Republic of the Philippines

OFFICE OF THE CITY MAYOR

Permits and Licenses Division

APPLICATION FOR BUSINESS PERMIT

Application No. Business ID No. Date of Application:
 New AMENDMENTS DTI/SEC/CDA Registration No.
 Renewal  From Single To Partnership
 Additional  From Single To Corporation DTI/SEC/CDA Registration Date
 Transfer  From Partnership To Single
 Ownership  From Partnership To Corporation CTC No.
 Location  From Corporation To Single
 Organization  From Corporation To Partnership Business TIN
Type of Ownership:  Single  Partnership Corporation  Cooperative
Frequency of Payment:  Annually  Semi-Annually  Quarterly
Are you enjoying tax incentive from any Government Entity?  No  Yes Please specify:
BUSINESS NAME:
TRADE NAME/FRANCHISE:
Name of Tax Payer/Owner:
Last Name: First Name: Middle Name:  Male
 Female
Name of Authorized Representative:
Last Name: First Name: Middle Name:  Male
 Female
Position: TIN
Business Address Owner’s Address
House/Bldg. No. House/Bldg. No.
Bldg. Name Bldg. Name
Unit No. Unit No.
Street Street
Subdivision Subdivision
Barangay Barangay
Tel. No. Mobile No: City/Municipality
Email Address: Province
Web Site (URL Address): Tel. No. Mobile No:
Business Area (Sq. m): Email Address
Total No. of Employees: Male: Female: No. of Employees Residing in City: Male: Female:
If Place of Business is Rented, please identify the following (Lessor’s Detail):
Monthly Rental: Start Date of Rental (MM/DD/YYYY):
Name of Lessor/Corporation:  Male
 Female
House/Bldg. No. Barangay
Street City/Municipality
Subdivision Province Region
Tel. No. Fax No. Email Address
In case of Emergency (Contact Person/Tel. No./Mobile No./Email Address):
No. of NEW RENEWAL
LINE OF BUSINESS
Units (Capital Investment) (Gross Sales/Receipt)

I AGREE UNDER PENALTY OF PERJURY that the foregoing information are true based on my personal knowledge and
authentic records. Further, I agree to comply with the regulatory requirements and other deficiencies within 30 days
from release of Business Permit. FAILURE TO COMPLY WITH ALL THE REQUIREMENTS WILL AUTOMATICALLY REVOKE
THE PERMIT.

SIGNATURE OF OWNER/MANAGER OVER PRINTED NAME POSITION/TITLE

IMPORTANT: PLEASE COMPLY ATTACHED REQUIREMENTS

 PRE-REGISTRATION DOCUMENTS
GENERAL REQUIREMENTS TO BETOATTACHED
BE ATTACHED TO THE
TO THE BUSINESS
BUSINESS APPLICATION
APPLICATION
NEW REGISTRATION RENEWAL
1. Proof of business registration, incorporation, or legal 1. Basis for computing taxes, fees, and charges FOR
personality (i.e DTI/SEC/CDA registration) RENEWAL ONLY (e.g. ITR, Financial Statement,
2. Occupancy Permit (for new/renovated buildings/owner of etc.)
buildings) 2. Barangay Clearance (for business purpose)
3. Contract of Lease (if lessee)
4. Barangay clearance (for business purpose)

Note: Authorization letter and Owner’s valid ID with picture and signature should be presented for transactions by
representative. (e.g. bookkeepers, liaisons, company representatives, etc.).

Attach Picture of business establishment:

 Please sketch exact location of Business (Use black Ink)

Issued By: Received By:

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City Fire District Section:
Application No:
(To be filled up by Applicant/Owner)

Name of Applicant/Owner:
Name of Business:
Total floor area: Contact No.
Address of Establishment:

Signature of Applicant/Owner
FIRE SAFETY
Certified by: INSPECTION
Customer Relations Officer:
FEE ASSESSMENT:
Time & Date Received: