118 Perea Street, Legaspi Village, JUNE 19, 2018

Makati City 1229 DATE

893-8103:750-0047-8236757
inquiry@asc.com.ph; http://www.asc.com.ph
REFERENCE CODE
FORM S1 APPLICATION FOR SCREENING

CLIENT’S INFORMATION
MEMBERSHIP
PANA 4A’s KBP MSAP IMMAP UPMG ASAP OAAP
NON-PANA NON-4A’s NON-KBP NON-MSAP NON-IMMAP NON-UPMG NON-ASAP NON-OAAP

IBA NON-IBA CAAP NON-CAAP OMAG NON-OMAG MORES NON-MORES

COMPANY NAME: PEERLESS PRODUCTS MANUFACTURING CORP.

PRODUCT: SHAMPOO CATEGORY: HAIR CARE BRAND: HANA SOFT AND SMOOTH CHAMPOO

PRESENTOR’S INFORMATION

MEMBERSHIP
PANA 4A’s KBP MSAP IMMAP UPMG ASAP OAAP
NON-PANA NON-4A’s NON-KBP NON-MSAP NON-IMMAP NON-UPMG NON-ASAP NON-OAAP

IBA NON-IBA CAAP NON-CAAP OMAG NON-OMAG MORES NON-MORES

COMPANY NAME: TBWA\SANTIAGO MANGADA PUNO

ADDRESS: 1195 CALCAN BLDG., CHINO ROCES AVE., MAKATI CITY

TELEPHONE NUMBER: 508-7804 FAX NUMBER: 810-0137

LAST NAME: VALERA FIRST NAME: NINO
MOBILE NUMER:: 0977-8299155 EMAIL ADDRESS: NINO.VALERA@TBWA-SMP.COM

MATERIAL INFORMATION

AD TITLE: AMOY MARIAN KV

REF. CODE OF PREVIOUSLY APPROVED MATERIAL: P047P052218H
TAGLINE: SOFT AND FRAGRANT HAIR NA PARANG BAGONG SHAMPOO HANGGANG GABI
TYPE OF MEDIUM:
TV RADIO
ORIGINAL LENGTH ORIGINAL LENGTH
EDITDOWN/DERIVATIVES LENGTH EDITDOWN/DERIVATIVES LENGTH
PORTION BUY/ INTERSTITIAL LENGTH AOB LIVE LENGTH
OBB/CBB LENGTH AOB RECORDED LENGTH
INFOMERCIAL LENGTH LIVE DJ DISCUSSION LENGTH
ENGLISH/PILIPINO ENGLISH/PILIPINO
DIALECT DIALECT
CEBUANO ILONGGO BIKOL CEBUANO ILONGGO BIKOL
WARAY ILOKANO WARAY ILOKANO
OTHERS OTHERS

CINEMA PRINT LENGTH (ft.) WIDTH (ft.)

ORIGINAL LENGTH
EDITDOWN/DERIVATIVES LENGTH COLLATERALS
ENGLISH/PILIPINO
OOH LENGTH (ft.) 10 WIDTH (ft.) 9
DIALECT
E-OOH
CEBUANO ILONGGO BIKOL
WARAY ILOKANO STATIC LENGTH (px.) WIDTH (px.)
OTHERS VIDEO LENGTH
 DIGITAL STATIC
SEARCH ADS SUPERSTITIAL BANNER AD
IN-GAME DISPLAY AD ELECTRONIC DIRECT MAIL
OTHERS:

DIGITAL VIDEO
INTERNET VIDEO ADS LENGTH MOBILE VIDEO ADS LENGTH

MAIN DOCUMENTS:
STORYBOARD RADIO SCRIPT / COPY LAYOUT

DOCUMENTS SUBMITTED:
DOLE PERMIT
LABELS/PACKAGING MATERIAL
NTC
EXPIRES ON:_________________
DIALECT CERTIFICATE
BAI
EXPIRES ON:_________________
CERTIFICATE OF NEW CLAIM
DATE OF LAUNCH:_____________
DOH-IAC PERMIT
EXPIRES ON:__________________
DTI PROMO PERMIT DOH-FA PERMIT
EXPIRES ON:___________________ EXPIRES ON:___________________
THIRD PARTY RESEARCH DATA NHCP
_____________________________
WAIVER (SIGNED, NOTARIZED PPM
TESTIMONY FROM ENDORSER) EXPIRES ON:___________________
CAB / IATA HLURB
MUSIC LICENSE BSP PERMIT
FPA NO. 1 CLAIM
EXPIRES ON:___________________ _____________________________
BASED ON:____________________

FDA (CERTIFICATE OF PRODUCT REGISTRATON) EXPIRES ON:___________________

VARIANT:______________________________________ EXPIRES ON:______________________________

VARIANT:______________________________________ EXPIRES ON:______________________________

VARIANT:______________________________________ EXPIRES ON:______________________________

VARIANT:______________________________________ EXPIRES ON:______________________________

VARIANT:______________________________________ EXPIRES ON:______________________________

Decision of the ASC Screening and Hearing Panel are based on the Code of Ethics for Advertising and the ASC Manual of Procudures
for screening and filing of complaints and appeals.

Presentor/s are presumed to have read and understood the rules of ASC.

The presentor warrants that he/she is a duly authorized representative of the Advertiser and the he/she voluntarily submits to the
authority of and abides by the rules and procedures of the ASC, inclusive of sanctions that may be imposed as provided therein.
These sanctions or actions may include, but are not limited to deferrals and/or disapprovals of the Screening Panel; and the Cease &
Desist Order (CDO) of the Hearing Panel in case of adjudged complaints on previously-approved materials. The Presentor is ultimately
responsible to inform his/her Advertiser and Advertising Agency of the CDO and to physically retrieved banned material/s and/or
otherwise comply with the decision/CDO.

NINO VALERA
__________________________________________ JUNE 19, 2018
__________________________________________
SIGNATURE OVER PRINTED NAME (PRESENTOR) DATE