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THE BOX FOR THE APPROPRIATE APPLICATION FOR REGISTRATION OF BUSINESS NAME UNDER
ACT NO. 3883, AS AMENDED) (TO BE ACCOMPLISHED IN DUPLICATE) ____________________
__________________________________________________________ BUSINESS NAME (To be
filled up by DTI Examiner) 1. OWNER/REGISTRANT a. NAME SURNAME GIVEN NAME MIDDLE
NAME b. DATE OF BIRTH __________________ (mm/dd/yyyy) c. TIN d. RESIDENCE ADDRE
SS NUMBER_______________________STREET_____________________BARANGAY_____________
___ _ ZIP CITY/MIN./MUN DIST. PROVINCE CODE e. EMAIL f. RESIDENCE PHONE ________
_ _______________ Area Code Number
g.BUSINESS ADDRESS NUMBER_______________________ STREET_____________________BARA
NGAY________________ __ ZIP CITY/MIN./MUN DIST. PROVINCE CODE i. BUSINESS PHONE
________ _____________ Area Code Number h. FOR RENEWAL ONLY Old Certificate No.
___________________ Date of Registration ___________________ (mm/dd/yyyy) k. TOT
AL NO. OF EMPLOYEES j.Applicable to Franchisee or Branch Only (Please check the
boxwhere applicable) Licensed to use a trademark, tradename, or service name as
part of your business name? YES NO 1. FRANCHISE_________________________________
_________________________________ (Name of Franchisor) 2. BRANCH _______________
___________________________________________________ (Name ofMain Office) l.NAME
OF MANAGER/ADMINISTRATOR SURNAME GIVEN NAME M.I. m. CITIZENSHIP How 2.a. State__
__________________ 1. Filipino Acquired 1.a. Natural Born 1.b. Election 1.c Natu
ralization 2. Foreigner 2.b. Citizenship_________________ n. GENDER 1. Female 2.
Male o. MARITAL STATUS 1. Single 2. Married 3. Widowed
4. Others (Specify) 2. CAPITALIZATION(in nearest thousand pesos) Php 3. NATURE O
F BUSINESS a.Main Activity Exporter Importer Manufacturer /Producer Retailer Ser
vice Wholesaler b.PRIMARY PRODUCT HANDLED/SERVICE RENDERED 4.FORMER OWNER OF BUS
INESS a. BUSINESS NAME b.OLD CERTIFICATE NO. c. METHOD OF ACQUISITION (Please ch
eck the box where applicable) 1. Sale 2. Assignment 3. Transfer 4. Not Applicabl
e 5.PROPOSED BUSINESS NAMES a. _________________________________________________
_______________________________ ________________________________________________
___________________ b. _________________________________________________________
_______________________ ________________________________________________________
___________ c. Has the undersigned been convicted of any crime involving moral t
urpitude or violation of the law to trade, commerce and industry ? YES NO If yes
, stateDate:_ __ _ __ _ __ __ _ Place :_ __ __ _ __ __ _ __ __ _ __ _ __ __and N
ature of Offense :_ __ _ __ _ __ __ _ __ __ _ __ _ __ __ _ __ __ _ __ __ _ __ __
____________________________ (Attach certified true copy of the decision of the
court of competentjurisdictionforanycrimeinvolvingmoralturpitude or violation of
the law, ordinance or regulation). UNDERTAKING I hereby declare that all inform
ation supplied in this applicationare true and correct to the best of my belief
and knowledge, and any false or misleading information supplied, or production o
f materially false or misleading document to support this application shall be a
ground for the appropriate criminal, civil and/or administrative action against
me. Further, Ihereby commit to abideby the following: 1.Change and/or cancel th
e registered business name in the event that there is already another person, fi
rm or entity lawfully usingan identical orconfusingly
similar name; 2.Comply with theprovisions of ACT 3883, as amended and its implem
enting rules and regulations and other related laws and rules; and 3.Recognize a
nd accept the authority and power of the Department of Trade and Industry or any
of its duly designated representatives or agents to check and monitor complianc
e of my business establishment with various trade and industry laws and its impl
ementing rules and regulations, and violations of the same shall be likewise a g
round for the cancellation of this certificate. ________________________________
______ OWNER S SIGNATURE Evaluated by :_ __ _ __ __ _ __ __ Verified by. :__ __ _
__ _ __ __ Payment Mode :_ _ __ __ _ __ _ __ _ Amount :________________ Date :__
___________ Date :____________ Card/Bank Used :_ _ ___ _ __ __ _ __ O.R. No :___
_____________ Time :_____________ Time :____________ Date :_____________ Issued
B y:________________ Time :_____________ Certificate No. :______________ Date Re
