Professional Documents
Culture Documents
BATANGAS CITY
BUSINESS PERMITS AND LICENSING OFFICE
Provide accurate information and print legibly to avoid delays. Incomplete application form will be returned to the applicant.
Ensure all documents attached to this application form are complete and properly filled out.
For corporation, only responsible person (President, Chief Accountant and Corporate Secretary) should sign the form.
In case of Liaison Officer or any authorized representative, please kindly present an authorization letter signed by the
Business Type
Single Proprietorship
Partnership
Corporation
New
Renewal
Registration No.
DTI
Quarterly
Date of Registration
Date of Expiry
Registration No.
Date of Registration
Date of Expiry
Registration No.
Date of Registration
Date of Expiry
SEC
Mode of Payment
Annually
Bi-Annually
CDA
Name of Registrant
First Name
Date of Birth:
Trade Name:
Middle Name
Suffix Name
TIN:
Name of Registrant
For Partnership
Last Name
First Name
Middle Name
Suffix Name
Date of Birth
TIN
For Corporation/Cooperative
Complete Business Name:
Name of CORPORATION/COOPERATIVE:
Name of Registrant:
Address:
Tel. No./E-mail address:
Are you enjoying tax incentive from any government entity? (
Owners Address:
House No./Bldg. No.
Building Name
) Yes
TIN:
( ) No
Please specify the entity: ______________________________
Complete Business Address:
House No./Bldg. No.
Building Name
Unit No.
Street
Barangay
Unit No.
Street
Barangay
Subdivision
City/Municipality
Province
Postal Code
Residential Line
Mobile No.
E-mail address
Business Area (in sqm.)
Subdivision
Office Landline
Fax Number
E-mail address
In case of emergency, contact person/Tel.No./Mobile No.:
Female:
Lessors Name:
Lessors Complete Address:
No.
Street
E-mail address:
Lessors Date of Birth:
Last Name
First Name
Subd.
Middle Name
Brgy.
Tel. No.
Lessors TIN:
City
Monthly Rental
Province
Branch
Business Activity
No. of Units
Line of Business
Capitalization
(for New Business)
Gross/Sales Receipts
(for Renewal)
I DECLARE UNDER PENALTY OF PERJURY that the foregoing information are true based on my personal knowledge and authentic records.
Office/Agency
Barangay
Office of the City Market Administrator
City Environment and Natural Resources Office
Verified by:
Remarks
___
___
___
DATE:
_______
Contact No.:
_______
Signature of Applicant/Owner
Compliance Checklist for Assessment of Fire Safety Inspection Certificate (FSIC) for BUSINESS:
(To be checked/filled up by the Customer Relations Officer)
ASSESSMENT:
Occupancy Permit (if applicable)
Previous Fire Safety Inspection Certificate (FSIC) (if applicable)
Photocopy of Fire Insurance Policy (if applicable)
Certified by:
Customer Relations Officer
_________________