Republic of The Philippines Department of Trade and Industry Business Name Registration Sole Proprietorship Application Form

Republic of the Philippines
Department of Trade and Industry
BUSINESS NAME REGISTRATION

SOLE PROPRIETORSHIP APPLICATION
FORM
BNR Form No. 01-2018 2018 Edition

PLEASE READ THE GENERAL INSTRUCTIONS ON THE LAST
PAGE BEFORE FILLING UP THIS APPLICATION FORM.
A. TYPE OF DTI REGISTRATION

1. [X] NEW
 RENEWAL  Certificate No.__________________ Date registered ________________
B. TAX IDENTIFICATION NO. (TIN)
2.  With TIN Owner’s TIN: ___________________________ [X] Without TIN
C. OWNER’S INFORMATION
3. First Name 4. Middle Name 5. Last Name
Stella Merisa Balidio N\A Balidio
7. Date of Birth 8. Civil Status 9. Gender 10. Are

 Legally [] Male Refuge
separated [X] Single R Female Stateles
 Married
 Widowed
Year Month Day
2003 October 26
11. Citiz
Filip
D. BUSINESS NAME TERRITORIAL SCOPE – Please choose ONLY ONE
12.  Barangay (P200.00) [X] City/Municipality (P500.00)  Regional (P1,000.00) N
Payment of P30 Documentary Stamp Tax is required.
Surcharge for RENEWAL: Additional 50% of the registration fee if filed within 91 days to 180
E. PROPOSED BUSINESS NAME – Please provide at least three (3) proposed Business Nam
13. Coffee ‘n Chill
14. Dream Bean’s
15. Café Sweets

F. BUSINESS DETAILS
16. House/Building No. & Name: Dream Bean’s 17. Street
Purok Maharlika
18. Barangay 19. City/Municipality 20. Province
Magugpo East Tagum City Davao del Norte
21. Region 22. Phone no 23. Mobile no.

Mindanao 8100(Area code) 09652579958
G. PHILIPPINE STANDARD INDUSTRIAL CLASSIFICATION (PSIC)

24. Main Business Activity 25. PSIC (Indicate Main Pro
☐Manufacturer/Producer [X]Service ☐Retailer Rendered)
☐Wholesaler ☐Importer ☐Exporter Foods and Beverages
H. OWNER DETAILS
 Same as Business Details provided in box Nos. 16 to 23. Proceed to no. 34
26. House/Building No. & Name: 27. Street 28. Barangay
Dream Beans Purok Maharlika Magugpo East
29. City/Municipality 30. Province 31. Region
Tagum City Davao del Norte Mindanao
32. Phone no. 33. Mobile no. 34. Email Address
8100(Area code) 09652579958 stellaheart26@gm
I. PARTNER AGENCIES
35. Core agencies registration (Please choose what ERNs you want to have.):  PhilHealth [/] SS
J. OTHER DETAILS
36. Asset 37. Capitalization 38. Gross Sale/Rece
39. Planned No. of Employees  Male: 5 Female: 5 TOTAL: 10
For DTI Use Only

Approved Business Name Dream Bean’s Fee Re
Ste
Business Name No. Date Registered OR Number Da

11
Issuing Office Processed by Reference Code
BIR Tax Identification No. SSS Employer No. PhilHealth Employer No. PAG
PLEASE READ THE UNDERTAKING AND THE

CONSENT CAREFULLY BEFORE SIGNING.
CHECK YOUR E-MAIL FOR

INSTRUCTIONS/NOTIFICATIONS ON THE
STATUS OF YOUR
EMPLOYER REGISTRATION WITH THE SOCIAL
AGENCIES (SSS, PHILHEALTH, PAG-IBIG) AND/OR
YOUR TIN APPLICATION WITH BIR, IF
APPLICABLE.
UNDERTAKING
Per Department Administrative Order (DAO) No.