gistered :______________ Expiry Date :_ _ _ __ _ _ _ _ _ _ _ __ TRN No. :_______
_______ BTRCP FORM NO. 16A Please read instruction / requirements at the back be
fore filling up application Republic of the Philippines Department of Trade & In
dustry APPLICATION FOR SOLE PROPRIETORSHIP FOR SOLE PROPRIETORSHIPINSTRUCTIONS F
OR ACCOMPLISHING AND SUBMITTING APPLICATION 1. Applicant must be a Filipino Citi
zen of maturity age (18 years old and over). 2. Accomplish the application form
in duplicate. Type or print completely and clearly, all information required in
the forms. 3. Only the owner of the business is authorized to sign all the forms
. A representative may sign for and in behalf of the owner
provided a Special Power of Attorney authorizing the representative is submitted
. 4. Submit the following (where applicable) together with the application form
to the proper DTI Office where your business is located. New Application Renewal
Application a.Two (2) identical passport size picture (with signature a. Same r
equirement of owner at the back) taken not more than I year preceding this filin
g b.Photocopy of proof of citizenship suchas: b.Present copy of old/expired BN b
.1. Birth Certificate, PRC ID, voter s ID, passport for Certificate and Applicatio
n form. NATURAL BORN Filipinos whose names are suggestive of an alien nationalit
y (e.g. Chua, Taylor, etc.). Present original copy for comparison. b.2. Naturali
zation Certificate and Oath of Allegiance or ID card issued by the BID for NATUR
ALIZED Filipinos. Present the original copy for comparison. b.3. Affidavit of El
ection or ID card Issued by BID if citizenship is ACQUIRED BY ELECTION,. Present
the original copy for comparison. c.IF FRANCHISE HOLDER: c. Same requirements c
.1. Photocopy ofFranchise Agreement, each page duly Certified by the franchisor
or franchisee. c.2. Photocopy of BN Certificate of the franchisor. d.FOR BULK SA
LES: d.1. Affidavit of vendor stating that at the time of sale, he had no credit
ors or ifthere were creditor/s, copy of notice to them d.2. d.3. d.4. regarding
the sale. Deed of sale, assignment or transfer Inventory of properties sold, ass
igned or transferred Original certificate of business name registration of
vendor for cancellation. e.FOR FOREIGN INVESTOR e. Same requirements e.1. Certif
ied true copy of the certificate of authority to engage in business in the Phili
ppines per RA 7042 issued by the DTI-NCR. e.2. Certified true copy of latest bus
iness permit form the concerned Local Government Unit (LGU). e.3. Photocopy of A
lien Certificate of Registration (ACR) updated for the current year. Present ori
ginal for comparison. e.4. Accomplished DTI Form No.17 under RA 7042. e.5. Curre
nt written appointment of Filipino Resident Agent. e.6. Clearance from other inv
olved agencies such as Department of Science and Technology, PNP, etc. e.7. In c
ase of alien retailer, current year's permit to
engage in retail business under RA 1180. ADDDITIONAL DOCUMENTS MAY BE REQUIRED O
N A CASE TO CASE BASIS DEPENDING ON ACTUAL EXAMINATION AND PROCESSING OF THE APP
LICATION. Example: If business requires practice of profession - submit photocop
y of PRC License and present original copy for comparison, contract of employmen
t if applicable. SCHEDULE OF FEES Basic Application fee (New/Renewal) P 300.00 D
ocumentary Stamps P 15.00 Surcharge (For renewal of BN beyond 90 days after expi
ration P 100.00 Bulk Sales P 55.00 FOR SOLE PROPRIETORSHIPINSTRUCTIONS FOR ACCOM
PLISHING AND SUBMITTING APPLICATION 1. Applicant must be a Filipino Citizen of m
aturity age (18 years old and over). 2. Accomplish the application form in dupli
cate. Type or print completely and clearly, all information required in the form
s. 3. Only the owner of the business is authorized to sign all the forms. A repr
esentative may sign for and in behalf of the owner provided a Special Power of A
ttorney authorizing the representative is submitted. 4. Submit the following (wh
ere applicable) together with the application form to the proper DTI Office wher
e your business is located. New Application Renewal Application a.Two (2) identi
cal passport size picture (with signature a. Same requirement of owner at the ba
ck) taken not more than I year preceding this filing b.Photocopy of proof of cit
izenship suchas: b.Present copy of old/expired BN b.1. Birth Certificate, PRC ID
, voter s ID, passport for Certificate and Application form. NATURAL BORN Filipino
s whose names are suggestive of an alien nationality (e.g. Chua, Taylor, etc.).
