIC OF THE PHILIPPINESBOARD OF INVESTMENTS
APPLICATION FOR REGISTRATIONUNDER BOOK I OF THE OMNIBUS INVESTMENTS CODE OF 1987 AS AMENDED
(EXECUTIVE ORDER NO. 226)A. APPLICANTNAME OF ENTITY :OWNERSHIP : % Filipino % Foreign (Nationality)TAX ACCOUNT NO. :SEC REGISTRATION : No. : Date :OFFICE ADDRESS :
ZIP CODE :TELEPHONE NO. : FAX NO. :
AUTHORIZED OFFICER:NAME :DESIGNATION :LANDLINE NO. : FAX NO. :MOBILE NO. : E-MAIL ADDRESS :
AUTHORIZED REPRESENTATIVE TO BOI:NAME :ADDRESS :
LANDLINE NO. : FAX NO. :MOBILE NO. : E-MAIL ADDRESS :
B. ACTIVITY/ AREA OF INVESTMENT APPLIED FORIPP Category : Regular List Mandatory List Export Activity as listed in the IPP :Type of Project: New Expansion Existing Modernization
% Increase in Capacity
Status: Non-Pioneer Pioneer Basis for Pioneer Status:
Name of Project :Specific Products/Services :Production Capacity/Year :Project Location :Start of Commercial Operation :
BOI Form No. 501, Page 2 of 6
PROJECT REPORT 1) PROJECT DESCRIPTION
Attachment: Business Model of the activity being registered (clearly indicating amongBusiness Model of the activity being registered (clearly indicating among others, all revenue-generating activities of the enterprise, including the activitiesothers, all revenue-generating activities of the enterprise, including the activities proposed for BOI registration)proposed for BOI registration)
2) PROJECT LOCATION - Provide description and Google map of the project site
3) PROPOSED MARKET/CLIENTS(Add rows, if necessary)Name of Buyers/Clients Market/Country
Attachment: Proof of Assured Market: Copy of Power Supply Agreement, Purchase Orders or Letters of Intent, etc.
4) PRODUCTION AND TECHNOLOGY: a. Raw Materials (Add rows, if necessary)
Description Cost per Unit of Raw Material
Raw Material Usage Rate per Unit of Finished
ProductSupplier Country
Source
Indicate applicable units of measure, e.g., metric tons, liters, etc.Net Value Added:
Y1 Y2 Y3 Y4 Y5Costs in (PhP):
Total Production Imported Raw Material Local Raw Material
Net Value Added (NVA) -% NVA -to be computed by BOI Y1 is the first year (12-month period) of commercial operations
b. Machinery and Equipment (Add rows, if necessary)Equipment Country Source End-use Qty (No. of units) Unit Cost (PhP) Total Cost (PhP)
Total: (A)End Use is the application or processing step where the equipment will be used
Breakdown of Machinery & Equipment Costs, as to source and status of acquisition Status of
AcquisitionCost of Locally Sourced (PhP)
Cost of Imported (PhP) Total Cost (PhP)
Already acquiredFor acquisition
Total: (A)c. Process: Provide Process Flow Chart, with Description of Each Process
5) PROJECT TIMETABLE/COST:Activity Schedule
(Month/Year) Related Expenses Cost (in PhP)
Obtaining licenses, permits, registration
Pre-operating expense
Project Site preparation & Land
BOI Form No. 501, Page 3 of 6
development Hiring of Contractors Civil works
Land improvementsBuildingLeasehold Improvements Other expenses
Acquisition and installation of machinery & equipment
Machinery & equipment: (A)
Start of commercial operation Working capital (__ months)
Total Project Cost (B)Working capital normally covers the first three to four months of commercial operationsYearly Investment Requirement (For projects with a gestation period of more than one year)Add columns, if necessary
Pre-Operating Period TotalYearInvestment Requirement (PhP) (B)Total Investment Requirement should tally with the Total Project Cost
6) PROJECT FINANCING Sources of Funds Amount in PhP % to Total
Equity Loan
Total Financing (B)Total Financing should tally with the Total Project Cost
Provide also information on:a. Name of Bank from which the loan will be secured; and,b. Collateral for the loan; and,
7) PROJECTED PRODUCTION & SALES SCHEDULE:
YearProduction Volume
Sales Volume (No. of units)
Average Selling Price per Unit Total Sales Value
Domestic Export Domesti
c (PhP)Export (PhP)
Domestic (PhP)
Export (PhP)
Total(PhP)
12345
