Add Client (Trade)

Please enter the company name.
Please select the client type.
Please upload the letter of intent, copy of license.

Accredited Representative (RPsy / RPm / RGC)

Please select the accredited representative.
Please enter the license number.
Please enter the license validity.
Please enter the position.
Please enter the contact number.
Please enter the email address.

Contact Person (HR / Guidance Staff / Purchaser / BAC Secretariat)

Please enter the position
Please enter the contact number.
Please enter the email address.

Please enter the purchase order.
Please enter the notice to proceed.
Please choose the branch.
Please enter the CRM in-charge.
Please enter the special notes.
Please upload the puchase history (date, kits/materials, prices, Invoices, OR).