Present original copy for comparison. b.2. Naturalization Certificate and Oath o
f Allegiance or ID card issued by the BID for NATURALIZED Filipinos. Present the
original copy for comparison. b.3. Affidavit of Election or ID card Issued by B
ID if citizenship is ACQUIRED BY ELECTION,. Present the original copy for compar
ison. c.IF FRANCHISE HOLDER: c. Same requirements c.1. Photocopy ofFranchise Agr
eement, each page duly Certified by the franchisor or franchisee. c.2. Photocopy
of BN Certificate of the franchisor. d.FOR BULK SALES:
d.1. Affidavit of vendor stating that at the time of sale, he had no creditors o
r ifthere were creditor/s, copy of notice to them d.2. d.3. d.4. regarding the s
ale. Deed of sale, assignment or transfer Inventory of properties sold, assigned
or transferred Original certificate of business name registration of
vendor for cancellation. e.FOR FOREIGN INVESTOR e. Same requirements e.1. Certif
ied true copy of the certificate of authority to engage in business in the Phili
ppines per RA 7042 issued by the DTI-NCR. e.2. Certified true copy of latest bus
iness permit form the concerned Local Government Unit (LGU). e.3. Photocopy of A
lien Certificate of Registration (ACR) updated for the current year. Present ori
ginal for comparison. e.4. Accomplished DTI Form No.17 under RA 7042. e.5. Curre
nt written appointment of Filipino Resident Agent. e.6. Clearance from other inv
olved agencies such as Department of Science and Technology, PNP, etc. e.7. In c
ase of alien retailer, current year's permit to engage in retail business under
RA 1180. ADDDITIONAL DOCUMENTS MAY BE REQUIRED ON A CASE TO CASE BASIS DEPENDING
ON ACTUAL EXAMINATION AND PROCESSING OF THE APPLICATION. Example: If business r
equires practice of profession - submit photocopy of PRC License and present ori
ginal copy for comparison, contract of employment if applicable. SCHEDULE OF FEE
S Basic Application fee (New/Renewal) P 300.00 Documentary Stamps P 15.00 Surcha
rge (For renewal of BN beyond 90 days after expiration P 100.00 Bulk Sales P 55.
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APPLICATION FORM.htm> Recent Readcasters Sidne E. Agor <http://www.scribd.com/s
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-love Espiritu <http://www.scribd.com/akira_lovee> <javascript:void(0)> Akira-lo
ve Espiritu <http://www.scribd.com/akira_lovee>left a comment paano po ba mag ap
ply at mag submit ng form through internet? dinadownload po ba tapos send sa ema
il add ng dti? any suggestions.di ko pa po alam to eh.thanks
08 / 06 / 2010 <http://www.scribd.com/events/44971368?user_id=31371230-akira-lov
e-espiritu> Reply <http://www.scribd.com/login> <http://www.scribd.com/Scribd> T
his document has made it onto the Rising list <http://www.scribd.com/explore>! 0
7 / 24 / 2010 <http://www.scribd.com/events/43240732?user_id=776348-zerolock> Ad
rian Cruzado <http://www.scribd.com/adrian_cruzado> <javascript:void(0)> Adrian
Cruzado <http://www.scribd.com/adrian_cruzado>left a comment double_e_mktg@yahoo
.com <mailto:double_e_mktg@yahoo.com> 06 / 15 / 2010 <http://www.scribd.com/even
ts/35915231?user_id=29046158-adrian-cruzado> Reply <http://www.scribd.com/login>
<http://www.scribd.com/adeuloo> <javascript:void(0)> adeuloo <http://www.scribd
.com/adeuloo>left a comment good morning po, i just wanna ask lang po why my app
licastion is still on your office, i was just called this morning on air 21 to c
heck if they're still have my approval application formr? and they'd answer me n
o there's nothing' they not have it yet pa po, they told that it's still in you'
r office, why it took long that much? you told in you'r office aftern i applied
it that it was yor style now on approving application, and you told me also that
it's the easiet way on applying application, tha you will the onr to send us, t
his is my comment now....... mas lalo nyo pong pinatagal at pinabagal ang proses
o kse bakit ko po nasabi....?????? hanggang ngayon po e wala pang dumarating sak
en na galing air 21 next week ay mag iisang buwan na po, i was applied it march
02, we'r now coming to the end of the month, but i was'nt receieving it yet unti
ll now, it still there in yor office, why it took that long????....... mas mabut
i pa yung nakaraan ninyong style, mabilis lang last year po kase nag apply yung
friend ko that same day nakuha nya rin, ibalik nyo nalang po sa dating style nyo
last year na ganun kadali one day processing lang kahit medyo mahal dka naman p
o parang nag aantay sa wala............. yun lamg po at maraming salamat po! 03
/ 25 / 2009 <http://www.scribd.com/events/18931573?user_id=9936618-adeuloo> Repl
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