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    Lgu Bcif Sample

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    RodelLabor
    This document is a business customer information form for Brgy Sto. Cristo to update their customer records with SMART. [1] It provides basic information about Brgy Sto. Cristo such as their business address, contact details, authorized signatory which is Juan Dela Cruz who is the Brgy Captain, and information about the sole proprietorship. [2] Juan Dela Cruz signs to authorize SMART to obtain relevant personal and credit information, and to use and disclose customer information for purposes like facilitating applications, product improvement, advertising, and credit investigation. [3] Juan Dela Cruz declares that the information provided is true and correct and authorizes SMART to verify the information.

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

    Lgu Bcif Sample

    Uploaded by

    RodelLabor
    42 views1 page
    This document is a business customer information form for Brgy Sto. Cristo to update their customer records with SMART. [1] It provides basic information about Brgy Sto. Cristo such as their business address, contact details, authorized signatory which is Juan Dela Cruz who is the Brgy Captain, and information about the sole proprietorship. [2] Juan Dela Cruz signs to authorize SMART to obtain relevant personal and credit information, and to use and disclose customer information for purposes like facilitating applications, product improvement, advertising, and credit investigation. [3] Juan Dela Cruz declares that the information provided is true and correct and authorizes SMART to verify the information.

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    LGU BCIF SAMPLE

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    This document is a business customer information form for Brgy Sto. Cristo to update their customer records with SMART. [1] It provides basic information about Brgy Sto. Cristo such as their business address, contact details, authorized signatory which is Juan Dela Cruz who is the Brgy Captain, and information about the sole proprietorship. [2] Juan Dela Cruz signs to authorize SMART to obtain relevant personal and credit information, and to use and disclose customer information for purposes like facilitating applications, product improvement, advertising, and credit investigation. [3] Juan Dela Cruz declares that the information provided is true and correct and authorizes SMART to verify the information.

    Copyright:

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

    Lgu Bcif Sample

    Uploaded by

    RodelLabor
    This document is a business customer information form for Brgy Sto. Cristo to update their customer records with SMART. [1] It provides basic information about Brgy Sto. Cristo such as their business address, contact details, authorized signatory which is Juan Dela Cruz who is the Brgy Captain, and information about the sole proprietorship. [2] Juan Dela Cruz signs to authorize SMART to obtain relevant personal and credit information, and to use and disclose customer information for purposes like facilitating applications, product improvement, advertising, and credit investigation. [3] Juan Dela Cruz declares that the information provided is true and correct and authorizes SMART to verify the information.

    Copyright:

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

    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: BRGY STO. CRISTO Main Telephone No./Trunkline:
    Fax No.:
    Store/Shop/Outlet Name/Trade Name: STO CRISTO Customer's E-mail Address:
    Website:
    Business Address: 95 FORT SANTIAGO BRGY STO CRISTO QC

    Billing Address (if different from Business Address): SAME AS ABOVE

    Names of Bill Recipients 1 . BRGY STO CRISTO 2.


    Contact numbers of Bill Recipients 1 . 09190830906 2.
    Email Address of Bill Recipients 1 . brgystocristo@gmail.com 2.
    Finance Officer : JOSE RIZAL Finance Officer Contact Number: 09190830906 Finance Officer's Email Address: jose rizal@gmail.com
    Business Ownership: Private Government
    Tax Class: VAT Exempt/ Zero-Rated With VAT Others, please specify
    SEC Registration No. Company TIN:

    Industry Type : LGU Please specify

    AUTHORIZED SIGNATORY INFORMATION


    Name of Authorized Signatory: JUAN DELA CRUZ Position and E-mail Address: BRGY CAPTAIN/JUANDELACRUZ@GMAIL.COM
    Contact No.[Landline No. & Mobile No.] 09190830906

    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.

    JUAN DELA CRUZ BRGY CAPTAIN MAY 12 2021


    Authorized Signatory/Signature above Date
    Position
    Printed Name
    BCIF_ver7 with DPA_02052018

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