Indicate unit of measure (e.g., metric tons, liters, etc.) Projected annual production volume should not exceed the production capacity per year being applied for BOI
registrationAssumptions Used in the Projections:o Y1 is the first year (12-month period) of commercial operationso Foreign Exchange Rate Used (in PhP per
USD)o No. of shifts per dayo No. of Operating days per yearo Basis for the selling price(s)o Others
8) JOB GENERATION Employee Type No. of employees Annual Payroll (PhP’000)
Y1 Y2 Y3 Y4 Y5 Y1 Y2 Y3 Y4 Y5Direct LaborIndirect LaborAdministrative/Sales
Total:Y1 is the first year (12-month period) of commercial operations
BOI Form No. 501, Page 4 of 6
9) FINANCIAL PROJECTIONS (preferably in Excel format):Provide 2 sets of Projected Income Statements for 10 years*, with itemized Cost of Sales, Manufacturing Overhead and Operating Expenses including breakdown on real property taxes, licensing and business permits, etc. 1 Set WITH Income Tax Holiday (ITH)* , 1 Set WITHOUT ITH , i.e., with corporate tax rate of 30% from Year 1 (Year 1 is the first 12-months of
commercial operations)Note: ITH period depends on the type and status of registration; with corporate tax rate of 30% after the ITH period.
10) JUSTIFICATION FOR PIONEER STATUS (IF APPLICABLE)
BOI Form No. 501, Page 5 of 6
11) FOR MODERNIZATION PROJECTS Compliance to 25% Substantial Reduction of Total Production Cost
Production Cost Before
Modernization
Production Cost After
Modernization
Substantial Reduction Cost on Production cost
Amount
Difference Percentage
(A) (B) A-B = (C) C / TCGSTotal Raw Materials
Local Imported
Direct Labor Manufacturing Overhead:
Utilities: Electricity
Water Communication Total Utilities
Other Manufacturing Overhead: Indirect Labor Factory Supplies Insurance Expenses Depreciation & Amortization Repairs & Maintenance Others
Total Other Manufacturing OverheadTotal Cost of Goods Sold (TCGS)
(25% minimum)
Matrix of Machines and Equipment (Existing & Replacement) (Add rows, if necessary)
Process Flow/
Section
Existing Machines & EquipmentReplacement Machines &
Equipment under Modernization Program
Machine Type/Mode
l
Age/ Year
Acquired
Quantity
ActualProductio
n Capacity
End-Use
Quantity
Production
Capacity
Expected Efficiency
\12) IF THE APPLICATION FOR REGISTRATION COVERS EXPANSION or
MODERNIZATION/UPGARDING OF AN EXISTING PROJECT: Actual Production & Sales (Volume & Value) for the past three (3) years
Year
Installed
Capacity
Production
Volume
Sales Volume (No. of units)
Average Selling Price per Unit Total Sales Value
Domestic
Export
Domestic (PhP)
Export (PhP)
Domestic
(PhP)
Export
(PhP)
Total(PhP)
BOI Form No. 501, Page 6 of 6
Indicate unit of measure (e.g., metric tons, liters, etc.)YEARo Foreign Exchange Rate
Used (in PhP per USD)o No. of shifts per dayo No. of Operating days per
yearo OthersAttachment: Plant and machinery Lay-out providing distinction as to the existing/currently installed facilities vis-a-vis proposed facilities covered by the application for BOI registration
13) PROJECT PROPONENTSFOR SOLE PROPRIETORSHIP
Name Nationality Country of Residence Capital (In Pesos)
FOR CORPORATION/PARTNERSHIPSAuthorized Capital
PhP
Stockholders (Add rows, if necessary)
NameNationality
(indicate with * if naturalized Filipino)
Country of
Residence
Subscribed Capital Paid-Up Capital
% Ownershi
pNo. of Shares
Value
No. of Shares
Value
Total:Directors (Add rows, if necessary)
Name Nationality Country of Residence
Principal Officers) (Add rows, if necessary)Name Nationality Designation
Attachment for enterprises which are not newly-incorporatedfor enterprises which are not newly-incorporated: : Copy of Latest General Information Sheet (GIS) Copy of Latest General Information Sheet (GIS) Copy of Audited Financial Statements (past 3 Years)
a. BACKGROUND ON THE APPLICANT ENTERPRISEIncluding but not limited to applicant enterprise’s and its stockholders’ previous and current businesses other than the proposed project being applied for BOI registration.
