Business Permit

Part I: Introduction
Business Permit
Application Form
Customer Service Department
Registration and Business Permit
1) Carefully follow the directions on this application form. In addition, note the following:
a. Type or print legibly;
b. The application fees are NOT refundable
2) Please complete the entire application and submit additional pages as needed or as indicated in
the instructions. Any changes in the information provided should be reported to our
department.
Supporting Documentation and Fees
I. Submit the filled-up/accomplished application form and application fees.
II. Submit photocopies of the following with each page stamped certified-true-copy by
company’s authorized signatory:
• Audited Financial Statements and Income Tax Return (for CFZ operations
only);
• Security and Exchange Commission (SEC) General Information Sheet (GIS);
3) All information provided must be accurate and current. Failure to disclose all requested
information may result in this form not being processed and may subsequently result delay or
denial in processing this application.
Application is hereby made for:
Permit-to-Operate/TPTO
Certificate of Registration
Reason for application:
New
Renewal
Part II: General Information
Tax Identification Number:
- - - 0 0 0
Registered Business Name: _____________________________________________
The authorized person or corporation which owns the business.
Trade Name: _________________________________________________________
The name commonly used or known or the “doing business as” name.
Location of Business: ___________________________________________________
The physical location of the establishment. This may not be the same as the mailing address.
Business Mailing Address: _______________________________________________
____________________ Zip: ________ E-mail Address: _______________
The legal mailing address of the business owner or the address for other legal notice.
Business Telephone: ___________________
The number which to call at the local transactions.
Fax: ________________________
Authorized Representatives:
The person/s to sign all communications related to business permits.
Name of Representative/s Designation Specimen Signature

Employment:
Current number of employees, including contractually employed, security agency and under man-power agency.
Expatriates Executive/Manager Supervisory Rank & File Security Contractual/Agency
Statement of Investment:
The property, equipment, leasehold improvements, machineries, and furniture & fixture, etc. for CFZ operations.
Use additional sheet if necessary.
Name of Account
Cost
Company Officers:
Limited to company’s President, Vice-President, Corporate Secretary and equivalent.
Name of Officer
Designation
Part III: Certification
Certification as to content of Application
By signing below, I affirm and certify that:
I have read and understand this application. I am sufficiently familiar with the ownership, management and
operation of the business to complete this application. The information provided and the statements made herein
are true, correct and complete. I understand that I am required to promptly notify the Clark Development
Corporation, Customer Service Department if the information provided in this application changes during the term
of permit/certification.
Signature of Manager or Authorized
Representative:
Printed Name of Manager or Authorized
Representative::
Date:
Certification of Compliance with RA 9400 and its IRR
By signing below, I affirm and certify that, in accordance with RA 9400:
1. The business shall abide by all the rules and regulations of CDC and all pertinent laws, rules and
regulations.
2. The business is truly aware the Permit/Certification if granted, is subject to
suspension/revocation/cancellation in case of violation with CDC rules and regulations, lease agreement
or such other agreement(s) executed or to be executed between CDC and the applicant.
3. The business authorizes CDC to close or padlock the leased area in case of suspension, revocation or
cancellation of the permit/certification that may be granted pursuant to this application.
4. The business warrants that all necessary documentation and fees have been submitted and that the
business is ready to commence its business operations.
5. The business acknowledges the right of CDC to refuse issuance of the permit/certification in case of noncompliance
with contractual obligations, CDC rules and regulations and other pertinent laws, rules and
regulations.
Signature of Manager or Authorized
Representative:
Printed Name of Manager or Authorized
Representative:
Date: