City OF MAKATI
‘BUSINESS PERMIT AND LICENSING OFFICE
BUSINESS PERMIT APPLICATION FORM
101-A
(REMSED 01.2010)
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Business Name:
Tradenam Franch
Name of PresidentTressurer of corporation
[Busnes Adress Oaners RSs
ose NoTbag No Hove Nog.
Bulan Nam Buds Name
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Stost Ske
Barna) ang
Sebsison Subdvison
crynknioraty Caphtnialy
Province Frown
Tel No Tel No
moi Aco Eraladlies
Property index Naar PN
Busress Ava (nso [Taaine of Enpioens hn Exanicmen Tila Employees Rskingih LGU
incase of enegeney Canad Poon Ta No
i plce ef business is rented eas ently he lowng Monty Raia
Lessors Name
Lessors Aderess
et Wo
Business Activity
Grass Sales Recaps
Code Line of Business. fe ‘Capitalization {for renewal)
Eon Ton Eason
‘SIGNATURE OF APPLICANT OVER
TMPORTANT:
For corporation, only responsible person (President, Chief Accountant and Corporate Secretary) should sign the form. In case of Liaison Oficer or any
authorized representative, kindly present an authorization letter signod by the identified responsible person ofthe corporation.
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DATE
TL ahia] + TREASURER'S OFFICE COPY: DUPLICATE(yeion]* TAXPAYER'S COPY, TRIPLICATEIDUA
‘BUSINESS PERMITS OFFICE COPY: OF
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