<p> BOI FORM N-501 APPLICATION NO.: ______DATE ACCEPTED : ______</p><p>REPUBLIC OF THE PHILIPPINES BOARD OF INVESTMENTS</p><p>APPLICATION FOR REGISTRATION (AIR TRANSPORT) UNDER BOOK I OF THE OMNIBUS INVESTMENTS CODE OF 1987, AS AMENDED (EXECUTIVE ORDER NO. 226)</p><p>I. PROPONENT </p><p>NAME OF ENTITY : ______OFFICE ADDRESS : ______NAME OF PROJECT : ______SEC/REGISTRATION NO./DATE : ______IPP CATEGORY : ____ Regular List ____ Mandatory List ____ Export Activities LOCAL –FOREIGN OWNERSHIP RATIO : ___ % Filipino ___ % Foreign ______(Nationality) II. CONTACT DETAILS</p><p>AUTHORIZED REPRESENTATIVE TO BOI/POSITION : ______(attached Board Resolution Appointment) EMAIL ADDRESS : ______LANDLINE/CELLPHONE NUMBER : ______FAX NUMBER: ______OFFICE ADDRESS : ______III. PROJECT PROFILE PROJECT COST(Refer to Schedule 1): </p><p>PROJECT DESCRIPTION:</p><p>TYPE OF PROJECT:</p><p> New: ______ Expansion: ______</p><p> Start of Commercial Operation: ______ % increase in capacity: ______</p><p> Capacity: ______</p><p>STATUS: ______Pioneer ______Non-Pioneer</p><p>1 Schedule 1: Project Cost (PhP’000) Activity Related Schedule Pre- Start of Total Expenses (Month/ operating Commercial Year) Stage Operation Acquisition of Aircraft Cost of Aircraft Delivery of Aircraft Ferry/ Legal Cost Start of Commercial Working Operations Capital* TOTAL PROJECT COST * Covers the first three (3) months of operations.</p><p>Schedule 2: Net Value Added [(Cost of Services- Cost of Purchases)/Cost of Services] Year Particulars 1 2 3 4 5 Total Cost of Services (PhP’000) Total Cost of Purchases* (PhP’000) Net Value Added * Includes Food, Supplies and Fuel costs.</p><p>Schedule 3: Job Generation Number of Personnel Annual Payroll (P’000) Classification Y1 Y2 Y3 Y4 Y5 Y1 Y2 Y3 Y4 Y5 Direct Labor Indirect Labor Selling/Admin Managers Supervisors Total</p><p>Schedule 4: Project Financing (total should equal to project cost) Amount (PhP '000) % Equity Bank Loan Others (specify) Total 100</p><p>Schedule 5: Current Stockholders’ Profile (as of filing date) Capital Stock (PhP) % Ownership Name Nationality Subscribed Paid-up 1. 2. 3. 4. 5. Total</p><p>2 NAME POSITION PROFILE (brief info about the stockholder, e.g., business affiliation and/or experience) 1. 2. 3. 4. 5.</p><p>Schedule 6: Projected Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Cumulative Flight Hours Passenger Count (Pax) Excess Baggage Volume (Kg) Cargo Volume (Kg) REVENUE (PhP) Net Passenger Revenue Excess Baggage Cargo Revenue Other Revenue* Total *Specify </p><p>Schedule 7: Target Market Market Category 1.</p><p>2.</p><p>3…</p><p>Schedule 8: Specific Route/s Route Current Additional Projected Weekly Weekly Weekly Frequency Frequency Frequency</p><p>Schedule 9: Status of Licensing, Permits, Consents Licenses / Permits (indicate applicable only) Number Date Issued SEC Registration Civil Aeronautics Board (CAB) Endorsement</p><p>3 Schedule 10: List of Equipment Source (Write Descriptio LS if Chec Chec Chec Qty Unit Total n / Type AHTN 3 Locally End- k  k if k if (No. of Cost Cost of Code Sourced use 7 if 4 5 6 units) (Php) (Php) Machine or I if Importe d)</p><p>Total: 3 ASEAN Harmonized Tariff Nomenclature 4 Already acquired 5 Already installed 6 For acquisition 7 Application or manufacturing stage where the equipment will be used</p><p>Schedule 11: Financial Projections</p><p>Income Statement (10 years projection): (preferably in Excel format) presented in two sets: (i) Projections WITH Income Tax Holiday (ITH); and, (ii) Projections WITHOUT Income Tax Holiday.  Assumptions used in Financial Projections</p><p>ATTACHMENTS: a. Perspective View of the Aircraft. b. Schematic Diagram showing Forward-Backward Linkages. c. Schematic diagram showing the Business Model of the activity being registered (clearly indicate how/where the proponent will source its food, supplies, equipment as well as earn revenues and make profit). d. SEC Certificate of Registration, Articles of Incorporation and By-Laws, General Information Sheet (GIS) e. Audited Financial Statements (for the past 3 years, if applicable) f. Secretary’s Certificate authorizing representative g. List of BOI-registered Projects showing compliance with the Terms & Conditions, Status of Operation and Incentives Availed h. CAB Endorsement i. Publisher’s Affidavit of Publication of Notice</p><p>The applicant has read the Omnibus Investment Code of 1987 and the Rules and Regulations adopted by the BOI and commits itself to abide by the provisions thereof.</p><p>DONE IN THE CITY OF ______THIS ______DAY OF ______20__.</p><p>Applicant/Authorized Officer REPUBLIC OF THE PHILIPPINES CITY/PROVINCE OF ______) S.S. MUNICIPALITY OF ______)</p><p>SUBSCRIBED AND SWORN to before me this ______day of ______20__ in the City/Province of ______affiant exhibited to me his CTC No. ______issued on ______at _____City.</p><p>4 NOTARY PUBLIC</p><p>Doc. No. Page No.</p><p>5</p>