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ANNEX 1 (Page 1 OF 2)

INSTRUCTIONS:
PROVIDE ACCURATE INFORMATION AND PRINT LEGIBLY T
ALL DOCUMENTS ATTACHED TO THIS FORM (IF ANY) ARE
I. APPLICANT SECTION
1. BASIC INFORMATION
New Renewal Mode
Date of Application:
Application No:
Type of Business: Single
Amendment: From Single
To Single
Are you enjoying tax incentive from any Gove
Name of Taxpayer/Registrant Last Name:
Date of Birth: Civil Status:
Name of Spouse: Last Name:
Name of Corp./Coop./Partnership:
Business Name:
Trade Name/Franchise:
2. OTHER INFORMATION
Note: For renewal application, do

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