Date of Application: Applicable for New Application and Plan Renewal

Your e-mail will automatically be enrolled to My Smart/My Sun so

For New Application/Information Update
you can conveniently manage your account online.
PERSONAL INFORMATION
Full Name (Last Name and Suffix ,First Name, Middle Name) How would you like to receive your bill? Please select one,

Via eStatements and sent to my e-mail address (to conserve paper).

Printed and sent to my Home Address.

Nickname Birthday (MM-DD-YYYY) Printed and sent to my Business Address.

Mother’s Maiden Name (Last Name, First Name, Middle Name)

Consent to take photos

Home Address (Unit/House No., Street, Barangay, City, Province, Zip Code) I allow the Sales Representative,
to take a picture of my requirements and for Company to maintain said
records in order to process my postpaid application.
Nearest Landmark (Must be a permanent structure, easy to find, and well-known in the location)

(To be filled up by Sales Representative)

Gender ID No. Smart/Sun Branch

Male Female
Select ID Type below:
Civil Status TIN ID Company ID Source of Application: Inbound Outbound
Single Married
SSS ID
Others Sales Representative Name
OTHER GOVERNMENT IDs

Citizenship (Pls. Specify: )

Subscriber’s Declaration
WHERE CAN WE CONTACT YOU? My signature below signifies that:
My contact details shall be used subject to the Subscriber’s Declaration.
1. All information stated herein and supporting documents submitted are true and correct, and are given by
Office/Business Number Email Address me voluntarily to facilitate the processing and evaluation of my application for subscription or service
(Area Code + Number + Local) modification. I agree that my application is subject to the approval of Smart Communications, Inc. (the
“Company”).

2. I hereby authorize the Company and/or any person authorized by the Company to obtain relevant and
pertinent personal information about myself and credit information from the PLDT Group, including its
subsidiaries and affiliates, and from other institutions such as, but not limited to banks, credit card
Mobile Number Home Number companies, credit information bureaus, and other financial institutions in the course of evaluation of my
(Area Code + Number + Local) application, and I authorize the release of such information by these companies from which my personal
data and credit information are requested. I also consent to the Company’s disclosure of information
concerning myself or my subscription to these companies and my identified references. I acknowledge
that a complete list of the entities under the PLDT Group can be accessed by myself on the applicable
Company’s website:
In case we can’t reach you, who else can we contact for application evaluation? • www.smart.com.ph/Corporate/Privacy; or
• www.suncellular.com.ph/Privacy

Complete Name 3. I also hereby authorize the Company’s to use and disclose to the PLDT Group and its subsidiaries and its
authorized business partners all information contained in this application including the supporting
documents submitted, as well as all information in connection with my subscription, my network/service
usage and connections including data about the device/s I use to connect to your service, my payment
Contact Number Relation history/behavior with respect to my subscription, and all information about myself from your advertisers
and business partners, for purposes of: (a) facilitating my application for services which they offer; (b)
I certify that I have secured the permission of my secondary contact product and service improvement being offered to me by the PLDT Group and its subsidiaries and its
authorized business partners; (c) advertising new products and services being offered by the PLDT Group
person to receive calls on my behalf should I be unavailable or unreachable. and its subsidiaries and its authorized business partners; (d) credit investigation and establishing my
creditworthiness; and (e) improving customer experience.

WORK INFORMATION 4. I hereby acknowledge: (a) The regular submission and disclosure of my basic credit data / Current Subject
and Contract Data to the Credit Information Corporation as well as any updates or corrections thereof; and
(b) The possible access to my Current Subject and Contract Data by other entities authorized by the Credit
Information Corporation, and credit reporting agencies duly accredited by the Credit Information
Office/Business Name Corporation, for the purpose of establishing my creditworthiness.

Office/Business Address
Current Job Title
Length of Service with current Employer/Business:
Years
5. I also hereby allow the Company to process my personal data for purposes of:
(Unit/Bldg. No., Street, Barangay, City, Province, Zip Code)
• Creating my personal profile based on my interests, preferences, mobility patterns from physical locations
that I may visit, and other information that may be relevant for marketing and market research purposes;
• Sharing my personal profile based on my interests, preferences, and mobility patterns from physical
locations that I may visit, to the Company’s business partners and third-party service providers;
• Computing my credit score based on data collected internally within the PLDT Group, and sharing my credit
score to third-parties to whom I specifically instruct the Company to share my credit score with; and
• Sending me information on offers, promotions, and advertisements from the Company’s business
partners and third-party service providers.
Monthly Income
6. I have read and understood the Postpaid Terms and Conditions found on the Company’s websites
(www.smart.com.ph/Corporate/terms/postpaid or www.suncellular.com.ph/terms), as applicable and
the Privacy Policy found on the Company’s websites (www.smart.com.ph/Corporate/Privacy or
www.suncellular.com.ph/Privacy), as applicable, and I shall strictly comply and abide by these terms and
conditions and any future amendments.
Months

For Plan Renewal (To be accomplished by Sales Representative)

Customer’s signature over printed name

Out-of-contract Early Retention (Remaining Months: )

Name of Subscriber
Date (MM-DD-YYYY)

Mobile No. Account No.

Multiple Application Waiver Form
Plan Description This is to declare that I have read and accepted the above subscriber declaration and hereby

consent/acknowledge that my acceptance will carry over/cover all applicable line applications herewith.

Contract End Date

New Contract Start Date Customer’s signature over printed name

New Contract End Date

Date (MM-DD-YYYY)