COVER SHEET

(Company's Full Name)

(Business Address No. Street City/Town/Province)

(Contact Person) (Company Telephone Number)

Month Day (Form Type) Month Day

(Fiscal Year) (Annual Meeting)

Total No. of Stockholders (Secondary License Type, If Applicable)

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - To be accomplished by SEC Personnel concerned

File Number LCU

Document ID Cashier

. . . . . . . . . . . . . . . . . . . . . . . . : :: STAMPS :: :: . . . . . . . . . . . . . . . . . . . . .. . :

RDS 96-1DS Page 1 of 3

REGISTRATION DATA SHEET

CAPITAL STOCK/INCORPORATORS/DIRECTORS/OFFICERS INFORMATION

(FOR DOMESTIC STOCK CORPORATION ONLY)

SEC NUMBER

FILL UP INSTRUCTIONS: Type or print legibly. Light -shaded boxes are to be filled up by SEC, including the SEC number.

For no-par stockds, leave the authorized capital amount and the par value columns blank.COMPANY NAME COMPANY TIN

CAPITAL STRUCTUREAUTHORIZED SUBSCRIBED CAPITAL PAID-UP PAID

SHARE CODE SHARE TYPE P / N AMOUNT F / N AMOUNT AMOUNT IN

PAID -UP CAPITAL CASH PROPERTY OTHERS TOTAL

BY ASSET TYPE -

INCORPORATORS / STOCKHOLDERS / DIRECTORS / OFFICERS (Use additional sheets if necessary)NAME

BIRTH DATE CODE NATIONALITY BRD INC'R OFR SHARE TYPE SUBSCRIBED CAPITAL PAID-UP CAPITAL(Company Name, if company)(Last Name, First Name, MI, Maiden Surname, if person)

SUB-TOTALS - - -

Note: For codes to use in filling up the columns, refer to the last page of this form. Refer also to the back of this page for additional instructions.

PAR VALUE

NO. OF SHARES

NO. OF SHARES

TAXPAYER IDENTIFICATION

NUMBERSHARE CODE

NO. OF SHARES

RDS 96-1DS Page 3 of 3

REGISTRATION DATA SHEET

CAPITAL STOCK/INCORPORATORS/DIRECTORS/OFFICERS INFORMATION

(FOR DOMESTIC STOCK CORPORATION ONLY)

SEC NUMBER FOR SEC TO PROVIDE: MAINTENANCE NO.: TRANSACTION DATE

FILL UP INSTRUCTIONS: Type or print legibly. Light -shaded boxes are to be filled up by SEC, including the SEC number.COMPANY NAME

INCORPORATORS / STOCKHOLDERS / DIRECTORS / OFFICERS (Use additional sheets if necessary)NAME

CODE NATIONALITY BRD INC'R OFR SHARE CODE SHARE TYPE SUBSCRIBED CAPITAL PAID-UP CAPITAL(Company Name, if company)(Last Name, First Name, MI, Maiden Surname, if person)

NO. OF DIRECTORS: NO. OF STOCKHOLDERS: TOTALS - -

FOREIGN EQUITY BREAKDOWN (Refer to the back of this page for instruction on how to fill-up this section.)NATIONALITY CODE TOTAL FOREIGN EQUITY

NATIONALITY DESCRIPTION

SUBSCRIBED CAPITAL OF --

INDIVIDUALS

COMPANY (IES)

PAID UP CAPITAL OF --

INDIVIDUALS

COMPANY (IES)

TOTAL PAID-UP CAPITAL

PERCENTAGE OF FOREIGN EQUITY

CERTIFIED CORRECT: POSITION: DATE:(Signature over printed name)

PROCESSING ATTORNEY: PROCESSING EXAMINER: DATA CONTROL CLERK: DATA ENCODER:

DATE REVIEWED: DATE REVIEWED: DATE REVIEWED: DATE ENCODED:INSTRUCTIONS FOR FILLING UP THE FOLLOWING COLUMNS:PAR/NO PAR (P / N) FILIPINO / FOREIGN WITH PAID-IN BOARD (BRD) OFFICER (OFR) INDICATOR -- LEG - LEGAL COUNSELVALUE INDICATOR (F/N) OWNED SURPLUS? INDICATOR -- PRE - PRESIDENT AUD - EXTERNAL AUDITOR

