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EXHIBIT A

REQUEST FORM

DATE OF REQUEST
01/28/2024

CUSTOMER NAME
CONRADA'S PALCE HOTEL AND RESORT
REFERENCE NUMBER
OO5299990 DATE: 01/28/2024

SERVICE ADDRESS P-7, TAWALA, PANGLAO, BOHOL

DETAILS OF REQUEST Request to proceed application


> To follow the Mayor's Permit and BIR
(Renewal)
> To be provided March 2024

APPROVAL REMARKS > Submitted already are DTI, POB, and valid
ID with 3 specimen Signatures
> Roadshow Attendee

Flexibiz Peak 80mbps Php 6,000.00

REQUESTED BY: DATE: 01/28/2024


DATE DATE DATE:
01/28/2024 01/28/2024

CHECKED BY: NOTED BY: APPROVED BY:

Romwell Sescon Annaly Siodina


Area Sales Manager SME Regional Sales Manager - SME

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