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UAF 2022 Converted - New

This document is a unified application form for a business permit in Iloilo City. It requests information about the business such as the owner's name, business address, type of business activity, number of employees, and capitalization. Applicants must declare that the information provided is true and correct and agree that personal information may be shared for legal purposes.

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Mark Kevin III
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169 views

UAF 2022 Converted - New

This document is a unified application form for a business permit in Iloilo City. It requests information about the business such as the owner's name, business address, type of business activity, number of employees, and capitalization. Applicants must declare that the information provided is true and correct and agree that personal information may be shared for legal purposes.

Uploaded by

Mark Kevin III
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNIFIED APPLICATION FORM FOR BUSINESS PERMIT

Payment Date of Receipt: ________________________________


NEW Annually
Tracking Number: ______________________________
RENEWAL B-Annually
Business ID Number: ____________________________
ADDITIONAL Quarterly
A.BUSINESS INFORMATION AND REGISTRATION
Please choose one: Sole Proprietor One Person Corporation Partnership Corporation Cooperative
Male Female Male Female
DTI / CDA / SEC Registration: Tax Identification Number (TIN):

Trade Name / Franchise (if applicable):

Main Office Address:


House/Bldg. No____________ Name of Bldg.______________________________ Lot No.__________ Block No.___________
Street_______________________ Subdivision______________________ Barangay________________________ District________________________
City______________________________ Province_________________________ Zip Code__________________

Telephone No: Mobile No: E-mail Address:

(For Sole Proprietorship) Surname Given Name Middle Name Suffix


Name of Owner:

(For Corporations/Cooperative/ Surname Given Name Middle Name Suffix


Partnerships)
Name of President/Officer In Charge:
For Corporation: Filipino Foreign
B. BUSINESS OPERATION
Business Area (in sq.m.) Total No. of Employees in Establishment: No. of Employees residing No. of Delivery Vehicles (if applicable):
Total Floor Area in sq.m._____ Male_____ Female______ within the City: _________ Van/Truck______ Motorcyle______
Business Location Address:
Same as Main Office Address
House/Bldg. No____________ Name of Bldg.______________________________ Lot No.__________ Block No.___________
Street_______________________ Subdivision______________________ Barangay________________________ District________________________
City______________________________ Province_________________________ Zip Code__________________

Owned?
Yes If yes, Tax Declaration No.__________________________ or Property Identification No.__________________________
No If no, attach copy of Notarized Lease Contract
Do you have tax incentives from any Government Entity? Yes (Please attach copy of your certificate) No
Business Activity (Please check one):
Main Office Branch Office Admin Office Only
Warehouse Others, Pls. Specify__________________________
Line of Business Philippine Standard Products / Services No. of Units Capitalization (For New Business)
Industrial Code Last Year’s Gross Sales/Receipts (For Renewal)
(If Available)

I DECLARE UNDER PENALTY OF PERJURY that all information in this application are true and correct based on my personal knowledge and authentic records
submitted to the Investment Services, Business Permits & License Division. Any false or misleading information supplied, or production of fake/falsified documents
shall be grounds for appropriate legal action against me and automatically revokes permit. I hereby agree that all personal (as defined under the Data Privacy Law of
2012 and its implementing Rules and Regulation) and account transaction information or records with the Iloilo City Government may be processed, profiled or
shared to requesting parties or for the purpose of any court, legal process, examination, inquiry and audit or investigation of any authority.

______________________________________________________
SIGNATURE OF APPLICANT / OWNER OVER PRINTED NAME

___________________________________________
DESIGNATION / POSITION / TITLE

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