Broker'S Application Form
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NEW
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RENEWAL
BROKER’S APPLICATION FORM
APPLICATION
RECEIVED BY:
Revised Form Version Date 11.06.14
DATE RECEIVED:
FOCUS PROJECT/S:
CLUSTER:
Note: UPON SUBMISSION OF COMPLETE REQUIREMENTS, PLEASE ALLOW 3 WORKING DAYS TO PROCESS YOUR ACCREDITATION.
C O M P A N Y P R O F I L E
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BUSINESS NAME:
CORPORATION
OWNED
SOLE PROPRIETOR
BUSINESS OWNER:
COMPANY TIN NO.
AUTHORIZED REPRESENTATIVE:
DESIGNATION:
OFFICE ADDRESS:
EMAIL ADD/WEBSITE:
OFFICE TEL. NO.:
FAX #:
LOCAL:
MOBILE #:
__________________
______________________
P E R S O N A L
P R O F I L E
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COMPLETE NAME:
POSITION :
LEAD BROKER
GROUP MANAGER
Last Name
First Name
Middle Name
TIN NO:
MOTHER'S MAIDEN NAME:
NICKNAME:
______________________________
EDUCATIONAL
HOME ADDRESS:
CIVIL STATUS:
SEX:
______________________________________________________________________________
ATTAINMENT:
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MALE
COLLEGE
HOME PHONE #:
_________________________________ MOBILE #1:
SINGLE
______________________________
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FEMALE
HIGH SCHOOL
EMAIL ADD:
_________________________________ MOBILE #2:
MARRIED
______________________________
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_________________________________ PLACE OF BIRTH:
OTHERS
OTHERS ____________________
DATE OF BIRTH
(MM/DD/YY):
________________________________
PRC REB LICENSE NO:
EXPIRY DATE (MM/DD/YY) :
CITIZENSHIP:
__________________
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HAS OWN CAR
TAKES PUBLIC TRANSPORTATION
MODE OF TRANSPORTATION:
T R A C K
R E C O R D
I N
R E A L
E S T A T E
NO. OF YRS IN REAL ESTATE BUSINESS:
NO. OF YEARS THE REALTY FIRM HAS BEEN IN OPERATION:
TOTAL NO. OF MANAGERS:
BROKER ORGANIZATION/STRUCTURE:
TOTAL NO. OF SALES PERSONS:
INCLUSIVE DATE
NO. OF UNITS
COMPANY / LOCATION
PROJECT
YEARS OF EXPERIENCE
TOTAL SALES VALUE
FROM
TO
SOLD
A C K N O W L E D G E M E N T
I hereby commit to abide by, and/or to the following basis of my accreditation:
◦ Abide by the Rules and Regulations and Code of Ethics governing Filinvest accredited agents.
_______________________________
◦ Attain the required sales production set by Promax management
SIGNATURE OVER PRINTED NAME
◦ Actively participate in sales and marketing activities
(1x1 ID PICTURE)
◦ Obtain licenses and permits as required by Law and Promax management
_______________________________
DATE
I understand that failure to attain any of the aforementioned conditions and any false statements/
information herein may be grounds for Promax to disapprove my application for accreditation.
F O R
P R O M A X U S E
O N L Y
BROKER CLASSIFICATION
REFERENCE CHECK
STATUS OF APPLICATION
SALES RECRUITMENT – ACCREDITATION
BROKERS ORIENTATION PROGRAM
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DATE PROCESSED:
ALLIED
CMAP
CLEARED
HIT
APPROVED
___________________ TRAINING DATE: _______________
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VALUED
NFIS
CLEARED
HIT
DISAPPROVED
PROCESSED BY:
___________________ TRAINING VENUE: ______________
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CORE
OTHERS
CLEARED
HIT
CONDITIONAL
APPROVED BY:
___________________ TRAINOR: _____________________
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LEAD
REMARKS: ________________________
SELLER CODE:
___________________ BSM/BSO: ____________________
SIG: _________________
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