BOI FORM 501-Energy
/ APPLICATION NO. / :(Revised as of 01 December 2014)
/ DATE ACCEPTED / :REPUBLIC OF THE PHILIPPINES
BOARD OF INVESTMENTSAPPLICATION FOR REGISTRATION OF ENERGY PROJECT *
A. APPLICANT
NAME OF ENTITY / : /OWNERSHIP / : / % Filipino / % Foreign / (Nationality)
TAX ACCOUNT NO. / :
SEC REGISTRATION / : / No. : / Date :
OFFICE ADDRESS / :
ZIP CODE / :
TELEPHONE NO. / : / FAX NO. / :
AUTHORIZED OFFICER:
NAME / :
DESIGNATION / :
LANDLINE NO. / : / FAX NO. / :
MOBILE NO. / : / E-MAIL ADDRESS / :
APPLICANT’S REPRESENTATIVE TO BOI:
NAME / :
ADDRESS / :
LANDLINE NO. / : / FAX NO. / :
MOBILE NO. / : / E-MAIL ADDRESS / :
B. ACTIVITY/ AREA OF INVESTMENT APPLIED FOR
IPP Category / : / Regular List / Mandatory ListActivity as listed in the IPP / :
Under E.O. 226 (Listed in the Investment Priorities Plan (IPP) – Energy)
Type of Project: / New / Expansion / Modernization / Existing
Status: / Non-Pioneer / Pioneer / Basis for Pioneer Status:
Under R.A 9513 (Renewable Energy Act 2008)
New Investment / Additional Investment / Existing Investment
Name of Project / :
Specific Products/Services / :
Capacity/Year
(in MW, if electricity generation)
Project Location / :
Start of Commercial Operation / :
C. ENERGY SOURCE/ FUEL
Biomass / Hydro / Wind / GasGeothermal / Solar / Coal / Others, Specify
ENERGY PROJECT REPORT
1) PROJECT DESCRIPTION
Attachment: Business Model of the activity being registered (clearly indicating among others, all revenue-generating activities of the enterprise, including the activities proposed for BOI registration)
2) PROJECT LOCATION - Provide description and Google map of the project site
3) PROPOSED MARKET/CLIENTS - Provide list of targeted clients and their energy requirements
Attachment: Proof of Assured Market: Copy of Power Supply Agreement, Purchase Orders or Letters of Intent, etc.
4) PRODUCTION AND TECHNOLOGY:
a. Energy Source/ Raw Materials
(The Table below applies to development of biomass energy resources and non-power applications, e.g., bio-fuels, etc; Add rows, if necessary)
Description / Cost per Unit of Raw Material / Raw Material Usage Rate per kWh Generated/ Unit of Finished Product / SupplierIndicate applicable units of measure, e.g., metric tons, liters, etc. Add rows, if necessary
Net Value Added: Applicable if applying under E.O. 226:
Y1 / Y2 / Y3 / Y4 / Y5Costs in (PhP):
Total Production
Imported Raw Material
Local Raw Material
Net Value Added (NVA) -%
· NVA -to be computed by BOI
· Y1 is the first year (12-month period) of commercial operations
b. Machinery and Equipment (Add rows, if necessary)
Equipment / Country Source / End-use / Qty (No. of units) / Unit Cost (PhP) / Total Cost (PhP)Total: / (A)
End Use is the application or processing step where the equipment will be used
Breakdown of Machinery & Equipment Costs, as to source and status of acquisition
Status of Acquisition / Cost of Locally Sourced (PhP) / Cost of Imported (PhP) / Total Cost (PhP)Already acquired
For acquisition
Total: / (A)
c. Process: Provide Process Flow Chart, with Description of Each Process
5) PROJECT TIMETABLE/COST:
Activity / Schedule (Mo.& Yr) / Related Expenses / Cost (in PhP)Obtaining licenses, permits, registration / Pre-operating expense
Project Site preparation & development
· Hiring of Contractors
· Civil works / Land
Land improvements
Building
Leasehold Improvements
Other expenses
Acquisition & installation of mach. & equipment / Machinery & equipment: / (A)
Start of commercial operation / Working capital (__ mos.)
Total Project Cost / (B)
Working capital normally covers the first three to four months of commercial operations
Yearly Investment Requirement (For projects with a gestation period of more than one year)
Add columns, if necessary
Pre-Operating Period / TotalYear
Investment Requirement (PhP) / (B)
Total Investment Requirement should tally with the Total Project Cost
6) PROJECT FINANCING
Sources of Funds / Amount in PhP / % to TotalEquity
Loan
Total Financing / (B)
Total Financing should tally with the Total Project Cost
Attachment: Proof of financial close; or information on status of loan application
Provide also information on: Collateral for the loan; and, Whether or not the applicant enterprise needs sovereign/ government guarantee for the proposed project.
