Brokers Accreditation Form Personal Information

(First Name) (Middle Name) (Family Name)

2x2 Photo

Name: Complete Present Address: Zip Code: Tel No: Birthday: Passport No. SSS No. Business Address: Business Phone No: Fax No: Mobile: Place of Birth:
Issued by: (Name of Govt. Agency)

Nickname:

Country: Fax: Religion: Place Issued:

Civil Status: Email Add: Citizenship: Validation Period: Sex: TIN No.

Nature of Business:

Business Name: Zip Code:

Real Estate Brokers License Information

License No: Issued By: (Govt. Agency) Place Issued: Validation Period:

Organization
o Free Lancer o Single Proprietor Position Held in the firm: o Partnership Contact No: o Corporation Brokerage Firm:

Sales Experience
Name of Project Year Location

Commitment I Hereby commit to abide by, and /or achieve the following basis of my accreditation: Abide by the Accreditation Agreement and Code of Ethics governing accredited Brokers of GLOBAL LAND AND TECHNO SOLUTION; Attain the required sales production set by the management of GLATS and it assigns ; Actively participate in all sales and marketing activity GLATS and its assigns I understand that failure to satisfy the aforementioned conditions and any false statements / information herein may be grounds for GLATS assigns to disapprove my application of accreditation

____________________________ (Signature over Printed Name) Approved By:

_____________________ Date

Broker Network Director

_________________________________________________ Date

For GLATS USE ONLY Date Received: List of Requirements Individual Brokers (Sole Proprietorship) Properly o o o Submit o o o o o o Institutional Brokers (Corporation) Filled Out and Signed Documents: Broker Application Form Accreditation Agreement Brokers Accreditation General Policies Processed by/Date: Remarks:

Properly o o o Submit o o o o o o

Filled Out and Signed Documents: Broker Application Form Accreditation Agreement Brokers Accreditation General Policies

a photocopy of the following requirements: Real Estate Brokers License (PRC) VAT Registration / Proof of TIN ANY VALID GOVT ISSUED ID w/ Photo & Signature DTI Registration (Sole Proprietor) SEC registration / Proof of TIN Articles of Partnership (Partnership)

a photocopy of the following requirements: Real Estate Brokers License (PRC) VAT Registration / Proof of TIN ANY VALID GOVT ISSUED ID w/ Photo & Signature DTI Registration (Sole Proprietor) SEC registration / Proof of TIN Articles of Partnership (Partnership)

ID Pictures with White background, Business Attire or with Collar o 2 Pcs 2x2 ID Pictures