Department of Trade & Industry Philippines

Construction Industry Authority of the Philippines

PHILIPPINE CONTRACTORS ACCREDITATION BOARD
NEW SPECIAL LICENSE BY A FOREIGN CONTRACTOR APPLICATION
PCAB-PAD-SLF-NEW-F01. Revision No. 01, 10/19/2017 | This Form is NOT for sale. Reproduction is Allowed
Instruction: Read Important Reminders (page 19). The following pertinent documents and information shall be submitted in support to New Special
License of a Foreign Contractor Application.
Checklist of Requirements Remarks
A. LEGAL
A.1. Duly accomplished and notarized application for Special License by a Foreign Contractor (page 3);
A.2. PCAB Integrity Pledge (page 4);
A.3. General Information Sheet (page 5);
A.4. SEC Certificate of Registration, Articles of Incorporation or Partnership, showing construction as one of
the primary purposes of the corporation and By-Laws and subsequent amendments thereto by the
Securities and Exchange Commission (SEC) for corporate or partnership applicant;
A.5. Board Resolution authorizing its Authorized Managing Officer (AMO)/Resident Alien Representative
(RAR) in the Philippines to act for and in behalf of the company, and defining the scope and/or
limitations of the powers of the RAR/AMO;
A.5.1 Copy of Appointment paper/contract of employment of RAR to current position in the firm
authenticated by the Philippine Embassy in the home country of the RAR;
A.6. Original NBI Clearance for newly nominated Filipino AMO and for RAR who resided in the country for
six (6) months and longer, or certified true copy of NBI Clearance Equivalent of RAR duly authenticated
by the Phil. Embassy in the home country of the RAR;
A.7. Affidavit of undertaking of the RAR/AMO (page 6);
A.8. Alien Certificate of Registration and current working visa of the RAR;
A.9. Authenticated diploma and/or transcript of records as well as PRC ID/certificate of registration or
equivalent (for new RAR professional);
A.10. Board Resolution appointing and authorizing the Filipino Resident Agent to accept summons and other
legal processes in behalf of the foreign contractor applicant, and authorizing PCAB, in the absence of
the Filipino Resident Agent, or where such agent cannot be found at his address of record, or upon
cessation of business of the foreign contractor in the Philippines, to accept summons or legal
processes as if the same were made upon the firm at its home office;
A.11. Original or certified true copy of valid Contractor’s License/Permit/Authority issued by the appropriate
government agency duly authenticated by the Philippine Embassy in the home country of the foreign
contractor applicant;
A.12. Certification from the appropriate Tendering Agency that the project is foreign financed/internationally
funded and that international bidding is required, or the participation of foreign contractors is allowed
under the terms of the Bilateral Agreement entered into by and between the Philippine Government
and the Foreign/International Financing Institution; or Certification that the project is to be implemented
in accordance with the Expanded BOT Law or RA No. 7718, or other laws of similar nature, and that
other requirements, under existing laws, have been waived in the loan agreement, if any (page 7);
A.13. Original or certified true copy of “Invitation to Bid” or “Invitation to Bidders” or “Notice to Bidders” or
original ad/clipping of the project applied for showing the date of bidding;
A.14. Back-to-back guarantee from the parent company if the applicant is a subsidiary of a foreign contractor;
B. FINANCIAL
B.1. Financial as of the end of the taxable year immediately preceding the filing of application duly filed with
the BIR Statements (duly audited and signed on every page by a PRC-BOA accredited external
auditor) and a CD-R (compact disc recordable) containing the firm’s Audited Balance Sheet & Income
Statement in the prescribed template to be uploaded in the CIAP database. The PCAB Financial
Statement Forms A & B (A. Balance Sheet / B. Income Statement) can be downloaded at CIAP
website, www.ciap.dti.gov.ph;
B.1.1. If increase is due to additional capital infusion
B.1.1.1. Cash - Original copy of Bank Certification/Bank statement of account certified by
Bank Manager of cash deposits as of the Balance Sheet date; (Note: Amount in
excess of 1% of the Networth per Audited Balance Sheet or P 500,000.00
whichever is higher, reflected as “Cash” or “Cash on Hand” will be deducted
from the Networth);
B.1.1.1.1. Authorization to Depository Bank (page 8);
B.1.1.2. Land and Building - List of Land and Building/s owned by the company and
registered in its name (page 10);
B.1.1.2.1. Certified true copy of TCT including back page for newly acquired land
and/or condominium which were not previously reported/submitted to
PCAB
B.1.1.3. Transportation & Construction Equipment - List of Construction and/or
Transportation / Delivery Vehicles/Equipment/Machineries/Plants owned by the
company and registered in its name (page 11);
B.1.1.3.1. Certified true copy by the LTO of the LTO Certificate of Registration and
current Official Receipt of Registration of newly acquired registrable
Construction and/or Transportation/ Delivery Vehicles/Equipment
B.1.1.3.2. Certified true copy of Deed of Sale or sales invoices/official receipts for
newly acquired non-registrable construction equipment / machineries /
plants, or newly acquired construction equipment
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 2 of 19

