Online BPLS

Application Form

All fields with asterisks (*) are required and must not be left empty.

EMAIL AND CONTACT NUMBERS

E-mail *

Primary Contact No *

Secondary Contact No (Leave blank if not applicable)

Landline (Leave blank if not applicable)

Ownership Type *

TIN (Leave blank if not applicable)

PSA ID (Leave blank if not applicable)

SINGLE PROPRIETORSHIP

Lastname *

Firstname *

Middlename (Leave blank if not applicable)

Suffix (Leave blank if not applicable)

Gender *

Civil Status *

Date Of Birth *

Home Address

Barangay

District

Use maiden name if spouse is wife

Spouse Lastname

Spouse Firstname

Spouse Middlename (Leave blank if not applicable)

Suffix (Leave blank if not applicable)

CORPORATION / COOPERATIVE / PARTNERSHIP

Corporate/Partnership/Cooperative Name *

Registry No *

Registry Date *

DTI REGISTRATION

DTI Trade Name

Registry No

Registry Date

BUSINESS ADDRESS

Room/Door (Leave blank if not applicable)

Building (Leave blank if not applicable)

Street *

Barangay (Indicated on Barangay Clearance) *

District

Occupancy Type *

Bldg. Owner

Monthly Rent

Floor Area (Sq M) *

OTHER INFO

President (Leave blank if not applicable)

Manager (Leave blank if not applicable)

No of Employees (Male) *

No of Employees (Female) *

Transacting Person *

BUSINESS LINES

Business Activity-1 *

Capital *

Business Activity-2 (Leave blank if not applicable)

Capital (Leave blank if not applicable)

Business Activity-3 (Leave blank if not applicable)

Capital (Leave blank if not applicable)

Business Activity-4 (Leave blank if not applicable)

Capital (Leave blank if not applicable)

Business Activity-5 (Leave blank if not applicable)

Capital (Leave blank if not applicable)

UPLOAD SCANNED COPY OF THE FOLLOWING:

1. Any Government Issued ID (for Sole Proprietor) *

2. SEC, CDA Registration (for Corp or CDA)

3. Business Barangay Clearance *

4. Business Location Map or Sketch (Preferably Google Map) *

5. DTI Certificates (if any)

6. Tax Exemption Certificate (if any)

7. Tax Declaration/Land Title or Affidavit of Undertaking (if not rented)

8. Lease Contract/Affidavit of no rental (if not rented)

9. Articles of Incorporation and Bylaws

10. Certified List of Employees

11. Community Tax Certificate (Cedula)

12. Other Additional Document

13. Other Additional Document

14. Other Additional Document

15. Other Additional Document

16. Other Additional Document

N O T E :

Please review your information and uploaded documents before submitting your application. Once verified, this form can no longer be updated.
Please make sure you can be reached through the contact number you provided. A personnel from the Business Bureau will call you for verification of information. Failure to be contacted three (3) times will result to denial of application.
After the call verification, you will be asked to confirm your application. You may find and check the Confirm checkbox displayed at the bottom of this page. Once confirmed, this application will proceed with the approval process.