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IPA Seal/Logo REQUEST TO REGISTER WITH BOI FORM
(UNDER FIRB RESOLUTION NO. 026-22)
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Date of Filing of Request:
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A. COMPANY DETAILS
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Business Enterprise's Name:
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Ownership Details:
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Office Address:
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Corporate Tax Identification Number:
BIR RDO Code:
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Name of Authorized Representative:
Position/Designation:
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Telephone/Mobile No.:
Email Address:
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B. IPA REGISTRATION DETAILS
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Name of Investments Promotion Agency (IPA) where the project is registered :
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Name of Economic Zone :
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IPA Registration Number :
IPA Registration Date :
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Registered Activity :
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Type of Project:
New
Expansion
Registered Capacity, if applicable :
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Market Orientation:
DomesticExport
Export Requirement, if applicable :
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2019 PSIC Subclass Description :
5-Digit PSIC Code:
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Project/Plant Address:
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Project Cost in Php:
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Approved Actual Start of Commercial Operations:
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C. REMAINING FISCAL INCENTIVES DETAILS:
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Check the applicable fiscal incentives:Start DateEnd Date
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Income Tax Holiday (inclusive of bonus year, if any):
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5% Gross Income Tax Rate:
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Duty Exemption:
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VAT Exemption:
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VAT Zero-Rating:
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Documentary Requirements:
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Scanned copy of RBE’s original Certificate of Registration with Terms and Conditions or Agreement issued by the concerned IPA.
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CERTIFICATION
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I, _________________, of legal age, with business address at ________________________________________________________ having been sworn in accordance with law, hereby state that:
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1. I am occupying the position of ________________________________ in _____________________________________________ with business adress at _________________________________________________________________;
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2. I have caused the preparation of the Request to Register with BOI Form;
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3. I have read and understood the contents thereof and hereby certify that all information therein are true and correct based on my personal knowledge and based on authentic documents/records;
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4. I hereby certify that the firm is compliant with the Terms and Conditions or Agreement for its registration and in "Good Standing" with the (Name of IPA);
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5. I understand that the monitoring of compliance and availment of remaining incentives of the firm shall remain with the (Name of IPA) even after the registration to the BOI;
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6. I hereby ensure that the corporation will observe and abide by the provisions of Republic Act No. 11534 or the CREATE Act, Executive Order No. 226 or the Omnibus Investments Code of 1987, as amended, existing laws, rules and regulations and the corresponding requirements of relevant government; and agencies;
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7. I understand that any misrepresentation or falsification in the documents or other supporting papers submitted to the Board, or failure to maintain the qualifications for registration shall constitute as a ground for cancellation of Registration with the BOI.
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Done in _____________ on ____________.
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Signature over printed name
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