7) PROJECTED PRODUCTION & SALES SCHEDULE:
a) For Power Applications
Year
/ 1 / 2 / 3 / 4 / 5No. Turbine Generators/ PV Modules
Capacity (MW)
Total Rated Capacity (MW)
Operating Hours per Year
Sales (kWh)
Selling Price (PhP/kWh)
Sales Value (PhP)
If applicable:
Carbon Emission Reductions (CERs) (in MT CO2)
Price of CER (Equivalent in PhP /MT CO2)
Gross CER Revenue (PhP)
Total Revenues (PhP)
Y1 is the first year (12-month period) of commercial operations
b) For Non-Power Applications, e.g., bio-fuels, etc.
Year
/ 1 / 2 / 3 / 4 / 5Total Production Volume (indicate unit of measure)
Sales Volume (indicate unit of measure)
Selling Price (PhP per unit of measure))
Total Sales Value (PhP)
If applicable:
Carbon Emission Reductions (CERs) (in MT CO2)
Price of CER (Equivalent in PhP /MT CO2)
Gross CER Revenue (PhP)
Total Revenues (PhP)
· Indicate unit of measure (e.g., metric tons, liters, etc.)
· Projected annual production volume should not exceed the production capacity per year being applied for BOI registration
Assumptions Used in the Projections:
o Y1 is the first year (12-month period) of commercial operations
o No. of shifts per day
o No. of Operating days per year
o Basis for the selling price(s)
o Others
8) JOB GENERATION
Employee Type / No. of employees / Annual Payroll (PhP’000)Y1 / Y2 / Y3 / Y4 / Y5 / Y1 / Y2 / Y3 / Y4 / Y5
Direct Labor
Indirect Labor
Administrative/Sales
Total:
Y1 is the first year (12-month period) of commercial operations
9) FINANCIAL PROJECTIONS (preferably in Excel format):
Provide 2 sets of Projected Income Statements for 15 years*, with itemized Cost of Sales, Manufacturing Overhead and Operating Expenses including breakdown on government share, real property taxes, licensing and business permits, etc.
· 1 Set WITH Corporate Tax Incentives*,
· 1 Set WITHOUT Corporate Tax Incentives, i.e., with corporate tax rate of 30% from Year 1 (Year 1 is the first 12-months of commercial operations)
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*Notes:
If under E.O 226: with ITH period depending on the type and status of registration; and with corporate tax rate of 30% after the ITH period;
If Under RA 9513 i.e., with 7-year ITH and corporate tax rate of 10% (instead of 30%) from year 8
10) JUSTIFICATION FOR PIONEER STATUS (if applying for pioneer status under EO 226)
11) IF THE APPLICATION FOR REGISTRATION COVERS EXPANSION or MODERNIZATION/UPGRADING OF AN EXISTING PROJECT; or ADDITIONAL INVESTMENTS:
a) For Power Applications
· Actual Generation & Sales (Volume & Value) for the past three (3) years
Year
No. of Turbine Generators/ PV ModulesCapacity (MW)
Total Rated Capacity (MW)
Operating Hours per Year
Production (kWh)
Sales (kWh)
Selling Price (PhP/kWh)
Sales Value (PhP)
b) For Non-Power Applications, e.g., bio-fuels, etc.
· Actual Production & Sales (Volume & Value) for the past three (3) years
Year / Installed Capacity / Production Volume / Sales Volume(No. of units) / Average Selling Price (PhP per Unit) / Total Sales Value (PhP)
Domestic / Export / Domestic / Export / Domestic / Export / Total
Indicate unit of measure (e.g., metric tons, liters, etc.)
YEARo Foreign Exchange Rate Used (in PhP per USD)
o No. of shifts per day
o No. of Operating days per year
Attachment: Plant and machinery Lay-out providing distinction as to the existing/currently installed facilities vis-a-vis proposed facilities covered by the application for BOI registration
12) FOR MODERNIZATION PROJECTS
· Compliance to 25% Substantial Reduction of Total Cost of Production/Service
Production/Generation Cost Before Modernization / Production/ Generation Cost After Modernization / Reduction of Cost Production/ Service
Cost Difference / Percentage
(A) / (B) / A-B = (C) / C / TCS
Total Raw Materials
Local
Imported
Direct Labor
Manufacturing Overhead:
Utilities:
Electricity
Water
Communication
Total Utilities
Other Manufacturing Overhead:
Indirect Labor
Factory Supplies
Insurance Expenses
Depreciation & Amortization
Repairs & Maintenance
Others
Total Other Manufacturing Overhead
Total Cost of Sales (TCS) / (25% minimum)
· Matrix of Machines and Equipment (Existing & Replacement) (Add rows, if necessary)
ProcessingStep/
Stage / Existing Machines & Equipment / Replacement Machines & Equipment under Modernization Program
Machine Type/Model / Age/ Year Acquired / Qty / Actual
Prodn Capacity / End-Use / Quantity / Production Capacity / Expected Efficiency
13) PROJECT PROPONENTS
FOR SOLE PROPRIETORSHIPName / Nationality / Country of Residence / Capital (In Pesos)
FOR CORPORATION/PARTNERSHIPS
Authorized Capital / PhP
Stockholders (Add rows, if necessary)
Name / Nationality (indicate with * if naturalized Filipino) / Country of Residence / Subscribed Capital / Paid-Up Capital / % Ownership
No. of Shares / Value / No. of Shares / Value
Total:
Directors (Add rows, if necessary)
Name / Nationality / Country of Residence
Principal Officers) (Add rows, if necessary)
Name / Nationality / Designation
Attachment for enterprises which are not newly-incorporated:
· Copy of Latest General Information Sheet (GIS)
· Copy of Audited Financial Statements (past 3 Years)
a. BACKGROUND ON THE APPLICANT ENTERPRISE
Including but not limited to applicant enterprise’s and its stockholders’ previous and current businesses other than the proposed project being applied for BOI registration.