Checklist of Requirements Remarks

B. FINANCIAL
B.1.1.4. Other Assets - (i.e. investment in Banks and / or Shares of stocks and other
accounts);
B.1.1.4.1. Certified true copies of certificates of Stock, time deposits, & other
pertinent proofs of ownership of other assets;
B.1.2. If increase is due to appraisal of properties - Independent Appraisers Report duly licensed
by the Professional Regulation Commission;
B.1.3. Schedule of Receivables - If the value of the applicant's receivables exceed more than 50%
of the contractor’s Networth duly signed by AMO and certified by the firm’s PRC BOA
accredited CPA, otherwise, the amount in excess of said account shall be deducted from
Networth (page 12);
C. TECHNICAL
C.1. List of Sustaining Technical Employee/s - STEs (page 13) supported by the following documents for
each STE:
C.1.1. Completion of 40-hour Safety Seminar (COSH) of at least one of the listed qualified Sustaining
Technical Employees;
C.1.2. STE Affidavit/s with recent passport size picture/s (page 14);
C.1.3. Certified true copy of valid PRC ID of STE as licensed professional;
C.1.4. Original NBI Clearance/s of nominated STE/s;
C.1.5. STE Affidavit/s of Construction Experience (page 16)
C.1.6. Personal Appearance Form duly accomplished and signed by the STE/s appearing before the
designated officer of the PCAB or the nearest DTI regional / provincial office (page 17)
C.1.7. Special PRC Permit, Alien Certificate of Registration and current working visa for foreign STE,
if any
C.2. Certificate of DOLE-accredited Safety Practitioner for Category “AAA” applicants (for additional credit
points);
D. TRACK RECORD
D.1. Copy of single largest relevant construction contract or subcontract agreement completed and/or
Change Order/ Supplemental Agreement, if any, certified true by the Project Owner or Prime Contractor
for sub-contract work. If project was undertaken outside of the Philippines, the aforesaid documents
must be duly authenticated by the Philippine Embassy or Consulate Office in the country where project
is located;
D.2. Copy of Certificate of Completion/Acceptance certified true by the Project Owner or Prime Contractor
for sub-contract work. If project was undertaken outside the Philippines, the aforesaid documents must
be duly authenticated by the Philippine Embassy or Consulate office in the country where project is
located;
D.3. For privately owned projects only - Certified True Copy of Certificate of Creditable Income Tax
Withheld (Form 1743.1/ 1743.750/2307) stamped received by the BIR for each contract/subcontract.
E. OTHERS
E.1. Firm’s Authorized Representatives (note: must be an employee of the firm) Affidavit with recent
passport size picture (page 18);
E.1.1. Copy of company ID of the Authorized Representatives;
E.1.2. Latest CCL - formerly SSS Form R-3 (for below 60 years old) or Certificate of Income Tax
Withheld - BIR Form 2316, formerly BIR W-2 (for 60 years old and above) of the
representatives;
E.2. Original signature of RAR/AMO on each and every page of the application forms including supporting
documents;
E.3. Certified documents. In lieu of certified copies, photocopies may be accepted provided original copies
are presented for authentication;
E.4. AMO Examination;
E.5. The Board may require the RAR/AMO interview and submission of pertinent documents/information
other than the above in order to fully determine the qualifications of the applicants;
E.6. Self-stamped envelopes for verification of supporting documents (one self-stamped envelope per
supporting document);
E.7. Mode of Release of License (please check only one): [ ] Mail using the attached prepaid courier pouch;
[/ ] Claim at PCAB Makati; [ ] Claim at CIAP Window / DTI ROG Office ________________________.
FOR PCAB / DTI-ROG USE ONLY
1st Prescreening 2nd Prescreening 3rd Prescreening 4th Prescreening
Item [ ] PCAB Makati [ ] DTI-ROG ______
[ ] PCAB Makati [ ] PCAB Makati [ ] PCAB Makati
No. Prescreener: Date:
[ ] DTI-ROG ______ [ ] DTI-ROG ______ [ ] DTI-ROG _____
[ ] Accepted [ ] Comply lacking items
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 3 of 19

