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  • LTFRB - Gov.ph Media Downloadable OPERATOR DATA SHEET2

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    Titolo originale

    Ltfrb.gov.Ph Media Downloadable OPERATOR DATA SHEET2

    Copyright

    © © All Rights Reserved

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    ltrbnf

    Copyright:

    © All Rights Reserved
    Scarica in formato PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    255 visualizzazioni1 pagina

    LTFRB - Gov.ph Media Downloadable OPERATOR DATA SHEET2

    Caricato da

    BellaUmipig
    ltrbnf

    Copyright:

    © All Rights Reserved
    Scarica in formato PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 1

    PASTE

    2X2PHOTO

    OPERATORDATASHEET

    TYPEOFOWNERSHIP

    SingleProprietorship

    Corporation

    Partnership

    Cooperative

    CASENUMBER
    TYPEOFSERVICE

    NO.OFAUTHORIZEDUNITS
    PUJ

    TH

    SB TX TTS

    SHS

    AUV

    PUB AC REG
    ForIndividualOperator(Pleaseaccomplishbelow)

    LASTNAME
    FIRSTNAME
    MIDDLENAME
    DATEOFBIRTH
    BIRTH

    SEX

    M F

    TINNO.

    ForCorporation/Cooperative/Others(Pleaseaccomplishbelow)

    NAMEOFCORPORATION/COOPERATIVE/OTHERS
    SEC/CDAREGISTRATIONNO.
    NAMEOFAUTHORIZEDREPRESENTATIVE
    POSITION

    TINNO.
    SEXMF

    DATEOFBIRTH

    GeneralInformation

    BUSINESSADDRESS
    MAILINGADDRESS
    GARAGEADDRESS
    PHONENUMBER
    MOBILENO.

    (HOME)

    (OFFICE)
    EMAIL

    (FAX)
    WEBSITE

    SPECIMENSIGNATURE

    ATTESTATIONANDUNDERTAKING
    I,__________________________________________,doherebyATTESTthattheforegoing
    informationarecompleteandtruetothebestofmyknowledgeandbelief.IfurtherUNDERTAKEto
    informtheBoardofanychanges/amendmentstotheabovedetailswithinfifteen(15)daysfrom
    occurrenceofsaidchanges/amendments.
    ______________________________________
    SignatureoverPrintedName

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