ANNEX A. STANDARD APP LICATION FORM FOR THE REGISTRATION OF AGRICULTURAL AND FISHERIES MACHINERY MANUFACTURERS, FABRICATORS, 
ASSEMBLERS, DISTRIBUTORS, DEALERS AND IMPORTERS (MFADDIE) AND THEIR PRODUCTS  
Amendment      To: ____________ _________________ ____ 
 
Republic of the Philippines  
Department of Agriculture   
BUREAU OF AGRICULTURAL AND FISHERIES ENGINEERING  
Elliptical Rd., Diliman, Quezon City  
Tel. No. (02) 928 -8741 local 2492  
 Email add. sred.bafe@gmail.com  
 
APPLICATION FORM FOR REGISTRATION OF AGRICULTURAL AND FISHERIES MACHINERY MANUFACTURERS, 
FABRICATORS, ASSEMBLERS, DISTRIBUTORS, DEALERS AND IMPORTERS (MFADDIE)  
APPLICATION NO.  
to be filled out by the processing officer   
DATE OF APPLICATION  ____ / ____ / 20____  
REGISTRATION PLATE NO.   
to be filled out by the processing officer   
DATE OF INSPECTION  ____ / ____ / 20____  
TYPE OF APPLICATION   
I. PROFILE  
APPLICANT’S NAME  (SURNAME, FIRST NAME, M.I.)  
 
 COMPANY NAME  
 
OFFICE ADDRESS  (NO. & STREET, BARANGAY, TOWN/CITY, PROVINCE)  
 
 
TELEPHONE NO.  
 FAX. NO  EMAIL ADDRESS  
 
 
TYPE OF ENTERPRISE  (Manufacturer / Fabricator / Assembler / Distributor / 
Dealer / Importer / Exporter ) 
       BUSINESS ORGANIZATION  (Sole Proprietorship / Partnership / Corporation)  
AREA/S OF OPERATION  (Region -Province)  
1  4  
2  5  
3  6  
NETWORK OF DEALERS (For Manufacturer / Fabricator / Assembler / Distributor / Importer)  
 COMPANY NAME  CONTACT NO.  / EMAIL ADDRESS  ADDRESS  
1    
2    
3    
4    
5    
6    
7    
8    
9    
10    
II. LIST OF FACILITIES AND EQUIPMENT OWNED/RENTED  
 FACILITY/EQUIPMENT  QUANTITY  OWNED/RENTED  
1    
2    
3    
4    
5    
6    
7    
8    
9    
10    
11    
12    
13    
14    
15    
Please use separate sheet if necessary  
Registration Fee      Php   
________________________________________________  
SIGNATURE OVER PRINTED NAME OF APPLICANT  
OR AUTHORIZED REPRESENTATIVE  OR No.  OR Date.  
PROCESSED BY  
 
 REVIEWED BY  APPROVED BY  
DATE PROCESSED  ___ / ___ / 20___  DATE REVIEWED  ___ / ___ / 20 ___  DATE APPROVED  ___ / ___ / 20 ___  New  Ren ewal 
FORM  
301 ANNEX A. STANDARD APP LICATION FORM FOR THE REGISTRATION OF AGRICULTURAL AND FISHERIES MACHINERY MANUFACTURERS, FABRICATORS, 
ASSEMBLERS, DISTRIBUTORS, DEALERS AND IMPORTERS (MFADDIE) AND THEIR PRODUCTS  
 
 
INSTRUCTIONS  
I. Documentary Requirements  
 
A.  Registration of Establishment (Initial)  
 Duly Accomplished Application Form  
 Certified Photocopy of Certificate of Business Registration issued by DTI (Sole Proprietorship)  
 Certified photocopy of Certificate of Registration issued by the Securities and Exchange Commission (SEC) and Article and Inc orporation 
and By -Laws (Corporation/Partnership/Association)  
 Certified Photocopy of Business/Mayor’s Permit from the city/municipality where the establishment is located for the current year  
 Sketch of location map of the establishment  
 Certified Photocopy of Certificate of Accreditation issued by the NAMDAC Board  
 Official receipt of payment  
 Additional Requirements pursuant to PD 1586 also known as The Philippine EIS System and its Implementing Rules and Regulation s, DENR 
AO No. 30 Series of 2003, Memorandum Circular 2014 -005, and Memorandum Circular 2015 -0003  
a. For establishments under Category A and B: Photocopy of Environmental Compliance Certificate (ECC);  
b. For establishments under Category D: Photocopy of Certificate on Non Coverage (CNC).  
 