APPLICATION FOR SPECIAL LICENSE BY A FOREIGN CONTRACTOR

In behalf
of Guangxi Hydro Electric Construction Bureau
(Name of Applicant)

I respectfully request that said Company be issued a Special License to prequalify for, bid on and undertake
the construction of the specific project described below:
Project Title

Liang’An Hydroelectric Power Plant

Project Location
Liang’ An, Bacolod, Lanao Del Norte Province
Implementing Agency
Department of Energy / Province of Lanao Del Norte
State if project is covered by:
Bilateral Agreement calling for international competitive Expanded BOT Law or other existing laws of similar
[ ] bidding [ / ] nature
Funded by
60% loan from the Development Bank of the Philippines, 40% private funding
Loan Agreement

Date “Notice to Bidders” was published or Date “Invitation to Bidders” was received by the applicant

Date of Bidding

Special License Category and Classification/s applied for

Category Classification/s
AAA
Project Kind and Size Range applied for
Project Kind Size Range

The documents and information in support of this license application as per checklist are hereby submitted.
I hereby declare that all the information and documents contained in this application are true and correct of
my own personal knowledge. I am fully aware that I shall be personally held liable for any misrepresentation
that may be found herein.

Dai Longcai
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over Printed Name)

Republic of the Philippines )

Province of ______________)
City/Municipality of ___________) S.S

SUBSCRIBED AND SWORN TO before me this ________ day of ___________________ 20____ at

________________________________________________; affiant exhibited to me his Community Tax
Certificate No. _______________ issued at __________________ on _________________ 20 _______.

Doc. No.
Page No.
Book No.
Series of 20 __.

NOTARY PUBLIC
Until December 20 ____
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
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Page 4 of 19

PCAB INTEGRITY PLEDGE

We believe that the construction industry is one of the most susceptible to all forms of corruption that hampers the
noble objectives towards national progress and global competitiveness.

As frontrunners of nation-building, we acknowledge our major role and responsibility in ensuring that we carry out
our tasks guided by ethical standards and equipped with the necessary capability for the successful prosecution of
our contracts.

In view thereof, we pledge the following:

 We will present only true qualifications to PCAB so that we may be evaluated properly and be given the
category and classification where we should rightfully belong;

 We will uphold the dignity of the license and not be instruments for unlicensed contractors to undertake
construction projects through license lending nor through false joint ventures/consortium or pseudo
combinations which is inimical to the public safety/interest;

 We will not employ unlicensed sub-contractors/specialty contractors which is a clear circumvention of the
requirement that all contractors must be licensed;

 We will absolutely shun away from any form of collusion that destroys the very essence and integrity of
biddings;

 We will not engage in bribery or do any act which constitutes graft or corrupt practice which is the root
cause of bloated contract amounts;

 We will not use sub-standard materials which will in any way compromise the safety, reliability and
performance of the built environment;

 We will not abandon our contracts and we will implement our projects faithfully in accordance with the
prescribed specifications thereof;

 We will provide the necessary resources, financial and technical capability in carrying out our contractual
obligations, and as far as possible, within the stipulated time of completion;

 We are aware that we will be imposed disciplinary action should we violate any of the commitments hereof
or the PCAB Code of Ethics or be found to be a party to corruption.

Dai Longcai
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over Printed Name)

Guangxi Hydro Electric Corporation Bureau

Name of Company

Republic of the Philippines )

Province of _________________)
City/Municipality of ___________) S.S

SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at

____________________________________________________________; affiant exhibited to me his/her
Community Tax Certificate No. _______________ issued at __________________ on _________________ 20 ___.