________ as amended, I hereby declare that:
1. All information supplied in this application are

true and correct to the best of my belief and
knowledge;
2. I undertake to immediately inform the
Department of Trade and Industry (DTI) of any
and all changes in my business and personal
details and understands that failure to do so
shall be a ground for the cancellation/revocation
of my Business Name (BN) registration;
2
3. Any false or misleading information supplied, or
production of false or misleading document to
support this application shall be a ground for the
automatic denial of this application, automatic
cancellation/revocation of the BN registration,
and/or filing of appropriate criminal, civil and/or
administrative action against me;
4. I undertake to voluntarily cancel and change the
business name immediately upon receipt of
notice or order from the DTI or upon conclusive
determination that a prior owner and lawful user
of an identical or confusingly similar business
name exists;
5. I understand that a post-evaluation may be
conducted after the registration process and
understands that any negative findings may be
ground for the cancellation of my BN registration
from the records of DTI upon failure to comply
with the Post-evaluation recommendations,
without prejudice to the filing of criminal, civil,
and/or administrative action, as applicable;
6. I understand and undertake to comply with the
provisions of Act No. 3883 otherwise known as
the BN Law, as amended, and its implementing
rules and regulations and other related laws and
rules;
7. I understand and consent to the disclosure to
the public of the information appearing on my
Certificate of BN Registration in accordance with
the procedure set forth under the applicable
rules and regulations of the BN Law and other
existing rules and regulations on disclosure of
information;
8. I undertake full responsibility in ensuring that my
proposed business name is -
a) not a term or word or group of words that
connote activities or norms that are unlawful,
immoral, scandalous or contrary to propriety
(e.g. Boobs Massage & Spa);
b) not a name, words, terms or expressions
used to designate or distinguish, or
suggestive of quality, of any class of goods,
articles, merchandise, products or services;
c) not those that are registered as trade names,
trademarks, or business names by any
government agency authorized to register
names or trademarks;
d) not a name that is inimical to the security of

the State;
e) not composed purely of generic word or
words (e.g. The Drugstore, Health Care
Clinic);
f) not a name which by law or regulation is
restricted or cannot be appropriated (e.g.
Red
3
Cross, Red Crescent, ISIS);
g) not officially used by the government in its
non-proprietary functions (e.g. NBI Private
Investigation Services, PNP Security
Agency);
h) not a name or abbreviation of any nation,
inter-governmental or international
organization unless authorized by competent
authority of that nation, inter-government and
international organization;
i) not ordered or declared by administrative
agencies/bodies or regular courts not to be
registered;
j) not a name of other persons; and
k) not deceptive, misleading or misrepresent
the nature of my business.
9. I fully understand and hereby agree without any
reservation that my failure to comply with or
observe any of the foregoing undertakings or
any of pertinent rules and regulations shall be
sufficient ground for the denial of my application
or cancellation/revocation of my registration of
business name.
CONSENT
By applying for a business name, I hereby agree

and consent to the processing of my personal
information, specifically business
information for the purpose of Business
Name registration. I understand that my
personal information will be shared with
other government agencies; the use of which
shall be governed by the Data Privacy Act of
2012 and Act No. 3883. I promise to notify the
DTI should there be any amendment in my
personal information.
____________________________________
________________________
Owner’s Signature Over Printed Name
Date
4
GENERAL INSTRUCTIONS IN ACCOMPLISHING AND
SUBMITTING APPLICATION AND REQUIREMENTS
• Accomplish the application form and fill out completely and
clearly all the mandatory fields.
• Do not abbreviate the information, in business name,
business and owner’s address and name of owner as it will
appear in the Certificate of Business Name Registration.
• Only the owner of the business name is authorized to
sign the application form.
• Present one (1) valid government-issued ID together with
the application form to any DTI Regional/ Provincial/
Satellite/ Field Offices/Negosyo Center.
A. Type of Registration
1. DTI Registration Type. Tick the appropriate box for
your business.
• New – Registration Type to be selected if applicant
wishes to register a New BN.
• Renewal - Registration Type to be selected if
applicant wishes to renew an expiring/expired BN.
B. Tax identification Number (TIN)

