This document is an application for a mayor's permit from the Province of Nueva Ecija, Philippines. It collects information about the applicant such as name, address, citizenship, business details including capital invested, number of workers, gross sales, and line of business. The applicant agrees to comply with city ordinances. The assessment section lists the various fees that will be charged such as for the mayor's permit, health certificate, sanitary permit, licenses, regulatory fees, garbage fees, and more. It requires signatures for receipt and approval.
This document is an application for a mayor's permit from the Province of Nueva Ecija, Philippines. It collects information about the applicant such as name, address, citizenship, business details including capital invested, number of workers, gross sales, and line of business. The applicant agrees to comply with city ordinances. The assessment section lists the various fees that will be charged such as for the mayor's permit, health certificate, sanitary permit, licenses, regulatory fees, garbage fees, and more. It requires signatures for receipt and approval.
This document is an application for a mayor's permit from the Province of Nueva Ecija, Philippines. It collects information about the applicant such as name, address, citizenship, business details including capital invested, number of workers, gross sales, and line of business. The applicant agrees to comply with city ordinances. The assessment section lists the various fees that will be charged such as for the mayor's permit, health certificate, sanitary permit, licenses, regulatory fees, garbage fees, and more. It requires signatures for receipt and approval.
This document is an application for a mayor's permit from the Province of Nueva Ecija, Philippines. It collects information about the applicant such as name, address, citizenship, business details including capital invested, number of workers, gross sales, and line of business. The applicant agrees to comply with city ordinances. The assessment section lists the various fees that will be charged such as for the mayor's permit, health certificate, sanitary permit, licenses, regulatory fees, garbage fees, and more. It requires signatures for receipt and approval.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
You are on page 1of 1
Republic of the Philippines
Province of Nueva Ecija
Science City of Muoz _________ New _________ Renew
Date _________
APPLICATION FOR MAYORS PERMIT
Name:________________________________________ Address:______________________________________ NATURE OF BUSINESS ORGANIZATION /Single Proprietorship /Partnership
Civil Status: _______________
Citizenship: _______________ /Corporation
/Coop/NGO
Main Activity (Sector)
_____/Trader _____/Processor/Manufacturer __________/Service _________/Others Line of Business: ________________________________________________________________ Location of Business: _____________________________________________________________ DTI Business Name Certification No.: ________________________________________________ Business Name: _________________________________________________________________ For New Application: Capital Invested: _________________________________No. of Workers: __________________ For Renewal Application: Last year Capital Invested: _________________________________________________________ Present Capitalization: _____________________________No. of Workers: __________________ Last Year Declared Gross Sales: ____________________________________________________ : 2nd Quarter : 3rd Quarter : 4th Quarter : : Line of Business : 1st Quarter : ______________: _____________:________________ :________________ :______________: : ______________: _____________: _______________ : ________________ : _____________ : : ______________: _____________: ________________ : ________________ : _____________ : : TOTAL: _______: _____________: ________________ : ________________ : _____________: This is to certify that the above are true and correct to the best of my knowledge and I hereby agree to comply with the provision of the City. It is understood that any misinterpretation or false state ment herein and violation of City Ordinances, Rules and Regulations are valid ground for the revoca tion of the Mayors Permit. ASSESSMENT: Mayor s Permit Health Certificate ________________________________ Sanitary Permit __________________________________ City License City License ____________________________________ Tobacco _________________________________ Liquor Regulatory Fee __________________________________ Service Fee _____________________________________ Garbage Fee ____________________________________ Fire Clearance ___________________________________ Surcharge/Penalties _______________________________ Weight and Measurement Fixed Tax _______________________________________ Oath Fee ________________________________________ TOTAL __________________________________
Signature of Applicant CTC No. Issued on___________________ Issued at ___________________ Assessed By:
Received and Recommend by:
___________________________ LUZVIMINDA P. DE LEON City Treasurer Approved: _____________________________ NESTOR L. ALVAREZ, Ph.D. City Mayor