PUBLIC
Until December 31,
20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
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Page 5 of 19

CONTRACTOR’S GENERAL INFORMATION

Note: Please use additional sheets if necessary.
Name of Firm: (as per SEC or DTI)
Guangxi Hydro Electric Construction Bureau
Office Address in the Philippines Telephone/Fax No. (include area code)
No. 58 Road 1, Project 6, Quezon City 928-0462

Office Address in the Home Country

1 East Mingxiu Road, Nanning City, Guangxi Zhuang Autonomous Region,
People’s Republic of China
Website E-mail Address (required) Mobile No.
www.ghcb.ceec.net.cn [email protected]
Type of Firm (please check only one) Equity
[ ] Sole Proprietorship [ ] Partnership [ / ] Corporation Filipino: % Foreign: 100 % Nationality: CHINESE
International Organization for Standardization (ISO) Certification (please check, if any)
[ ] ISO 14001:2004 [ / ] OSHAS 18001:2007 [ ] ISO 9001:2008 [ / ] ISO 9001:2015 ; and ISO 14001:2015
SEC / Business Name Registration No. Registration Date (mm/dd/yyyy) Expiry Date (mm/dd/yyyy)
FS 201218677 October 25, 2012
Firm’s SSS No. Tax Identification No. PhilHealth No. PAG-IBIG No.
03-9485366-2 008-390-801-000 00-3000030423 205311070008
Category Applied for Principal Classification Applied for Other Classification/s Applied for
(please check only one) (please check only one) (please check, if any)
[ ] AAAA [ ]B [ ] General Engineering [ ] General Building [ ] General Engineering [ ] General Building
[/ ] AAA [ ]C [ ] Trade [ ] Specialty (please specify below): [ ] Specialty (please specify below):
[ ] AA [ ]D
[ ]A [ ] E/Trade
2-day AMO Seminar
Participant Host/Organizer Inclusive Dates Venue
Dai Longcai NACAP May 24-25, 2018 Quezon City
40-hour Safety Seminar ( [ ] COSH / [ ] BOSH with Construction Safety Components )
Participant Company Position Course Provider Inclusive Dates Venue

Owners / Stockholders / Officers (for corporation / partnership)

Name Position Nationality Capital Subscription Paid-up Capital

Shen Jian President Chinese

Zhong Pingyu Deputy General Manager Chinese
Huang Yaxiong Deputy General Manager Chinese
Assistant General Chinese
Luo Hong Manager

Zhang Jin Chief Financial Officer Chinese

Tomas L. Valencia, Jr. Resident Agent Filipino
Affiliation With Other Licensed Contractors
Name of Affiliated Firm/s Nature of Affiliation

Certified correct by:

Dai Longcai
Resident Alien Representative (RAR) /
Authorized Managing Officer (AMO)
(Signature over printed name)
 PCAB-PAD-SLF-NEW-F01
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Page 6 of 19
RAR/AMO AFFIDAVIT Picture of
Note: Please accomplish this affidavit properly. Please use additional sheets if necessary. RAR/AMO
see Important
Republic of the Philippines ) Reminders
Province of ______________) (page 19, item
City/Municipality of ________) S.S no. 4) for
specification
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
Dai Longcai N/A N/A
Citizenship dd mm yyyy Single / Last Name First Name Middle Name
Born on 24 04 1984 Ye Chunlan
Chinese Married to
and residing Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
in the 1472 Calumpang Street, Dasmariñas Village, Makati City
Philippines
at:
having duly sworn to in accordance with law depose and say:
1. That I am the Resident Alien Representative (RAR) / Authorized Managing Officer (AMO) of :
Guangxi Hydro Electric Bureau
(Name of Firm)
with position of:
Authorized Managing Officer
(Position in the Firm)
empowered to render general management and administrative decisions.
2. That I possess the following educational qualifications (attach additional sheet if necessary)
Name of School Address Course Inclusive Dates
Hydraulic and Hydro-Power
Guizhou University Guiyang, Guizhou, China September 2003 - JULY 2007
Engineering

3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 of IRR of R.A. 4566)
(attach additional sheet if necessary)
Dates of
Designation / Position Company / Nature of Business Address Job Description
Employment
2 F, No.1715 Zhongshan North
China Energy Engineering Group Water Conservancy and
Engineer Road, Shanghai, 200061 China 2013-Present
Co., Ltd. Hydropower Engineering

4. That I possess knowledge of the building, safety, health, & lien laws of the Republic of the Philippines & the rudimentary
administrative principles of construction contracting from my work experiences in item 3 above and from the following
training/seminars (Ref. Sec. 20 of IRR of R.A. 4566) (attach additional sheet if necessary):
Training/Seminar Conducted by Address Inclusive Dates of Training
Unit 204 Greenhills Mansion, 37
The National Constructors Association of
AMO Seminar
the Philippines, Inc.
Annapolis Street, Greenhills, San May 24-25, 2018
Juan, 1502 Metro Manila

5. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any act of
omission liable for disciplinary action by myself or in collaboration with any other person (Section 4.2 of IRR of R.A. 4566)
6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude (Section 4.2 of IRR
of R.A. 4566)
7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shall cause my
disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or a license applicant with PCAB .
8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whatever sources PCAB may
consider appropriate
9. That I certify under pain of perjury that all information on this affidavit are true and correct.
FURTHER AFFIANT SAYETH NAUGHT.
Dai Longcai
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of __________________________________________________ 20___
at ___________________________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. _____________ issued at _________________________________________ on ______________ 20________.

NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 7 of 19

CERTIFICATION FROM THE APPROPRIATE TENDERING AGENCY

This is to certify that the project ____________________________________________________________

funded under Loan Agreement No. _________, is subject to international competitive bidding or is covered by
the BOT Law.

This is to further certify that the following requirements under existing laws have been waived in the loan
agreement:

Provision in the Loan Agreement waiving the

Specific Requirement Waived requirement

______________________________
Certifying Officer / Position
(Signature over Printed Name)

______________________________
Name of Agency

______________________________
Date
 PCAB-PAD-SLF-NEW-F01
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Page 8 of 19

AUTHORITY TO VERIFY BANK ACCOUNT

Note: To be submitted in two (2) copies.

THE MANAGER
Bank of China Ltd.
Manila

Subject: Bank Account # 100000750051038

Sir:

Please provide the Philippine Contractors Accreditation Board (PCAB), a government agency
under the Department of Trade and Industry, any information they need regarding the subject
account with your bank.

I am applying for a contractor's license from PCAB and part of their evaluation process is the
verification of bank deposits and other assets of an applicant.

This will serve as your authorization to release any information that may be requested by PCAB
regarding the above subject account.

Thank you.

Very truly yours,

Name of Firm:

Guangxi Hydro Electric

Construction Bureau

By:

Dai Longcai
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer or
Authorized Signatory with the Bank

Date:_______________________
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
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Page 9 of 19

AUTHORITY TO VERIFY FROM GOVERNMENT AGENCY/IES

AUTHORIZATION

The Philippine Contractors Accreditation Board (PCAB) is hereby authorized to verify and
secure information and/or copies of documents submitted by or in the name of the firm to any or all of
the following agencies relative to its application filed with the PCAB:

1. Securities and Exchange Commission (SEC)

2. Land Registration Authority (LRA)

3. Land Transportation Office (LTO)

4. Social Security System (SSS)

5. Professional Regulation Commission (PRC)

6. Philippine Health Insurance Corporation (PhilHealth)

7. Home Development Mutual Fund (Pag-IBIG)

Dai Longcai
Signature over Printed Name of
Representative Alien Representative /
Authorized Managing Officer

Date:______________________
 PCAB-PAD-SLF-NEW-F01
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Page 10 of 19

LIST OF CONSTRUCTOR’S REAL PROPERTIES

Note: Please use additional sheets if necessary.

REAL PROPERTIES OF THE FIRM AS OF THE BALANCE SHEET DATE

COMPLETE *TCT-CLT/ LOCATION
ACQUISITION ACQUISITION
DESCRIPTION CCT/TD (Street No., Barangay,
COST DATE
(Type of land/building) NUMBER Municipality/City, Province)

No Real Properties
in the Philippines

*LEGEND:
TCT – Transfer Certificate of Title
CCT – Condominium Certificate of Title
TD – Tax Declaration
CLT – Certificate of Land Title

Dai Longcai
Signature over Printed Name of
Resident Alien Representative/
Authorized Managing Officer

Date:________________________
 PCAB-PAD-SLF-NEW-F01
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Page 11 of 19

LIST OF CONSTRUCTOR’S PLANTS, VEHICLES AND EQUIPMENT

Note: Please use additional sheets if necessary.

A. DELIVERY AND TRANSPORTATION EQUIPMENT OF THE FIRM AS OF BALANCE SHEET DATE

COMPLETE DESCRIPTION ACQUISITION BOOK

VALUE
Year Date Cost (in Php)
Vehicle Brand / Type Plate No. OR No. / Date
Model (in Php)
Toyota Land Cruiser Prado AQA4751 2014 2014-11-21 2014-11-21 3,060,856.02 3,060,856.02
Toyota Super Grandia Van AAV7584 2014 2014-11-21 2014-11-21 1,879,563.34 1,879,563.34
Toyota Hilux Pick Up 2014 AOA2840 2014 2014-11-21 2014-11-21 1,569,849.40 1,569,849.40
Toyota Super Grandia Van GPK99 2014 2016-02-25 2016-02-25 2,075,243.90 2,075,243.90
Toyota Fortuner Black GHC88 2015 2016-04-11 2016-04-11 2,189,562.55 2,189,562.55
Toyota Fortuner Silver GHB88 2015 2016-04-14 2016-04-14 2,201,406.37 2,201,406.37
Toyota Hilux Pick Up 2015 CGP55 2015 2016-03-29 2016-03-29 1,625,178.60 1,625,178.60
2018 Ford Everest Titanium COX476 2018 2017-12-29 2017-12-29 2,058,875.88 2,058,875.88

