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REPUBLIC OF THE PHILIPPINES

QUEZON CITY
BUSINESS PERMIT & LICENSING DEPARTMENT
APPLICATION FOR BUSINESS PERMIT & LICENSE
FOR PARTNERSHIP & CORPORATION
This also serves as the Application Form of the BUREAU OF FIRE PROTECTION'S FIRE SAFETY INSPECTION CERTIFICATE
HEAD OF DEPARTMENT
BUSINESS PERMITS & LICENSING DEPARTMENT
OFFICE OF THE MAYOR Date (MM/DD/YY)
QUEZON CITY
Pursuant to the provisions of Sec. 67 of the 1993 Quezon City Revenue Code and Sec. 105 of MMC Ordinance No. 82-03, as amended, I have the honor to apply for a
Business Permit to operate my business and which I attest, are true information about the business I am applying for registration (PLEASE PRINT ALL INFORMATION)
hereby submit the following information,

BUSINESS NAME/ TRADE NAME


Last Name First Name Middle Name
TAXPAYER'S NAME
PRESIDENT TREASURER
Blg. Name Unit no./ stall no., & floor no.
BUSINESS LOCATION
(complete address) Street name Barangay District

AUTHORIZED REPRESENTATIVE ( name) POSITION (official capacity)


House no. Street name Barangay District
HOME ADDRESS OF REPRESENTATIVE
SEC REGISTRATION NO. DATE ISSUED
TAXPAYER'S IDENTIFICATION NO. (TIN OF CORPORATION)
CONTACT INFORMATION Landline Mobile Email address

AS EMPLOYER, EMPLOYER'S SOCIAL SECURITY NO.(SSS) NO. OF EMPLOYEES


IF BUSINESS ESTABLISHMENT IS Date of start of rent Renting from whom? Monthly rental (Php)
RENTED, RENTAL DETAILS
DOES BUSINESS ENJOY INCENTIVES? Does business have a signboard? (if yes, indicate
(indicate from which agency) size of signboard in sqm)
TOTAL SUBSCRIBED OR PAID-UP CAPITAL
DOES THE CORPORATION HAVE OTHER BUSINESS LICENSE OR PERMIT?
Other business activity (nature) Business Permit no. Location

Area % Alien (indicate foreign


NATURE OF BUSINESS ACTIVITIES APPLIED FOR (indicate which Capitalization nationality, as per
business activity is principal, which is secondary)
Occupied incorporation/ registration
(SQM) documents)

Should the BPLD discover/find any falsehood or misrepresentation in this application, I/we agree to the immediate cancellation of the business permit and license
and/or closure of the establishment, and shall not file any case of whatever kind to question the closure of the establishment and/or withdrawal/cancellation of
the license/permit.
THIS APPLICATION AND/OR BUSINESS PERMIT LICENSE DOES NOT EXEMPT THE APPLICANT/PERMITTEE FROM COMPLYING WITH THE REQUIREMENTS AND/OR
SECURING THE PERMITS/LICENSES REQUIRED FROM OTHER AGENCIES, AS MANDATED BY EXISTING LAWS/ ORDINANCES AND REGULATIONS.
I/we hereby certify that the statement/information given above are true and correct of my/our own knowledge.
IN WITNESS WHEREOF, I/WE set my/our hand, this ______ day of ________________(month)_________ (year)

SIGNATURE OVER PRINTED NAME OF APPLICANT


CLEARANCE FROM RECORDS
CLEARANCE FROM BPLD RECORDS DIVISION (to be filled up by SUBSCRIBED AND SWORN to before me, this _____ day of
DIVISION
BPLD) (to be filled up by BPLD) ______________ (month), _________ (year)
REMARKS: ❑ with other existing business permit
❑ with pending compliance
(requirement/complaint)
GARRY C. DOMINGO
❑ no adverse record DEPARTMENT HEAD, BUSINESS PERMITS & LICENSING DEPARTMENT

ACTION TAKEN/ REMARKS


Verified by :
LOCATIONAL SKETCH OF BUSINESS ESTABLISHMENT or
ATTACH GOOGLE MAP SCREENSHOT WITH PIN DROP

SUBMITTED BY: VERIFIED BY:


__________________________ ___________________________
Signature of Applicant Inspector/Verifier
BUSINESS PERMIT REQUIREMENTS
APPLICATION FORM
PROOF OF BUSINESS
DTI BUSINESS REGISTRATION, if sole proprietorship
SEC INCORPORATION, if corporation or partnership
CDA REGISTRATION, if cooperative
RIGHT OF THE APPLICANT TO USE THE BUSINESS LOCATION
CONTRACT OF LEASE, if business is leased (Lessor Permit of Lessor)
TAX DECLARATION (Building and Lot) or TCT, if owned by the applicant
OR other arrangements: MEMORANDUM OF AGREEMENT, FORMAL CONSENT
OF THE LOT OWNER FOR APPLICANT TO USE THE PROPERTY FOR BUSINESS
Other documents are required per nature of business: ___________________________
If the business location is inside a subdivision or in a predominantly residential
area -SIGNED CERTIFICATE OF "NO OBJECTION" from the Homeowner's Association
or Neighbors' consent
If the applicant is not the business owner: Authority to sign or
Special Power of Attorney, with photocopy of government-issued ID of owner and
of the applicant/ Corporate Secretary's affidavit, if the applicant is a corporation
INSTRUCTIONS
Submit your application form together with your complete set of requirements to the Business
One Stop Shop concierge at Ground Floor, Civic Center Bldg A (3 copies)
If your application is approved, get your Tax Bill, pay at the Cashier and receive your
Official Receipt, Business Permit and Business Plate
Your tax bill will already include the following, as part of your one-time assessment
and payment: Business permit fees and changes, all relevant local taxes and fees,
Fire Code fees for BFP, Community Tax for business
After registration, the Bureau of Fire Protection (BFP) will schedule your business for
inspection, for purposes of the Fire Safety Inspection Certificate (FSIC)
FOR DISAPPROVED APPLICATIONS:
Your documents will be returned to you by the concierge together with the disapproval
notice/evaluation
Applicants can write appeals and requests for reconsideration for the disapproved
locational clearance applications. This must be addressed to the Zoning Official:

ARCH. PEDRO RODRIGUEZ For Online Application, visit


Head, City Planning and Development Office www.quezoncity.gov.ph
4th floor, Building Regulatory Office (Civic Bldg. D) Trunkline : (+632) 988 4242
Trunkline (+632) 988-4242 loc 1012/1013 loc. 8173/8174

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