B.  Registration of Establis hment (Renewal)  
 Duly Accomplished Application Form  
 Certified Photocopy of Business/Mayor’s Permit from the city/municipality where the establishment is located for the current year  
 Sketch of location map of the establishment  
 Certified Photocopy of Certificate of Accreditation issued by the NAMDAC Board  
 Official receipt of payment  
 Additional Requirements pursuant to PD 1586 also known as The Philippine EIS System and its Implementing Rules and Regulation s, DENR 
AO No. 30 Series of 2003, Memorandu m Circular 2014 -005, and Memorandum Circular 2015 -0003  
a. For establishments under Category A and B: Photocopy of Environmental Compliance Certificate (ECC);  
b. For establishments under Category D: Photocopy of Certificate on Non Coverage (CNC).  
 
Note: Addition al Requirements maybe requested for submission from time to time as the need arises.  
II. Change in Circumstance  
 
a. For Business Name/Address  
• Letter Request  
• Valid PTO (original copy)  
• DTI/SEC Certificate of Business Registration  
• Business/Mayor’s Permit  
• Duly Accomplished  Application  Form 3 01 
b. Ownership  
• Letter Request  
• DTI/SEC Certificate of Business Registration  
• Business/Mayor’s Permit  
• Duly Accomplished  Application  Form 3 01 
• Deed of Sale / Transfer of Ownership  
 
III. Display of Registration Certificate / Permit to Ope rate 
Registration Certificate / Permit to Operate shall be displayed conspicuously in the place of business readily visible to the  public.  
 
 
  ANNEX A. STANDARD APP LICATION FORM FOR THE REGISTRATION OF AGRICULTURAL AND FISHERIES MACHINERY MANUFACTURERS, FABRICATORS, 
ASSEMBLERS, DISTRIBUTORS, DEALERS AND IMPORTERS (MFADDIE) AND THEIR PRODUCTS  
Amendment      To: ____________ _________________ ____ 
 
 
Republic of the Philippines  
Department of Agricultural  
BUREAU OF AGRICULTURAL AND FISHERIES ENGINEERING  
Elliptical Rd., Diliman, Quezon City  
Tel. No. (02) 928 -8741 local 2492  
 Email add. sred.bafe@gmail.com  
 
APPLICATION FORM FOR PRODUCT REGISTRATION  
APPLICATION NO.  
to be filled out by the processing officer   
DATE OF APPLICATION  ____ / ____ / 20____  
REGISTRATION PLATE NO.  
to be filled out by the processing officer   
DATE OF INSPECTION  ____ / ____ / 20____  
TYPE OF APPLICATION   
APPLICANT’S NAME (SURNAME, FIRST NAME, M.I.)  
 
 COMPANY NAME  
 
PRODUCT LINES  
 PRODUCT  LINE  BRAND  TECHNICAL DESCRIPTION  COUNTRY OF 
ORIGIN  
1     
2     
3     
4     
5     
6     
7     
8     
9     
10     
11     
12     
13     
14     
15     
Please use separate sheet if necessary  
Registration Fee      Php   
________________________________________________  
SIGNATURE OVER PRINTED NAME OF APPLICANT  
OR AUTHORIZED REPRESENTATIVE  OR No.  OR Date.  
PROCESSED BY  
 
 REVIEWED BY  APPROVED BY  
DATE PROCESSED  ___ / ___ / 20___  DATE REVIEWED  ___ / ___ / 20 ___  DATE APPROVED  ___ / ___ / 20 ___  
 
INSTRUCTIONS  
Initial / Renewal  
 Duly Accomplished Application Form  
 Additional Requirements for Importers  
a. Certificate of Accreditation issued by the Bureau of Domestic Trade (BDT) of the Department of Trade and Industry (DTI)  
b. Certificate of Origin from Country of Manufacture  
c. Distributorship Agreement  
 
Note: Additional Requirements maybe requested for submission from time to time as the need arises.  New  Ren ewal 
FORM  
302