16,660,536.06 16,660,536.06
OVERALL TOTAL VALUE

B. MACHINERIES/PLANTS AND OTHER CONSTRUCTION EQUIPMENT OF THE FIRM AS OF

BALANCE SHEET DATE
ACQUISITION BOOK
COMPLETE
SERIAL NO. VALUE
DESCRIPTION Cost
Date (in Php)
(in Php)

OVERALL TOTAL VALUE Php Php

Dai Longcai
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer

Date:_________________________
 PCAB-PAD-SLF-NEW-F01
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Page 12 of 19

SCHEDULE OF RECEIVABLES
Note: To be accomplished if the applicant's receivable accounts (accounts/contracts & other receivable) exceed 50% of the total
networth/equity as of the latest audited balance sheet submitted in support of its application. Please use additional sheets if
necessary.

Amount Due for

Name of Projects Age Client Name / Complete Address
Collection

Certified Correct by:

_______________________________________ Dai Longcai

Printed Name and Signature of External Auditor Printed Name and Signature of AMO
 PCAB-PAD-SLF-NEW-F01
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Page 13 of 19

LIST OF NOMINATED SUSTAINING TECHNICAL EMPLOYEES

PRC Registration
Date Position
Name of STE License Date of
Employed in the Firm
Prof.
Number Registration Validity
Previously Nominated
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Newly Nominated
1.
2.
3.
4.
5.
6.
7.
8
9.
10.

Dai Longcai
Signature over Printed Name of
Resident Alien Representative /
Authorized Managing Officer

Date:________________________
 PCAB-PAD-SLF-NEW-F01
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Page 14 of 19

SUSTAINING TECHNICAL EMPLOYEE AFFIDAVIT Picture of

Note: Please accomplish this affidavit properly. Refer to the next page for STE qualification requirements. STE
see Important
Republic of the Philippines ) Reminders
Province of ______________) (page 19, item
no. 4) for
City/Municipality of ________) S.S specification

Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I,
mm dd yyyy Single / Last Name First Name Middle Name
Born on
Married to
Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and
residing at
Telephone / Mobile No. (required) Email Address (required)
with
having been duly sworn in accordance with law depose and say:
1. That I am a duly licensed ____________________________________________ and holder of PRC License No. __________
(Profession)
valid up to _______________, as evidenced by a copy of my PRC ID posted below;
Course / Profession
That I hold a Bachelor's Degree in
2. Name of School Inclusive Dates
Given at: Given on:

That my Tax Identification Number is :

3.
and my Social Security System Number:
That I am employed on a regular and full-time Name of Firm
basis by:
4.
Position in the Firm CFY
With the position of as STE for
5. That I am not presently employed by either a private company or any government office or government owned/controlled
corporation, nor a full time instructor, nor working abroad;
6. That I am not a holder of a valid contractor's license;
7. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpractice or any
act or omission liable for disciplinary action by myself or in collaboration with any other person;
8. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude;
9. That I am fully aware that my failure to notify the PCAB of my disassociation from my present employer within 30 days from
such disassociation shall cause my disqualification from being a Sustaining Technical Employee, an Authorized Managing
Officer and an applicant for a contractor’s license with PCAB;
10. That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB may
consider appropriate;
11. That I am executing this affidavit to attest to the truth of the foregoing.
FURTHER AFFIANT SAYETH NAUGHT.
____________________________
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___ at ___________________________;
affiant exhibited his/her Community Tax Certificate No. _____________ issued at __________________ on ______________ 20___.

Doc. No. NOTARY PUBLIC

Page No. Until December 31, 20 ___
Book No.
Series of 20 ___
PASTE PASTE

PROF. I.D. CARD PROF. I.D. CARD

VALID FOR VALID FOR

CURRENT YEAR CURRENT YEAR

(Front) (Back)
(photocopy) (photocopy)
 PCAB-PAD-SLF-NEW-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 15 of 19

QUALIFICATION REQUIREMENTS FOR STE

1. A technology professional, such as engineer or architect, duly licensed by the Professional

Regulation Commission (PRC).

