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BMBE Application Form

This document is an application for registration as a Barangay Micro Business Enterprise (BMBE) under Republic Act 9178. It requests information such as the name and address of the business, owner's details, type of business organization, principal business activity, assets and employee numbers. The applicant declares that all information provided is true and correct and acknowledges their responsibility to notify authorities of any changes to ownership structure or status.

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461 views1 page

BMBE Application Form

This document is an application for registration as a Barangay Micro Business Enterprise (BMBE) under Republic Act 9178. It requests information such as the name and address of the business, owner's details, type of business organization, principal business activity, assets and employee numbers. The applicant declares that all information provided is true and correct and acknowledges their responsibility to notify authorities of any changes to ownership structure or status.

Uploaded by

Doc Aemilius
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

APPLICATION FOR REGISTRATION AS

BARANGAY MICRO BUSINESS ENTERPRISE (BMBE)


UNDER R.A. 9178 PASSPORT SIZE
BMBE Form 01 (To be accomplished in triplicate) ID PICTURE OF
Date Application Filed :___________ OWNER/HEAD
Application No._________________ OF BUSINESS
O New O Renewal
ENTERPRISE
____________________________________
Name of Business Enterprise

Name of Owner or Head of Enterprise


______________________________________________________________________________
(Last Name) (First Name) (Middle Name) O Male O Female
Business Address ____________________________________________________ Tel. No. _______________________
___________________________________________________________________ Fax. No. _______________________
Owner’s/Business’ Tax Identification Number ________________________________

Type of Business Organization


O Single Proprietorship O Partnership O
Corporation O Cooperative
O Association
Others_______________________

Status of Business
O New O Existing

Principal Business Activity


O Production O Processing O Manufacturing O Trading
O Services O Others________________________

Total Assets (To the Nearest Thousand Pesos) _______________________________

Total Number of Employees___________ (No. of Males ______ No. of Females______)

For Partnership/ Corporation/ Cooperatives/ Associations


Partners/Directors/Officers Address

Branches, if any
Address/es Tel.No.

I/We hereby declare that all information supplied in this application are true and correct to the best of my belief and
knowledge, and any false or misleading information supplied, or production of materially false or misleading document to
3
support this application shall be a ground for the appropriate criminal, civil and/or administrative action against our enterprise.

I/We undertake to advise the Office of the Treasurer of the Municipality/City of any change in the status of its ownership
structure and shall surrender the original copy of the BMBE Certificate of Authority for notation of the transfer.

________________________________________
Applicant’s/Authorized Representative’s Signature
Over Printed Name

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