REPUBLIC OF THE PHILIPPINES

KALAYAAN LAGUNA

Philippine Standard Time

Application Form for Business Permit - Municipality of Kalayaan

Application Section

Application Type

New

Renewal

Mode of Payment

Date of Application

DTI/SEC/CDA Registration No.

TIN No.

DTI/SEC/CDA Registration Date

Type of Business

Are you enjoying tax incentive?

No

Yes

Amendment From:

Amendment To:

Name of Taxpayer/Registrant

Last Name

First Name

Middle Name

Business Name

Trade/Franchise Name

Other Information

Business Information

Business Address

Postal Code

Email Address

Telephone No.

Mobile No.

Owner Information

Owner's Address

Postal Code

Email Address

Telephone No.

Mobile No.

Emergency Contact Person

Contact Number

Business Activity

Line of Business

No. of Units

Capitalization

Gross/Sales Receipts

Attachment(s)

Barangay Clearance

Capital Investment (Puhunan)

DTI

CTC