2. Holder of a valid PRC I.D.

3. With three (3) years minimum actual construction experience.

4. A full-time employee of the nominating contractor, not associated professionally or by

employment with any other party, particularly a party engaged in construction or construction-
related activities.

5. Have none of the following disqualifications:

a) Involvement, in any capacity, in any construction malperformance of grave consequence,
suggestive of his negligence, incompetence and/or malpractice;
b) Involvement, by himself or in collaboration with any other person or firm, in any act or
omission liable for disciplinary action of which he/she is or the other person or firm was
found guilty by the PCAB Board ;

c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and

d) If formerly a Sustaining Technical Employee or an Authorized Managing Officer of any

construction firm but disassociated there from, failure to notify the Board of his
disassociation in accordance with paragraph 5 and 6 of the Affidavit of Undertaking.

This is to certify that I have verified with PRC the abovestated professional eligibility/registration of
the Sustaining Technical Employee. Affiant herein and found the same to be true and correct.

Dai Longcai
Resident Alien Representative /
Authorized Managing Officer
(Signature over printed name)

__________________________________________
Date
 PCAB-PAD-SLF-NEW-F01
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This Form is NOT for sale. Reproduction is Allowed
Page 16 of 19

AFFIDAVIT OF STE CONSTRUCTION WORK EXPERIENCE

Note: Please use additional sheets if necessary.

Republic of the Philippines )

Province of ______________)
City/Municipality of ________) S.S

I, _________________________________, single/married, Filipino, of legal age, with postal address at

________________________________________________, having been duly sworn in accordance with law depose
and say that the projects enumerated below constitute my full & complete construction experience.

Name and Work Nature/Scope of Work Project Duration

Complete Address of Employer/ Classification Assignment (mm/dd/yyyy)
Name & Location of Projects Undertaken (GE, GB, SP) (Proj. Engr.) From To

That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB
may consider appropriate;

That I am executing this affidavit to attest to the truth of the foregoing.

FURTHER AFFIANT SAYETH NAUGHT.

_________________________________
Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ___________________________________ 20_____

at ______________________________________________________________; affiant exhibited his/her Community
Tax Certificate No. ______________ issued at ___________________________ on ____________________ 20___.

NOTARY PUBLIC
Until December 31, 20 ___

Doc. No
Page No.
Book No.
Series of 20 _____.
 PCAB-PAD-SLF-NEW-F01
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Page 17 of 19

STE PERSONAL APPEARANCE

Note: To be accomplished by the STE. The STE Personal Appearance is valid only for three (3) months from the date
signed by the PCAB/DTI Personnel.

Name of STE
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name

Profession PRC ID No. Expiration Date

Present Employer

I hereby confirm the following:

1. The veracity of the information reflected on the STE Affidavit and Affidavit of Construction Experience
that I executed in favor of the above present employer;

2. That I am fully aware that my failure to notify the PCAB of my disassociation from the above-stated
nominating firm and any misrepresentation in the attached forms shall cause my disqualification as
sustaining technical employee, or authorized managing officer, or a licensee applicant with PCAB per
Board Resolution No. 401, Series of 2001.

3. That I have been previously connected with the following companies and disassociated therefore:

Date of Date of
Previous Employers Position
Employment Resignation

4. Other Remarks:
_____________________________________________________________________________________

_____________________________________________________________________________________

Valid I.D.(s) Presented:

1. ________________ No: ______________ ________________________

STE’s Signature
2. ________________ No: ______________
________________________
Date Signed

-----------------------------------------------------------------------
To be filled out by PCAB/DTI ROG Personnel
STE’s Specimen Signature (during interview):

Signature over Printed Name

Date: Date:
PCAB/DTI Office:
 PCAB-PAD-SLF-NEW-F01
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This Form is NOT for sale. Reproduction is Allowed
Page 18 of 19

AUTHORIZED REPRESENTATIVES AFFIDAVIT

Note: To be accomplished by the AMO.

