Please accomplish completely in typewritten form or use dark ink. Kindly submit all requirements indicated below. Note: Only those who have COMPLETED ALL THE REQUIREMENTS will be evaluated and kept on our active file. LIST OF REQUIREMENTS: 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: Certified monthly gross sales from the last 12 months of operations from the shopping center management 3-4 PHOTOGRAPHS OF OUTLET: (1 FOR STORE FRONT; 2 TO 3 FOR INNER LAY-OUT) FOR FOREIGN/LOCAL FRANCHISE: Copy of Franchise Agreement Letter from Local/Foreign Franchisor Copy of Endorsement Letter signed by the Franchisor Brochure/Catalogue(1 COPY) FOR DIRECT FOREIGN RETAILERS: Department of Trade & Industry (DTI) document approving Philippine Operation ADDRESS APPLICATIONS TO: MERCHANDISE MIX DEPARTMENT Commercial Business Group 5th Level, Glorietta 4 Building Ayala Center, Makati City Philippines You will be informed about the status of your application by mail, e-mail or thru fax. As part of the standard procedure, an interview, product presentation or food test shall be conducted (as needed). ON RENTAL RATES: Rental rates are strictly confidential and will be discussed when application is seriously being considered for a space. For any inquiries, please call the MERCHANDISE MIX DEPARTMENT Telephone numbers: (632) 752-7987/8310/8067/7979 Fax no. (632) 752-7998 Website: http://www.ayalamalls.com.ph important notice LL Applicants undertake to give full disclosure of their company officers, partners or owners. Any change of the ownership shall be disclosed to Ayala Malls. As used herein, the term full disclosure shall include not only the applicant’s disclosure of any relationship which said officers, partner or owners may have with any employee of Ayala Malls, whether the relationship is by consanguinity or affinity and whether the relationship exist of the date hereof arising subsequent thereto. Non-compliance with this undertaking shall constitute sufficient ground to reject or terminate, cancel or not renew the lease. 1. LOCATION REQUESTED GLORIETTA GREENBELT AYALA CENTER CEBU MARKET! MARKET! TRINOMA ALABANG TOWN CENTER BONIFACIO HIGH STREET/SERENDRA OTHERS:_____________________ 2. BUSINESS INFORMATION (pls. fill up all spaces) Outlet Name/Store Name: Business Name/Company Name: Business Address: (other than address in commercial center) Telephone: Cellular Phone: E-Mail Address/Website: Fax No.: Owner’s Name: Spouse: Status: Home Address: Single Married Separated For Single Proprietorship: Others: Telephone Numbers (s): For Corporation/Partnership: Tax Identification No. (Individual) Tax Identification No. (Corporate) Community Tax Cert. No. (Individual) Community Tax Cert. No. (Corporate) If Corporation/Partnership Name of Partners Title/Designation Community Tax Cert. No. (Ind.) Place/Date of Issue 1. 2. 3. 4. 5. Contact Person (other than owner, if any) Contact Numbers: Designation: 3. MERCHANDISE INFORMATION a. Check if: Local Foreign Franchise b. Target Market: A AB c. Area requirement (in sqm.) C Direct Foreign Retailer D Age:_____years minimum_____________ maximum________________ d. Merchandise Category DEPARTMENT STORE FASHION: SPECIALTY: SUPERMARKET/HYPERMART Shoes/ Bags/ Leathergoods AMUSEMENT/ENTERTAINMENT Accessories Optical Health & Beauty Jewelry/Watches Photo/Photo Developing FOOD: Apparel, Ready to Wear Restaurant/Grills SERVICES: Home/Hardware/Appliances (Please indicate type of service) Sports/Athletic Goods Bars/Lounge Fastfood Gifts/Novelties/Toys/Hobbies ____________________________________ Foodcourt Specialty Food (Cafés,Bakeshop,Carts,Kiosks) Music/Audio/Video Computers/Electronics OTHERS: __________________________________________ Telecommunications e. List of Branches Location Product Floor Area (in square meters) Average Monthly Sales Years in Business f. Other Business______________________________________________________________________ 4. REFERENCES a.) Ayala Group of Companies Name __________________________ __________________________ Address ___________________________ ___________________________ Telephone Numbers (s) _________________________ _________________________ b.) Personal Name __________________________ __________________________ Address ___________________________ ___________________________ Telephone Numbers (s) _________________________ _________________________ c.) Credit Reference (Credit Co. or Bank) Name Address __________________________ ___________________________ __________________________ ___________________________ Telephone Numbers (s) _________________________ _________________________ I certify that all the above information is true and correct to the best of my knowledge, that this form given to me free of charge, is only for purposes of applying for commercial space. I am aware that this form is not considered as a lease agreement/contract. ___________________________________ Signature over printed name _____________________ Date