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    Application For Certificate of Registration/Permit To Operate

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    alejandroignaya
    This document is an application for a certificate of registration or permit to operate a private port facility. It requests information about the applicant/company, authorized representative, address, contact details, tax identification number, business type, and nature of business. It also requests details about the private port facility such as its type, draft, dimensions, location, lease contract number, area size, and term of the permit. Finally, it includes a checklist of basic documentary requirements and spaces for PPA use to record the application status.

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    Application For Certificate of Registration/Permit To Operate

    Uploaded by

    alejandroignaya
    12 views1 page
    This document is an application for a certificate of registration or permit to operate a private port facility. It requests information about the applicant/company, authorized representative, address, contact details, tax identification number, business type, and nature of business. It also requests details about the private port facility such as its type, draft, dimensions, location, lease contract number, area size, and term of the permit. Finally, it includes a checklist of basic documentary requirements and spaces for PPA use to record the application status.

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    This document is an application for a certificate of registration or permit to operate a private port facility. It requests information about the applicant/company, authorized representative, address, contact details, tax identification number, business type, and nature of business. It also requests details about the private port facility such as its type, draft, dimensions, location, lease contract number, area size, and term of the permit. Finally, it includes a checklist of basic documentary requirements and spaces for PPA use to record the application status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views1 page

    Application For Certificate of Registration/Permit To Operate

    Uploaded by

    alejandroignaya
    This document is an application for a certificate of registration or permit to operate a private port facility. It requests information about the applicant/company, authorized representative, address, contact details, tax identification number, business type, and nature of business. It also requests details about the private port facility such as its type, draft, dimensions, location, lease contract number, area size, and term of the permit. Finally, it includes a checklist of basic documentary requirements and spaces for PPA use to record the application status.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Tracking No.

    ____________

    APPLICATION FOR CERTIFICATE OF REGISTRATION/PERMIT TO OPERATE


    APPLICANT PROFILE
    Name of Applicant/Company:

    Name of Authorized Representative:

    Address 1 (Office Address) Telephone Number 1:

    Address 2 (Billing Address): Telephone Number 1:

    E-Mail Address: Fax Number

    Tax Identification Number (TIN) SEC Registration Number BDT No.

    Business Type:
    Single Proprietorship Partnership Corporation
    Nature of Business:

    PRIVATE PORT PROFILE


    Port Facility/Structure to be Put-Up: Wharf Pier Others

    Draft: ____________________________ Date Constructed : _________________ No. & Type : ________________


    Dimensions: Utilization:

    Location/Site of Private Port:


    Barangay _____________________ Municipality/City of _________________________
    Foreshore Lease Contract No. TCT No. (Back-Up Area)

    Area size (in sq.m.)


    Duration/Term of Permit: No. Of Mos. ____ No. Of Yrs. ______

    Outstanding Obligation with PPA, if any: Permit to Construct, O.R. No. (if applicable)
    DOCUMENTARY CHECKLIST VALIDATION FOR PPA USE ONLY
    (Put () if submitted, (x) is not available)

    Basic Requirements: Filing Fee Certification Fee


    O.R. No. O.R. No.
    Unified Application Form Date of Payment __________ Date of Payment __________

    Duly Notarized Omnibus Undertaking (Sworn Affidavit) Type of Application: New Renewal

    Received by:

    Printed Name and Signature

    Remarks:

    Status as of _______________________

    Approved Denied Pending

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