Registration form

Please fill-in all the required information. Asterisk sign (*) denotes mandatory fields.

Business Information and Registration

Application Date

 
 

* DTI/SEC/CDA Registration Date

Documentary Requirements

Maximum supported file size is 250mb per file. If file exceeds limit, please send it to bplosanjuan@gmail.com, instead.

* SEC/DTI (PDF, JPG, PNG)

* Barangay Clearance (PDF, JPG, PNG)

* Contract lease / Tax Receipt (Amiliar) / Building Permit Cert / Lessor Permit (PDF, JPG, PNG)

Main Office Address

Owner's Information

Name of Owner/President/OIC

Gender
Gender

Residential Address

Contact Person

63+
63+

Other Contact Details

Name of Owner/President/OIC

Business Operation

Business Location

Barangay
Office Type
Barangay
Office Type

Business Activity

Main Business

Line of Business
Sub Category
Line of Business
Sub Category
Line of Business
Code
Product/Services
No. of Units
Capitalization
Action
Sample Business A
SC0001
Sample Products/Services
000001
999999
Sample Business B
SC0002
Sample Products/Services
000010
999999

Other Line of Business

Line of Business
Sub Category
Line of Business
Code
Product/Services
No. of Units
Capitalization
Action
Sample Business A
SC0001
Sample Products/Services
000001
999999
Sample Business B
SC0002
Sample Products/Services
000010
999999
Line of Business
Sub Category

Signature

Don't forget to save your signaure