Scribd
Upload
39 views1 page

Cpa Id 2023

This document is an application for an annual Cebu Port Authority ID. It contains information about Yuboc Banana Vendor such as the company address and TIN. It lists two employees - Jerryfonce D. Yuboc as the driver and Genalyn K. Kiamco as the helper. At the bottom, Jerryfonce D. Yuboc signs as the applicant, certifying that the information provided is true and correct and acknowledging penalties for misdeclared information. It assesses a total amount of 224 for an identification fee.

Uploaded by

janninerosales0295
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
39 views1 page

Cpa Id 2023

This document is an application for an annual Cebu Port Authority ID. It contains information about Yuboc Banana Vendor such as the company address and TIN. It lists two employees - Jerryfonce D. Yuboc as the driver and Genalyn K. Kiamco as the helper. At the bottom, Jerryfonce D. Yuboc signs as the applicant, certifying that the information provided is true and correct and acknowledging penalties for misdeclared information. It assesses a total amount of 224 for an identification fee.

Uploaded by

janninerosales0295
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines

CEBU PORT AUTHORITY


CIP Complex, Serging Osmeña Boulevard, North Reclamation Area, Cebu City
Telephone: 402-4040 local 2007 SERIAL NO:
APPLICATION FOR ANNUAL CPA ID
*COMPANY: YUBOC BANANA VENDOR *Contact no./s: 0995-755-3957
CPA USE ONLY
*ADDRESS: 1627 LAHING-LAHING MABOLO CEBU CITY *TIN: 423-951-668-000
NAME OF EMPLOYEES DATE of CONTACT REMARKS DOMES PRIVATE CONCES CPA-CON ARRAS GOVERN
POSITION HOME ADDRESS AGE SEX PORTER
(LAST NAME, FIRST NAME, MI.) BIRTH NUMBER NEW/RENEW TIC ENTITY SIONAIRE TRACTOR TRE MENT

1 YUBOC, JERRYFONCE D. DRIVER 1627 LAHING LAHING MABOLO CEBU 6/13/1986 37 M 09957559357
2 KIAMCO, GENALYN K. HELPER SEMBLANTE ST. JUGAN CONSOLACION CEBU 4/11/1994 29 F 09223078290
3
4
5
6
7
8
9
10

We understand that our compliance is set to the rules and regulation set inside the port. ASSESSMENT
PARTICULARS
TOTAL AMOUNT
Hoping for your immediate action. **IDENTIFICATION FEE** QUANTITY

224

1-PSSEMD 2-Cashier 3-Payee


JERRYFONCE D. YUBOC
Applicant's Signature over Printed Name Chief, Access Control Section
(Proprietor/Manager/Ceo/etc.)

*All Costs are subject to 12% VAT inclusive.

Document No. : FM-PSD-03 THIS IS TO CERTIFY that the above information is true and correct. I understand that any misdeclared
Revision No. : 03 information would be sufficient ground for the imposition of a fine of P 500.00 (for first offense),
Effective Date : 10-Jul-23 P 1,000.00 (for second offense) and/or revocation of said privilege.

You might also like