P - PAR INDICATOR -- Y - YES C - CHAIRMAN CEO - CHIEF EXECUTIVE OFFICER GOV - GOVERNMENT REPRESENTATIVEN - NO PAR F - FILIPINO N - NO M - MEMBER CFO - CHIEF FINANCIAL OFFICER OTH - OTHERS

N - NON-FILIPINO / N - NEITHER COO - CHIEF OPERATING OFFICER N - NONE FOREIGNER COS - CORPORATE SECRETARY

TAXPAYER IDENTIFICATION

NUMBER

REGISTRATION DATA SHEET

GENERAL / BUSINESS / COMPANY RELATIONSHIP INFORMATION

(FOR DOMESTIC COMPANIES ONLY)

SEC NUMBER

COMPANY NAME

GENERAL INFORMATION

( ) ( ) ( )

AREA CODE POSTAL CODE TEL. NO. FAX NO.

AREA CODE POSTAL CODE TEL. NO. FAX NO.

[ ] N- NO SPECIAL REGISTRATION [ ] H- FIA HOLDING

[ ] [ ] E - FIA EXPORT [ ] R - FIA REPRESENTATIVE OFF

[ ] [ ] D - FIA DOMESTIC [ ] S - SUBIC REGISTEREDINDUSTRY CODE TERMS OF EXISTENCE FISCAL YEAR END (MM/DD) ANNUAL MEETING (For Domestic Companies only)

YEARS ( ) F - FIXED (MM/DD) [ ]

TYPE OF NON STOCK CORPORATION (Refer to the back of this page for the classification) TOTAL CONTRIBUTION (of domestic non-stock companies) % OF FOREIGN MEMBERSHIP (Of non-stock companies)

COMPANY RELATIONSHIP - List all companies related to the registrant. (Use additional sheets, if necessary)

RELATIONSHIP TYPE C - DISSOLVED COMPANY ( if due to consolidation) S - PARENT COMPANY (if registrant is a subsidiary)

(RELN TYPE) V - DISSOLVED COMPANY ( if change in company type) A - AFFILIATE (of registrant)

RELN TYPE SEC NUMBER TIN COMPANY NAME

CERTIFIED CORRECT: POSITION: DATE:(Signature over printed name)

PROCESSING ATTORNEY: PROCESSING EXAMINER: DATA CONTROL CLERK:

DATE REVIEWED: DATE REVIEWED: DATE REVIEWED:

FILL UP INSTRUCTIONS Type or print legibly. Light-shaded boxes are to be filled up by the SEC. Check appropriate boxes.FILL UP ONLY THOSE ITEMS FOR WHICH AMENDMENTS OR CHANGES ARE TO BE MADE. Refer to the back of this page for additional instructions.

DS - DOMESTIC STOCK DN - DOMESTIC NON-STOCK DP - DOMESTIC PARTNERSHIPCHANGE FROM STOCK TO NONSTOCK

PRINCIPAL OFFICE ADDRESS

BUSINESS OFFICE ADDRESS

BUSINESS INFORMATION

PARTNERSHIP

LIMITED

GENERAL

TYPE OF ENTERPRISE

REGISTRATION DATA SHEET

GENERAL / BUSINESS / COMPANY RELATIONSHIP INFORMATION

(FOR DOMESTIC COMPANIES ONLY)

( ) ( )

FAX NO.

FAX NO.

H- FIA HOLDING [ ] F - FINANCIAL INSTITUTION

R - FIA REPRESENTATIVE OFF [ ] Z - EPZA REGISTERED

S - SUBIC REGISTERED [ ] B - BOI REGISTEREDANNUAL MEETING (For Domestic Companies only)

[ ] V - VARIABLE ____________________

% OF FOREIGN MEMBERSHIP (Of non-stock companies)

O - OTHERS

COMPANY NAME

DATE:

DATA ENCODER:

DATE ENCODED:

CHANGE FROM STOCK TO NONSTOCK YES

CHANGE IN PRIMARY PURPOSE YES X

CHANGE FROM STOCK TO NONSTOCK

CHANGE IN PRIMARY PURPOSE