AUTOSWEEP RFID SUBSCRIPTION AGREEMENTAutosweep Rfid Subscription Agreement • April 27th, 2018
Contract Type FiledApril 27th, 2018SUBSCRIBER'S INFORMATION ENROLLMENT TYPE* One (1) Account PER Vehicle One (1) Account for ALL Vehicles PLEASE ATTACH THE FF. DOCUMENTS:1. Photocopy of one (1) valid ID (bearing photo and signature of the Subscriber)2. Photocopy of the OR & CR of the vehicle/s NOTE:If the vehicle is not under the name of subscriber:1. Authorization letter from the registered owner or notarized copy of the deed of sale of the vehicle.2. Photocopy of one (1) valid ID of the registered owner (bearing photo and signature of the registered owner) TITLE Mr. Ms. Mrs. Others (Pls. specify) FIRST NAME* MIDDLE NAME* LAST NAME* TIN CONTACT NUMBER/S* Primary* Secondary ADDRESS/ES Primary* Secondary EMAIL ADDRESS*( to which Statement of Account will be sent) EMERGENCY CONTACT PERSON* RELATIONSHIP TO THE SUBSCRIBER* CONTACT NO.*
AUTOSWEEP RFID SUBSCRIPTION AGREEMENTAutosweep Rfid Subscription Agreement • April 26th, 2018
Contract Type FiledApril 26th, 2018SUBSCRIBER'S INFORMATION (All fields are Mandatory) ENROLLMENT TYPE One (1) Account Per Vehicle One (1) Account for All Vehicles PLEASE ATTACH THE FF. DOCUMENTS:1. Photocopy of one (1) valid ID (bearing photo & signature) of the Authorized Representative2. Photocopy of Business Permit or SEC Registration/ DTI Registration3. Photocopy of the BIR Registration (BIR 2303)4. Original Secretary's Certificate stating authorized signatory/ies for Autosweep RFID transaction.5. Original copy of Authorization letter from Authorized Signatory6. Photocopy of OR & CR of the vehicles. NOTE:If the vehicle is not under the name of subscriber:1. Authorization letter from the registered owner or copy of the notarized deed of sale of the vehicle.2. Photo copy of one (1) valid ID of the registered owner. COMPANY NAME ADDRESS TAX IDENTIFICATION NO. (TIN) CONTACT NUMBER/STelephone No. Mobile No. EMAIL ADDRESS( to which Statement of Account will be sent) NAME OF AUTHORIZED REPRESENTATIVE DE
AUTOSWEEP RFID SUBSCRIPTION AGREEMENTAutosweep Rfid Subscription Agreement • April 26th, 2018
Contract Type FiledApril 26th, 2018SUBSCRIBER'S INFORMATION (All fields are Mandatory) ENROLLMENT TYPE One (1) Account Per Vehicle One (1) Account for All Vehicles PLEASE ATTACH THE FF. DOCUMENTS:1. Photocopy of one (1) valid ID (bearing photo & signature) of the Authorized Representative2. Photocopy of Business Permit or SEC Registration/ DTI Registration3. Photocopy of the BIR Registration (BIR 2303)4. Original Secretary's Certificate stating authorized signatory/ies for Autosweep RFID transaction.5. Original copy of Authorization letter from Authorized Signatory6. Photocopy of OR & CR of the vehicles. NOTE:If the vehicle is not under the name of subscriber:1. Authorization letter from the registered owner or copy of the notarized deed of sale of the vehicle.2. Photo copy of one (1) valid ID of the registered owner. COMPANY NAME ADDRESS TAX IDENTIFICATION NO. (TIN) CONTACT NUMBER/STelephone No. Mobile No. EMAIL ADDRESS( to which Statement of Account will be sent) NAME OF AUTHORIZED REPRESENTATIVE DE