Application For New Business Permit: TAX YEAR

To be filled-up by your local BPLO/CTO:
APPLICATION FOR NEW BUSINESS PERMIT Date of Receipt: _____________________

TAX YEAR: ___________________________________ Tracking Number: ____________________
Business ID Number: _________________
GENERAL INSTRUCTIONS:
1. Accomplish the application form by ticking the appropriate boxes, typing, and/or printing (upper case/capital letter).
All required data fields/information should be completely and clearly filled-out by the applicant.
2. Please ensure that all required documents are properly attached and fill out all necessary information.
Incomplete submission of application form and/or requirements will be returned to the applicant.
A. BUSINESS INFORMATION AND REGISTRATION
1. DTI / SEC / CDA Registration Number:
2. Tax Identification Number (TIN):
3. Business Name:
4. Trade Name / Franchise:
5. Main Office Address: House/Bldg. No. _______________________________________ Street ______________________ PSGC for BPLO/CTO only
Barangay _________________________ City/Mun. ______________ Province ___________ Postal Code Prov Mun Brgy
6. Telephone: 7. Mobile Number:

8. E-mail Address: 9. Website Address:
10. Form of Organization: Sole Proprietorship (go to 11) Partnership (go to 12)
Corporation (go to 12) Cooperative (go to 12)
11. Sole Proprietorship Surname Given Name Middle Name Suffix Gender
(go to 13) M F
12. Corporation/Partnership a. M F
Cooperative (go to 13) b. M F
13. Name of President/ M F
Officer in Charge
14. Citizenship (of President/OIC) 15. Capital Participation (% Filipino):
16. Residential Address: House/Bldg. No. _______________________________________ Street ______________________ PSGC for BPLO/CTO only
B. BUSINESS OPERATION
1. Business Area 2. Total No. of Employees: 3. No. of Employees Residing 4. No. of Delivery Units:
(in sq. m.): Male: Female: Total: within LGU:
5. Business Location Address: House/Bldg. No. _______________________________________ Street ______________________ PSGC for BPLO/CTO only
6. Economic Organization: Single Establishment Branch Establishment and Main Office

Main Office only Ancillary Unit Others ___________________________
Line of Business Products/Services PSIC Code for BPLO/CTO only
1. .
2. .
3. .
7. Capital Investment (Php):
8. Do you have tax incentives from any Government Entity? Yes (Please attach a copy of your certificate) No
9. Do you pay rent for occupying a place of business? Yes (Please attach a copy of your lease contract) No
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 Local Government. Any false or misleading information supplied, or production of documents shall be a ground for appropriate
legal action against me. I also agree to comply with the post-regulatory requirements and other deficiencies (for renewal) within 30 days from release
of the permit. Further, I hereby authorize and consent the Local Government to treat any personal data provided in this application with utmost
confidentiality.
_______________________________________ _______________________________________
SIGNATURE OF REPRESENTATIVE OVER PRINTED NAME SIGNATURE OF APPLICANT/OWNER OVER PRINTED NAME
__________________________ __________________________
DESIGNATED POSITION DESIGNATED POSITION
DOCUMENTARY REQUIREMENTS
Proof of Business Registration (DTI for Sole Proprietorship/SEC for Corporation and Partnership/CDA for Cooperatives
Locational Clearance
Contract of Lease (if leased) or Tax Declaration or Transfer Certificate of Title (TCT) (if owned)
Barangay Clearance
Occupancy Permit (if required)
Sketch and photos of location of business (if required)
ANNEX 1 (PAGE 2 OF 2) APPLICATION FOR NEW BUSINESS PERMIT
I. LGU SECTION (The local BPLO or CTO shall fill-up this section)
1. VERIFICATION OF DOCUMENTS
COMPLIANCE
DESCRIPTION OFFICE/AGENCY Not Evaluated
Yes No required by
Occupancy Permit Office of the Local Building Official
Sanitary Permit/Health Certificate City Health Office
City Environmental Certificate City Environmental and Natural Resources Office
Market Clearance (for Stall Holders) Office of the City Market Administrator
Fire Safety Inspection Certificate Bureau of Fire Protection
Zoning Clearance Planning/Zoning Office
II. BUREAU OF FIRE PROTECTION SECTION (APPLICATION FOR FIRE SAFETY INSPECTION CERTIFICATE)
DATE: _________________________
TRACKING NUMBER: ___________________________
(TO BE FILLED UP BY APPLICANT/OWNER)
Name of Applicant/Owner: ___________________________________________________________________
Name of Business: ___________________________________________________________________________
Total Floor Area: ___________________ Contact Number: _____________________________
Address of Establishment: ____________________________________________________________________
__________________________________________
Signature of Applicant/Owner
Certified by:
Customer Relations Officer FIRE SAFETY INSPECTION
Time and Date Received: _____________________ FEE ASSESSMENT:
Important Notice: as per Section 12 of the Implementing Rules and Regulations of the Fire Code of 2008, certain establishments
(e.g. building lessors, fire, earthquake, and hazard insurance companies, and vendors of fire fighting equipment, appliances
and devices) may be required to pay additional charges and fees other than the Fire Safety Inspection Fees. These shall be
collected during inspections or in another process to be communicated by representatives of the Bureau of Fire Protection (BFP).

Application For New Business Permit: TAX YEAR

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Application For New Business Permit: TAX YEAR

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To be filled-up by your local BPLO/CTO:

APPLICATION FOR NEW BUSINESS PERMIT Date of Receipt: _____________________

6. Telephone: 7. Mobile Number:

6. Economic Organization: Single Establishment Branch Establishment and Main Office

TRACKING NUMBER: ___________________________

(TO BE FILLED UP BY APPLICANT/OWNER)

Name of Applicant/Owner: ___________________________________________________________________

Name of Business: ___________________________________________________________________________

Total Floor Area: _ Contact Number: ___________

Address of Establishment: ____________________________________________________________________

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