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    Business Customer Information Form

    Uploaded by

    Walter O Brian
    This document contains a business customer information form for an existing SMART customer to update their customer records. The form requests information such as the business name, address, billing information, authorized signatories, and ownership details. It also contains sections for sole proprietorships, partnerships, and corporations. The customer must fill out the appropriate sections and provide valid identification documents based on their business type to verify the authorized signatory and update their customer account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Business Customer Information Form

    Uploaded by

    Walter O Brian
    130 views2 pages
    This document contains a business customer information form for an existing SMART customer to update their customer records. The form requests information such as the business name, address, billing information, authorized signatories, and ownership details. It also contains sections for sole proprietorships, partnerships, and corporations. The customer must fill out the appropriate sections and provide valid identification documents based on their business type to verify the authorized signatory and update their customer account.

    Original Description:

    PLDT BCIF

    Original Title

    business-customer-information-form

    Copyright

    © © All Rights Reserved

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    This document contains a business customer information form for an existing SMART customer to update their customer records. The form requests information such as the business name, address, billing information, authorized signatories, and ownership details. It also contains sections for sole proprietorships, partnerships, and corporations. The customer must fill out the appropriate sections and provide valid identification documents based on their business type to verify the authorized signatory and update their customer account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    130 views2 pages

    Business Customer Information Form

    Uploaded by

    Walter O Brian
    This document contains a business customer information form for an existing SMART customer to update their customer records. The form requests information such as the business name, address, billing information, authorized signatories, and ownership details. It also contains sections for sole proprietorships, partnerships, and corporations. The customer must fill out the appropriate sections and provide valid identification documents based on their business type to verify the authorized signatory and update their customer account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    New Customer Customer Records Update (for existing SMART customers)

    BUSINESS CUSTOMER INFORMATION FORM


    To be filled out by the Customer
    Date Accomplished/Signed:
    BASIC CUSTOMER INFORMATION
    Registered Business Name: Main Telephone No./Trunkline:
    Fax No.:
    Store/Shop/Outlet Name/Trade Name: Customer's E-mail Address:
    Website:
    Business Address:

    Billing Address (if different from Business Address):

    Names of Bill Recipients 1. 2.


    Contact numbers of Bill Recipients 1. 2.
    Email Address of Bill Recipients 1. 2.
    Business Ownership: Private Government
    Tax Class: VAT Exempt/ Zero-Rated With VAT Others, please specify
    SEC Registration No. Company TIN:

    Industry Type : Please specify

    AUTHORIZED SIGNATORY INFORMATION


    Name of Authorized Signatory: Position and E-mail Address: Contact No.[Landline No. & Mobile No.]

    ID Presented:
    Company ID; ID No. ________________ Passport; ID No. ____________________ Others ________________ ; ID No. ___________
    Driver's License; ID No. _____________ SSS/GSIS ID; ID No. ________________
    ORGANIZATION DATA
    Type of Business (Check only one) SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
    Date of Registration: No. of Employee(s)/Staff: Years in Operation:
    FOR CORPORATION
    Key Officers ( indicate the name and position/designation) Contact No. Email Address

    FOR PARTNERSHIP - Name of Partners


    Name and Position/Designation Contact No. Email Address
    1.
    2.
    3.
    FOR SOLE PROPRIETORSHIP
    Name of Owner : Date of Birth:
    SSS No.: Personal TIN No.: Telephone No.:
    Home Address:

    FAX No.: Mobile No.: Email Address:


    SOLE PROPRIETOR DISCLOSURE
    My signature below signifies that
    1. I hereby authorize PLDT INC. and/or any person authorized by PLDT to obtain relevant and pertinent personal information about myself and credit information from the PLDT Group, it's subsididaries, affiliate banks, credit card
    companies, and other financial institutions in the course of evaluating my application, and I authorize the release of such information by these companies from which my personal data and credit information are requested. I also consent to
    PLDT's disclosure of information concerning myself or my subscription to these companies. I acknowledge that a complete list of the entities under the PLDT Group can be accessed by myself on the PLDT website [
    http://www.pldt.com/privacy-policy ]

    2. I also hereby authorize PLDT to use and disclose to the PLDT Group and Its subsidiaries and its authorized business partners all information contained in this application including supporting documents submitted, as well as all
    information in connection with my subscription, my network/service usage and connections including data about the device/e I use to connect to your service, my payment history/behavior with respect to my subscription, and all
    information about myself from your advertisers and business partners, for purposes of (a) facilitating my application for services which they offer; (b) product and service improvement being offered to me by PLDT Group and its
    subsidiaries and its authorized business partners; (c)advertising new products and services being offered by PLDT Group and its subsidiaries and its authorized business partners; (d) credit investigation and establishing my credit worthiness;
    and(e) improving customer experience.

