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    Form-No.-NTC-1-08-APPLICATION-FOR-CERTIFICATE-OF-EXEMPTION-DELETION (1) - 1 PDF

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    Monica Cherreguine
    This document is an application form for a Certificate of Exemption or Deletion from the National Telecommunications Commission of the Philippines. The form requests information about the type of application, applicant details, particulars of the station, and reason for exemption or deletion. It instructs applicants to fill out the form properly in all capital letters, attach all required supporting documents, check the appropriate box, and indicate "N/A" for non-applicable items. It also contains a declaration that the applicant must sign verifying the truth and accuracy of the information provided.

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    Form-No.-NTC-1-08-APPLICATION-FOR-CERTIFICATE-OF-EXEMPTION-DELETION (1) - 1 PDF

    Uploaded by

    Monica Cherreguine
    282 views1 page
    This document is an application form for a Certificate of Exemption or Deletion from the National Telecommunications Commission of the Philippines. The form requests information about the type of application, applicant details, particulars of the station, and reason for exemption or deletion. It instructs applicants to fill out the form properly in all capital letters, attach all required supporting documents, check the appropriate box, and indicate "N/A" for non-applicable items. It also contains a declaration that the applicant must sign verifying the truth and accuracy of the information provided.

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    Form-No.-NTC-1-08-APPLICATION-FOR-CERTIFICATE-OF-EXEMPTION-DELETION (1)-1.pdf

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    This document is an application form for a Certificate of Exemption or Deletion from the National Telecommunications Commission of the Philippines. The form requests information about the type of application, applicant details, particulars of the station, and reason for exemption or deletion. It instructs applicants to fill out the form properly in all capital letters, attach all required supporting documents, check the appropriate box, and indicate "N/A" for non-applicable items. It also contains a declaration that the applicant must sign verifying the truth and accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    282 views1 page

    Form-No.-NTC-1-08-APPLICATION-FOR-CERTIFICATE-OF-EXEMPTION-DELETION (1) - 1 PDF

    Uploaded by

    Monica Cherreguine
    This document is an application form for a Certificate of Exemption or Deletion from the National Telecommunications Commission of the Philippines. The form requests information about the type of application, applicant details, particulars of the station, and reason for exemption or deletion. It instructs applicants to fill out the form properly in all capital letters, attach all required supporting documents, check the appropriate box, and indicate "N/A" for non-applicable items. It also contains a declaration that the applicant must sign verifying the truth and accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines Form No.

    NTC 1-08
    NATIONAL TELECOMMUNICATIONS COMMISSION Revision No. ___ ___01
    Revision Date 03/31/2021
    BIR Road, East Triangle, Diliman, Quezon City

    APPLICATION FOR CERTIFICATE OF EXEMPTION/DELETION

    INSTRUCTIONS:
    (1) Accomplish this application form properly, in ALL CAPS, handwritten or computer-printed.
    (2) Attach the complete requirements including supporting documents. For the List of requirements,
    please refer to the NTC Citizen's Charter 2021 Second Edition at NTC website: www.ntc.gov.ph
    (3) Check (✔) appropriate box. Indicate "N/A" for items not applicable.

    TYPE OF APPLICATION
    CERTIFICATE OF EXEMPTION
    CERTIFICATE OF DELETION

    APPLICANT'S DETAILS
    Applicant
    Unit/Rm/Bldg No. Street
    Barangay City/Municipality
    Province Zip Code
    Contact Number Email Address
    PARTICULARS OF STATION
    Name of Vessel/Ship
    Call Sign MMSI Number
    Station License No. Validity (mm/dd/yy)
    REASON(S) FOR EXEMPTION / DELETION

    DECLARATION
    I hereby declare that all the above entries are true and correct. Under the Revised Penal Code, I shall be held liable for any willful false statement(s) or
    misrepresentation(s) made in this application form that may serve as a valid ground for the denial of this application and/or cancellation/revocation of the
    permit issued/granted. Further, I am freely giving full consent for the collection and processing of personal information in accordance with Republic Act
    No. 10713, Data Privacy Act of 2012.

    Signature over Printed Name of Applicant /


    Duly Authorized Signatory/Representative

    Date Accomplished

    THIS FORM IS NOT FOR SALE AND CAN BE REPRODUCED

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