b. AFFILIATES (if applicable), (Add columns/rows, if necessary)
Applicant Enterprise / Parent Company / Affiliate 1 / Affiliate 2Business Activities
Non-Power Projects
Power Projects/ Capacities
Location of Power Projects
BOI Reg’n No./ Date
Law Governing the BOI Registration
Start of Commercial Operations
Name of Stockholders / Nationality / % Ownership / % Ownership / % Ownership / % Ownership
c. EXISTING ENERGY PROJECTS OF APPLICANT ENTERPRISE (Add columns, if necessary)
Project 1 / Project 2 / Project 3 / Project 4Business Activities
Power Projects
Location of Power Projects
Capacity of Power Projects
Start of Commercial Operations
BOI Reg’n No./ Date (if applicable)
Law Governing the BOI Registration
OTHER ATTACHMENTS: (Provide also e- copy of the Application Form, Project Report including Financial Projections preferably in word 2003 or Excel 2003 format
a. Copy of SEC Certificate of Registration, Articles of Incorporation/Partnership and By-Laws, (the primary/secondary purpose should cover the activity being registered with the BOI); or Copy of DTI Certificate of Registration (for sole proprietor)
b. Secretary’s Certificate re: applicant enterprise’s Board Resolution authorizing its officer/ official representative to transact with BOI, execute and sign all documents in behalf of the applicant enterprise pertaining to the application for BOI registration. (Use BOI format)
c. Copy of Environmental Compliance Certificate/ Certificate of Non-Coverage, whichever is applicable for the project; or information on status of application
d. If incentives are to be governed by EO 226 / If incentives are to be governed by RA 9513· Letter of Intent to register with the BOI the Renewable Energy project to avail of the incentives set forth under EO 226 / · Letter of Intent to register with BOI the RE project to avail of the incentives set forth under R.A. 9513, pursuant to the MOA between DOE and BOI
· DOE Endorsement / · Copy of DOE Certificate of Registration
· Copy of RE Operating/Service Contract
e. Other documents that maybe required by the Board during the course of the evaluation of the project.
The applicant has read the Republic Act 9513 (Renewable Energy Act of 2008), and the Rules and Regulations adopted by the DOE and BOI/ Omnibus Investment Code of 1987 and the Rules and Regulations adopted by the BOI and commits itself to abide by the provisions thereof.DONE IN THE CITY/PROVINCE OF / THIS / DAY OF
20 / .
Applicant/Authorized Officer
REPUBLIC OF THE PHILIPPINES
CITY/PROVINCE OF / ) / S.S.
MUNICIPALITY OF / )
SUBSCRIBED AND SWORN to before me this / day of / 20 / in
the City/Province of / affiant exhibited to me his Residence
Certificate No. / issued at / on
20 / .
NOTARY PUBLIC
Until Dec. 31,
Doc. No. / :
Page No. / :
Book No. / :
Series of / :
SAMPLE FORMAT (Use separate sheet)
SECRETARY’S CERTIFICATE
I, (name of Corporate Secretary), of legal age, Filipino, being the duly elected and qualified Corporate Secretary of (name of applicant enterprise), a corporation duly organized and existing under the laws of the Philippines, with office address at (office address of applicant enterprise), under oath, do hereby certify that at the special meeting of the Board of Directors of the Corporation held on (date of special meeting), the following resolution was unanimously adopted:
RESOLVED, that (name of officer of enterprise), (position of officer) be as it hereby, authorized to transact, execute and sign all documents in behalf of the Corporation pertaining to its application for registration with the Board of Investments (BOI) for purposes of availing the applicable incentives under the Renewable Energy Act of 2008 (Republic Act No. 9513)/ Omnibus Investments Code of 1987 (Executive Order No. 226) as amended for the (proposed project activity) as Renewable Energy Developer/ (New)(Expanding)(Existing) Producer/Operator of ______, which is covered by the Mandatory/Regular List of the 20___ Investment Priorities Plan (IPP) of the BOI.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ______day of ______, 20___ at ______.
Corporate Secretary
Subscribed and Sworn to before me this ______at ______, affiant exhibited to me his CTC No. ______issued on ______at ______.
Notary Public
Doc. No. ______
Page No. ______
Book No. ______
Series of ______
BOI Form No. 501, Page 2 of 6