b. AFFILIATES OF THE APPLICANT ENTERPRISE(if applicable)(Add columns/rows, if necessary)Applicant Enterprise
Parent Company
Affiliate 1 Affiliate 2
Business ActivitiesLocation of ProjectsBOI Reg’n No./ DateStart of Commercial Operations
Name of Stockholders Nationality % Ownership % Ownership % Ownership % Ownership
BOI Form No. 501, Page 7 of 6
c. EXISTING PROJECTS OF THE APPLICANT ENTERPRISE(Add columns, if necessary)
Project 1 Project 2 Project 3 Project 4Business ActivitiesLocation of ProjectsCapacity of ProjectsStart of Commercial OperationsBOI Reg’n No./ Date (if applicable)
OTHER ATTACHMENTS:a. Copy of SEC Certificate of Registration, Articles of Incorporation/Partnership and By-Laws, Copy of SEC Certificate of Registration, Articles of Incorporation/Partnership and By-Laws, (the primary/secondary
purpose should cover the activity being registered with the BOI); or Copy of DTI Certificate of Registration (for sole proprietor)
b. Secretary’s Certificate re: applicant enterprise’s Board Resolution authorizing its officer/ official representative to transact with BOI, execute and sign all documents in behalf of the applicant enterprise pertaining to the application for BOI registration. (Use BOI format)
c. Copy of Environmental Compliance Certificate/ Certificate of Non-Coverage (ECC)/CNC), whichever is applicable for the project; or information on the status of application for ECC/CNC
d. Endorsement of the Department of Agriculture – in the case of Agri-Fishery projects, commercial production.e. Other documents that may be required by the Board during the course of the evaluation of the project:
Note: Provide also electronic copy of the Application Form, Project Report including Financial Projections in preferably in word 2003 or Excel 2003 format
The applicant has read the Omnibus Investment Code of 1987 and the Rules and Regulations adopted by the BOI and commits itself to abide by the provisions thereof.
DONE IN THE CITY/PROVINCE OF
THIS
DAY OF
20
.
Applicant/Authorized OfficerREPUBLIC OF THE PHILIPPINESCITY/PROVINCE OF
) S.S.
MUNICIPALITY OF
)
SUBSCRIBED AND SWORN to before me this
day of 20
in
the City/Province of affiant exhibited to me his Residence
Certificate No. issued at on
20
.
NOTARY PUBLIC
Until Dec. 31,
BOI Form No. 501, Page 8 of 6
Doc. No. :Page No. :Book No. :Series of :
SAMPLE FORMAT (Use separate sheet) SECRETARY’S CERTIFICATE
I, (name of Corporate Secretary), of legal age, Filipino, being the duly elected and qualified Corporate Secretary of (name of applicant enterprise), a corporation duly organized and existing under the laws of the Philippines, with office address at (office address of applicant enterprise), under oath, do hereby certify that at the special meeting of the Board of Directors of the Corporation held on (date of special meeting), the following resolution was unanimously adopted:
RESOLVED, that (name of officer of enterprise), (position of officer) be as it hereby, authorized to transact, execute and sign all documents in behalf of the Corporation pertaining to its application for registration with the Board of Investments (BOI) under the Omnibus Investments Code of 1987 (Executive Order No. 226) for the (proposed project/ activity) as (New)(Expanding)(Existing) (Export) Producer, of ____________________________________ under the 20___ Investment Priorities Plan (IPP) of the BOI.
IN WITNESS WHEREOF, I have hereunto affixed my signature this __________ day of _____________, 20___ at __________________________.
Corporate Secretary
Subscribed and Sworn to before me this __________________ at _______________, affiant exhibited to me his CTC No. ____________________ issued on ___________________ at ___________________.
Notary Public Doc. No. _______Page No. _______Book No. _______Series of _______
BOI Form No. 501, Page 9 of 6