New Business

A. DOCUMENTARY REQUIREMENTS

Acceptable files: .gif, .jpg, .pdf and .bmp only, maximum of 2.5 MB is allowed

Fields with * are mandatory

Proof of Business Registration (DTI/SEC/CDA)

Locational Clearance

Contract of Lease (if Lessee) or Tax Declaration of Transfer Certificate of Title (TCT) If Owned

Barangay Business Clearance

Occupancy Permit, if required by national law (e.g. Building Code)

Sketch and photos of business location

B. BUSINESS INFORMATION AND REGISTRATION

Form of Organization

Sole Proprietorship Partnership Corporation Cooperative

DTI/SEC/CDA Registration No

Tax Identification Number(TIN)

Business Name

Trade Name / Franchise

Main Office Address:

House/Bldg. No.

Street

Barangay

City/Municipality

Province

Postal Code

Telephone

Mobile No.

E-mail

(For Sole Proprietorship / Cooperative) Name of Owner

Surname

Given Name

Middle Name

Suffix

(For Corporation / Partnership) Name of President / Officer-In-Charge

Surname

Given Name

Middle Name

Suffix

Gender

Male Female

Citizenship

Residential Address:

House/Bldg. No.

Street

Barangay

City/Municipality

Province

C. BUSINESS OPERATION

Business Area (in sq. m)

Total No. of Employees in Establishment

No. of Employees Residing w/in LGU

No. of Delivery Units

Business Location Address

House/Bldg. No.

Street

Barangay

City/Municipality

Province

Capital Investment

Mode of Payment

Annually Semi-Annually Quarterly

Do you have tax incentives from any Government Entity? (Please attached copy if you have)

Business Activity

Main Office Branch Admin Office Only Others, please specify

Please input your Line of business - Products/Services

AGREEMENT

I DECLARE UNDER PENALTY OF PERJURY that all information in this appication are true and correct based on my personal knowledge and authentic records submmitted to the Local Government. Any false or misleading information supplied, or production of documents shall be a ground for appropriated leagal action against me. I also agree to comply with the post-regulatory requirements and other deficiencies (for renewal) within 30 days from release of the permit. Further, I hereby authorize and consent the Local Government to treat any personal data provided in this application with utmost confidentiality.

Agree Disagree

Applicant's Name / Owner's Name

Position

COMMENTS AND SUGGESTIONS

Rate Us

Excellent Good Average Poor Very Poor

Comment/Kumento

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