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PLEASE SEND THIS FORM TO: FM-CDC-IPDI-05

IPD1@clark.com.ph Rev. 00
Telephone Number: (045) 599-2642 or (045) 599-3035
Investment Promotions Division I Page 1 of 4

CLARK DEVELOPMENT CORPORATION


2F CDC Building 2125, E. Quirino Avenue,
Clark Freeport Zone

ON-LINE REGISTRATION FORM


(Application for Renewal of CRTE/CR)

Company Name:
Authorized Officer / Representative
Full Name Position / Designation Corporate E-mail Address Mobile Number

I, hereby authorized the said officer / representative of the above company to provide information required
on the process of On-Line Application for Renewal of lease, sublease and business permits (CRTE/CR).

The company shall notify CDC in case of separation of the said authorized officer / representative and
endorse the successor, if any.

Authorized Officer / Representative:

Name and Signature

Endorsed and Authorized by:

Signature over Printed Name of


President / General Manager

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