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1st stage:

This stage of the process allows us to gather the informations we need from the applicant for validation. We assure you the informations posted will not be released in public, except for the optional home/business directory posting of the client's name and address.

Thank you.

Telephone Line Application Cost

Service Type

Installation Fee

Estimated Monthly Service Fee

Residential Telephone Line

Regular

1,999.00

685.47* + 10% VAT

Telesulit

1,900.00

None**

Business Telephone Line

3,500.00

1, 401.65* + 10% VAT

*Above rates may vary depending on location and marketing promos.

Customer's Preferred Service/s Upon Activation

OPTION A

REQUIREMENTS

Postpaid Line

All PLDT Services & Features

OPTION B

REQUIREMENTS

Postpaid Line

PLDT Services & Features except DSL

OPTION C

REQUIREMENTS

Postpaid Line

No DSL

No DDD

No Operator Assisted

No Incoming Collect

*For us to process the request kindly send the requirements thru fax #(02)8643427 or thru email as scanned attachment addressed to: customers@pldt.com.ph
*Once the application is approved, customers mist present the ORIGINAL
documents at the Business Offices upon payment

Personal Information

*Name:	Last Name	First Name	Middle Name

Complete address where telephone line will be installed:

Room/Unit/Floor/Stall/Store No.:
Building/Apartment Name:
Block & Lot No.:
*Street/House No.:
*Street Name:
Subdivision/Village/Homes/Compounds:
*Barangay/Barrio/District Name:
*City/Municipality:
Province:

*Valid ID No.

Expiry Date:

*Birthdate:

	-		-
mm		dd		yyyy

*Civil Status:

Single

Married

Widow/Widower

Separated

*Spouse Name:

*Spouse B-day:

	-		-
mm		dd		yyyy

*Mother's Maiden Name:

House Ownership

*House Ownership:

	Owned
	Rented

Contact Information

*E-mail address:

Contact telephone number:

*Cellphone No.:

Fax No.:

Employment information

		Employed
		Self-employed
		Unemployed with Income
		Student

**Please accomplish the following if you are employed
	Employer:
	Company address:
	Office Telephone Number:
	Position:

To help us process the installation of your phone, please give us the PLDT landline number/s nearest you, if any.