Business Name Application Form Sole Proprietorship
Business Name Application Form Sole Proprietorship
Business Name Application Form Sole Proprietorship
BTRCP Form No. 16A 2010 Edition (Please read instruction/ requirements at the back before filling-in this Application Form)
TERRITORIAL SCOPE OF BUSINESS NAME REGISTRATION AND FEES (PLEASE TICK ONLY ONE): BARANGAY -PHP 200.00 REGIONAL - PHP 1,000.00 CITY/MUNICIPALITY - PHP 500.00 NATIONAL - PHP 2,000.00
UNDERTAKING
Per Department Administrative Order (DAO) No. 10-01 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. Any false or misleading information supplied, or production of materially false or misleading document to support the application shall be a ground for the appropriate criminal, civil and or administrative action against me; 3. I shall voluntarily cancel or change my registered BN upon conclusive determination that a prior registrant and lawful user of an identical or confusingly similar BN exists. Confusingly similar business names may refer to those enumerated in item 5 (b) hereof. 4. I am fully aware of and shall strictly comply with the provision of Act No. 3883, as amended, and its implementing rules and regulations and other related laws and rules; and 5. It is my responsibility to ensure that my proposed business name is a) not and will not be used for business that is illegal, offensive, scandalous, or contrary to propriety; (e.g.Popoys Jueteng Betting Place, Boobs Massage and Spa ); b) not the same or nearly the same as an existing registered business, company, partnership, corporation, cooperative name; nor it infringes on any trademark, service mark and tradename (e.g. Anne Doks Lechon, Jolibee, Starbax Cafe); c) not composed purely of generic or geographic words (e.g. The Laundry Shop, Bacolod ); d) not a name which by law or regulation cannot be appropriated (e.g. OTOP, Intelligence, State College, CALABARZON); e) not used to designate or distinguish, or suggestive of quality of any class of goods, articles, merchandise, or service (e.g. Best Taho Factory, A-1 Auto Repair Shop ); f) not a name or abbreviation of a name used by the government in its governmental functions (e.g. NBI Private Investigation Services, DTI Trading); g) not a name or abbreviation of a name of any nation, inter-governmental or international organization (e.g. Philippine Manpower Pooling Agency, UNESCO Marketing, WHO Health Services); and h) not deceptive, misleading or which misrepresent the nature of business (e.g. ABC Construction Services where nature of business is recruitment, a business name carrying another persons name).
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A. Business Details 1. For Renewal Only (Fill-up this portion only) Previous Certificate No. ________________________ Year of Registration ________________________ 1 2. Proposed Business Name(s) (in order of priority) 3. Business Location : 2nd 3rd Barangay City/ Municipality Region 4. TIN
st
OR
B. Owners Details 5. First Name 9. Date of Birth C. Owners Address 11. House/Building No. 14. Town/City For DTI Use Only TRN/PBN Date of Registration Approved Business Name 12. Street 15. Province 13. Barangay 16. Zip Code 6. Middle Name 7. Last Name 10. Citizenship 8. Suffix (e.g. Jr, Sr, I, II)
Certificate No.
Processed By
Office
OR Number
Date Paid
A. Business Details 1. Location. Indicate the barangay, city/municipality, and region where business is/will be located. 2. Tax Identification Number (TIN). Indicate TIN duly issued by BIR to you as individual taxpayer. B. Owners Details 3. First Name, 4. Middle Name, 5. Last Name, 6. Suffix (if applicable). Write these information legibly and correctly as these would appear in the Certificate of BN Registration. 7. Date of Birth. Owner must be of legal age (at least eighteen [18] years old). 8. Citizenship. For Filipino applicants, present two (2) primary ID or a combination of one (1) primary and one (1) secondary ID. Foreign Nationals must present the original and submit clear certified copy of the following, if applicable, namely: Certificate of Authority to Engage Business in the Philippines pursuant to Foreign Investment Act (Rep. Act No. 7042 as amended); Certificate of Authority to Engage in Retail Trade per Rep. Act No. 8762 (Retail Trade Liberalization Law), or such other applicable laws, as the case may be. C. Owners Address 9. House/Building No. This information include building name and floor number, Lot, Phase and Block numbers, and Subdivision, among others. This information will be printed in the Certificate of BN Registration. 10. Street, 11. Barangay, 12. Town/City and 13. Province. These information will be printed in the Certificate of BN Registration. 14. Zip Code. Check the Philippine Postal Service Web site for proper Zip Code.
APPLICABLE FEES BN Registration Fee (New and Renewal) PhP 200.00 (Barangay only), PhP 500.00 (City/Municipality only) PhP 1,000.00 (Region only) PhP 2,000.00 (National)
Documentary Stamp Tax Surcharge for Renewal Application filed within the last three (3) months of the six (6) month-renewal period