Republic of the Philippines )

Province of ______________)
City/Municipality of ________) S.S
Last Name First Name Ext. Name (Jr/Sr, if any) Middle Name
I, Dai Longcai
mm dd yyyy Single / Last Name First Name Middle Name
born on 04 24 1984 Married to Ye Chunlan
and Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
residing 1472 Calumpang Street, Dasmarinas Village, Makati City
at:
having duly sworn to in accordance with law depose and say:
That I am the Name of Firm
Resident Alien Guangxi Hydro Electric Bureau
Representative /
Authorized
1. Managing
Officer of :
with office Room/Floor/Unit/Bldg. Name, Lot/Block/Ph. No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
address at: No. 58 Road 1, Project 6, Quezcon City
That I appoint two (2) representatives, whose pictures and signatures appear below:
Name of Representative and Picture Signature of Representative over
See Important Reminders (page 19,
Position in the Firm item no. 4) for specification
Printed Name
A. Dai Longcai/ Authorized Managing
Officer

Dai Longcai

2.
B. Tomas Valencia/ Resident Agent

Tomas Valencia

to transact business with PCAB; i.e, present for pre-screening my application for contractor’s license or any
application related thereto, file/follow-up, submit documents, receive notices/license in connection with the said
application and the like.
That I am aware that I am responsible/liable for any or all acts/representation made by my representatives in
3.
connection with the functions stated herein.
4. That I undertake to notify PCAB in the event that this appointment is modified, amended or revoked.
That I have read and fully understood and complied with the requirements of PCAB Board Resolution No. 515 s.
5.
2011 (copies of required documents are attached).

____________________________
Affiant
(Authorized Managing Officer of Firm)

SUBSCRIBED AND SWORN to before me this _________ day of ____________________________, 20_____ at

_____________________________________________________; affiant exhibited his/her Community Tax Certificate
No. _____________________ issued at _____________________________ on ________________ 20_________.

NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___
 PCAB-PAD-SLF-NEW-F01
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This Form is NOT for sale. Reproduction is Allowed
Page 19 of 19

IMPORTANT REMINDERS
1. All required information in the application forms should be properly filled out. Do not leave an item blank. If an item is
not applicable, indicate “N/A”.
2. The recommended paper size in printing the application forms is 8.27” x 11.69” (A4 size).
3. Application forms and its corresponding supporting documents/attachments should be:
a. arranged according to page number with index tabs;
b. fasten in a long size folder.
4. The required picture specification for the RAR/AMO / STE / Authorized Representatives Affidavit as follows:
a. taken within the last three (3) months prior to filing of application;
b. Philippine passport size (4.5 cm x 3.5 cm or 1.78” x 1.38”);
c. colored, with white background and printed on good quality photo paper;
d. in standard close-up shot, taken in full-face view directly facing the camera;
e. in bare face (with no eyeglasses or any accessories that may cover the facial features), showing left and right
ears;
f. with handwritten (not computer-generated) name tag legibly showing signature over printed full name in the
format: First Name, Middle Initial, Last Name and Extension Name, if any;
5. All applicants are required to pay non-refundable upfront fees for all types of license applications upon acceptance
(Board Resolution No. 313, s. 2011).
6. Only the Authorized Managing Officer or one of the two (2) Authorized Representatives of the Firm is allowed to
transact with PCAB (Board Resolution No. 515, s. 2011).
7. Filing/submission of application/s can be done at PCAB Makati / CIAP Windows / DTI Regional or Provincial Offices /
PCAB Accredited Contractors’ Associations & Professional Organizations.
8. Application Forms (i.e. ARC, Amendments, Special License, etc.), Citizen’s Charter, Board Resolutions, Advisories
and other relevant information about PCAB application can be downloaded at www.ciap.dti.gov.ph.
9. Fee Structure:
New Special License – Foreign Application
Category
Fee Particulars AAA AA A B C D E/Trade
Filing Fee 1,200 1,200 1,200 1,200 1,200 1,200 1,200
Classification Fee
Principal 4,800 2,400 480 240 144 48 nil
Other/s (chargeable for
2,400 1,200 240 120 72 24 nil
each classification)
Categorization Fee 43,200 21,600 7,200 4,800 2,400 1,200 nil
License Fee 100 100 100 100 100 100 100
Documentary Stamp Tax 15 15 15 15 15 15 15
Legal Research Fund 12 12 12 12 12 12 12
Grand Total (P) 51,727 26,527 9,247 6,487 3,943 2,599 1,327

10. For further inquiries or clarifications, please communicate with us thru email or thru contact numbers below:

Department of Trade & Industry Philippines

Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
5F Executive Building Center, 369 Sen. Gil J. Puyat Ave.,
Makati City 1209
Tel/TeleFax: 895-4258 / 895-4220 / 09178482427
E-mail Address: [email protected], [email protected]

Note: Do not include this page in your application folder. For reference use only.