DITO
TELECOMMUNITY
‘SUB-DISTRIBUTOR / RETAILER REGISTRATION
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Ptret Di sub-Dietrbutor
Trade Name (if Applicable) Outlet Type: srs Pern Cor
Single
Building / House No, Street Trade Type (for Retailers only) iwasusa
Sitio Taya Saci~ Saci_ Stove.
City / Muricipaty Province / District (iF applicable)
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Barangay,
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FIRST NAME MIODLE NAME LAST NAME
Newco Tanalgo Daravg
Mobile / Telephone Number ll Address A
O%NF9Z3DIG2 laraug@aqmai| -com
Government Issved Government Faved 8 No
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FIRST NAME, MIDDLE NAME LAST NAME
Winnie, Simpy Dacavg
Mobile / Telephone Number Email Address
AG349741623 winayawap2¢® Feorle mail, com
Government Issued ID Government Issuad ID No.
VOTERS CERTIFICATION BOBOOVSOAA 22 He PSD 2000p
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DATA PRIVACY STATEMENT FOR SUB-DISTRIBUTORS AND RETAILERS
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