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Customer Information Sheet
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I agree to the collection and use of personal information through this survey by eTap for the purpose of application processing and shall be made in accordance with the Data Privacy Act of 2012
*
Yes
No
Other:
Are you a PayMaya Negosyo Agent? *
*
Yes
No
How much is your total Top-Ups per month?
*
100K-500K
500K-1M
1M-10M
11M-20M
20M-30M
30M - Up
Where is your store?
*
Your answer
What's the best signal for your location?
*
Globe
Smart
Do you have business license
*
Business Permit
DTI Registration
Barangay Clearance
Full Name
*
Your answer
Business Name
*
Your answer
Contact Number
*
Please type your correct mobile number so we can call you for validation
Your answer
Email
*
Your answer
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