SAFETY ORGANIZATION OF THE PHILIPPINES, INC.
Jose D. Regala Memorial Bldg. P.O Box 1155 MCPO.
515-517 Cordillera st., Mandaluyong City ,MM Makati City
Tel.: / Telefax: 531-0766/5310739/531-0743  
 
INSTITUTIONAL MEMBERSHIP INFORMATION FORM
 
Institution (Please type or print with block letters less than/equivalent to number spaces alloted-abbreviated if necessary)
Company Name
Address Tel
Zip Code Fax
No. Of Employesss/Workers Directly Connected with the Institution
Less than 50 501 - 750 3001 - 5000
50 - 200 751 - 1000 5001 - 10000
201 - 500 1001 - 3000 OVER - 10000
Officers & Representative Title / Designation
Chief Exec. Officer
Personnel Officer
Official Rep.
Sectoral classification which best describes your organization, please check one
Agricultural / Aquaculture Goverment / Military PR / Advertising Wholesale / Retail
Construction Livestock / Breeding Services Consultancy
Manufacturing Transporation Fishing Metals / Mining
Telecoms Others
Primary Products / Services Offered
Field of safety most interested in please check as many as possible
Industrial Fire Transport Marine
Mining Agricultural Cultural    
Others
Does your Institution have a safety department or safety committee? YES NO
If Yes, What Activities Does it Undertake?
Membership with other Organizations

I certify that the information given is complete and accurate, that am applying / renewing my membership with the SAFETY ORGANIZATION OF THE PHILS., INC., (SOPI) and hereby reiterate that i will abide by all rules and regulations of SOPI, and i will promote its objectives.
Date (SGD)
Title / Designation Name
Account #: 2733273801805
Account Name: Safety Organization of the Philippines
Bank: Metrobank
Branch: Libertad St. Mandaluyong

-Please fax the deposit slip to 5310739/5310766 -