    I hereby declare that all the above information are true and correct to my own knowledge. I hereby authorize PLDT/SMART/SUN to verify any of the above
    given information from whatever source it may consider appropriate. Any misrepresentation on the above information shall constitute a just cause for the rejection
    of my application or the termination of my contract with the Company.

    Authorized Signatory/Signature above Position Date


    Printed Name
    BCIF_ver5_07292015
    TO BE FILLED OUT BY PLDT/SMART/SUN AUTHORIZED SALES PERSONNEL
    DOCUMENTARY REQUIREMENTS
    Please check compliance of documents based on the type of business (Corporation, Partnership, Sole Proprietorship)
    CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP

    Accomplished Business Customer Information Form Accomplished Business Customer Information Form Accomplished Business Customer Information Form

    Business Permit/Mayor's Permit


    Corporate Secretary Certificate or Notarized Board
    Notarized Authority from the Partners (indicating Special Power of Attorney - if the
    Resolution (indicating name of authorized signatory to
    the authorized signatory to sign/transact business document/conforme is not signed by the owner
    sign/transact busines with PLDT in behalf of the
    with PLDT in behalf of the partnership). himself
    company)
    Photocopy of Valid ID with signature of authorized Photocopy of Valid ID with signature of Photocopy of Valid ID with signature of
    signatoryValid ID's: Passport, Driver's License, SSS, authorized signatory Valid ID's: Passport, Driver's owner/proprietor. Valid ID's: Passport, Driver's License,
    GSIS, TIN, PRC License (any 1) License, SSS, GSIS, TIN, PRC License (any 1) SSS, GSIS, TIN, PRC License (any 1)

    ADDITIONAL REQUIREMENTS FOR CORPORATION/PARTNERSHIP/SOLE PROPRIETORSHIP, IF APPLICABLE


    NTC Certificate of Registration [For Internet Service Providers, Cable TV Operators, Broadcast Networks, Telecom Companies, Value Added Services and Content
    Providers]

    Tax Exemption Certificate. (For companies situated in ECOZONES, qualified Embassies and respective qualified diplomats, Foreign administrations, BOI, PEZA,
    SUBIC, CLARK registered entities. For companies claiming for tax exemption, additional documents are: BIR Form 2303, BIR Form 0605 (current year), PEZA Certificate
    of Tax Exemption (current year)

    SEC Form F-104/F-108 for Foreign Corporation (in lieu of Articles of Incorporation)

    Proof of Billing Address, any utility bills. (Only required if billing address is different from the business address and site address )
    ADDITIONAL REQUIREMENTS FOR GOVERNMENT AGENCIES
    Executive Order or Republic Act stating the creation of the particular agency

    General Order [for military agencies] or Letter of Instruction

    Appointment papers and photocopy of ID of the authorized signatory

    Certification of Funds or Budget allocation for Communication Expense


    SERVICE REQUEST DETAILS
    TYPE OF SERVICE (Proposed service) QUANTITY Estimated Monthly Recurring Charge (MRC) - VAT Exclusive

    PHP USD

    1.
    2.
    TOTAL =
    CERTIFICATION [To be filled out by Authorized Sales Personnel]
    TO FOLLOW DOCS Deviation Request [please indicate justification]
    Bill Above Await Payment Deferment of Document submission
    To be submitted on or before :
    _____________________________ Reduction of Advance Payment

    I hereby declare and certify that all the above information and documents submitted are validated true and correct. Likewise, I am vouching the authenticity
    and legal existence of above mentioned customer and that the person who signed the BCIF/Contract/Conforme/Service Application Form is the designated authorized

    Submitted/Vouched by: _________________________________________ Noted by: ____________________________


    (Sales Personnel) (Sales Head)
    PLEASE SIGN OVER PRINTED NAME PLEASE SIGN OVER PRINTED NAME
    Date: _____________________________________ Date: ______________________________
    SALES TEAM :_______________________________
    CUSTOMER NAME: ___________________________
    FOR CREDIT USE ONLY
    Approved ______________________________________ Disapproved __________________
    Amount of Advance Payment required: __________________________ Notes : ________________________

    Evaluated by: _____________________________________________ Date: ________________________


    Credit Analyst (Sign over printed name)
    BCIF_ver5_07292014

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