2. TIN. This is required information to be able to transact
with any government office per E.O.98.
C. Owner’s Information
3. First Name; 4. Middle Name; 5. Last Name; 6. Suffix (if
applicable). Indicate correct name as these would
appear in the Certificate of BN Registration.
7. Date of Birth. Owner must be of majority age (at least
18 years old) unless otherwise indicated.
8. Civil Status. Tick the appropriate box. 9. Gender. Tick
the appropriate box.
10. Refugee/Stateless Person. Tick the appropriate box
of your answer whether you are a refugee or a
stateless person.
5
11. Citizenship. Indicate your citizenship.
D. Business Name Territorial Scope

12. Territorial Scope of Business Name. Tick the
appropriate box of the scope of your proposed
business. Business scope refers to the
registrability of a BN within a specific territory
without prejudice to engaging in business
elsewhere or to the geographical limit within which
the business may locate using the registered BN.
E. Proposed Business Name

13-15. Proposed Business Name. Business Name (BN)
must be comprised of the dominant portion (word,
group of words or a combination of letters and
numerals) and a descriptor (word or group of
words describing the nature of business). E.g.
Alberto’s Garment Manufacturing, Marita’s
Carinderia. Use of dominant or generic business
names are not allowed (e.g. Automotive
Enterprise).
F. Business Details
16. House/Building No. Includes building name and
floor number, Lot, Block and Phase numbers, and
Subdivision name, among others.
17. Street; 18. Barangay; 19. City/Municipality; 20.
Province; and 21. Region. Exact business address.
22. Phone No. 23. Mobile No. Both landline and mobile
numbers with area code are required.
G. Philippine Standard Industrial Classification (PSIC)

24. Main Business Activity. Tick appropriate box.
25. PSIC Indicate Main Product Handled/Service
Rendered. Identify only one (1) main
product/service.
H. Owner Details
26. House/Building No. This information includes
building name and floor number, Lot, Phase
and Block numbers, and Subdivision, among
others.
27. Street; 28. Barangay; 29. City/Municipality; 30.
Province; and 31. Region. Exact residence
address. 32 & 33. Phone and Mobile Nos.
Either landline or mobile numbers with area
code is required.
34. E-mail Address. This is where e-mail notifications
regarding your registration will be sent.
I. Partner Agencies
35. Core Agencies Registration. Tick the appropriate
box of the agencies where you want to register and
get your Employer Registration No.
J. Other Details
36. Asset. This includes cash and cash equivalents;
accounts receivable; inventory; prepaid expenses;
and property and equipment.
37. Capitalization. The initial investment or money used
to start a business, whether for office space,
6
permits, licenses, inventory, product development
and manufacturing, marketing or any other
expense.
38. Gross Sale/Receipt. The grand total of all sale
transactions within a given period without
deductions.
39. Planned No. of Employees. Indicate the number of
planned employees to be hired and their gender
(male or female).

Republic of The Philippines Department of Trade and Industry Business Name Registration Sole Proprietorship Application Form

Uploaded by

Copyright:

Available Formats

Republic of The Philippines Department of Trade and Industry Business Name Registration Sole Proprietorship Application Form

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Republic of The Philippines Department of Trade and Industry Business Name Registration Sole Proprietorship Application Form

Uploaded by

Copyright:

Available Formats

Republic of the Philippines

Department of Trade and Industry

BUSINESS NAME REGISTRATION

BNR Form No. 01-2018 2018 Edition

A. TYPE OF DTI REGISTRATION

7. Date of Birth 8. Civil Status 9. Gender 10. Are

14. Dream Bean’s

15. Café Sweets

21. Region 22. Phone no 23. Mobile no.

G. PHILIPPINE STANDARD INDUSTRIAL CLASSIFICATION (PSIC)

39. Planned No. of Employees  Male: 5 Female: 5 TOTAL: 10

For DTI Use Only

Business Name No. Date Registered OR Number Da

Issuing Office Processed by Reference Code

PLEASE READ THE UNDERTAKING AND THE

CHECK YOUR E-MAIL FOR

Per Department Administrative Order (DAO) No.

1. All information supplied in this application are

d) not a name that is inimical to the security of

By applying for a business name, I hereby agree

B. Tax identification Number (TIN)

D. Business Name Territorial Scope

E. Proposed Business Name

G. Philippine Standard Industrial Classification (PSIC)

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.