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Application for Admission of TEVs

AFAB application form for admission of tax exempt motor vehicles

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APPLICATION FOR ADMISSION
OF TAX-EXEMPT MOTOR VEHICLE
FOR AFAB USE ONLY

Republic of the Philippines
Office of the President
THE AUTHORITY OF THE FREEPORT AREA OF BATAAN
The Freeport Area of Bataan

Application No.
Date filed
Application Fee:
O.R. no.

Instructions: Please accomplish this form by providing the required information on appropriate spaces. Do not leave any blank space, indicate “N/A” if not
applicable and attach additional sheet/s as Annexes if necessary. Only complete set of documents will be accepted for processing.

COMPANY PROFILE
1. Name of Company: Please write the company’s full name legibly.

2. Office Address: Write or type the company’s full address. Place one letter on each box. Leave one box blank between names.
No. & Street

Barangay
City / Town
Province

Zip Code

3. Office Contact Information: Write or type your company’s full contact details.
Telephone No.

Fax Number

Telephone No.

E-mail Address

4. Name of Authorized Representative: Write or type the full name in the given sequence. Place one letter on each box. Leave one box blank between names
LAST
FIRST
MIDDLE

5. Contact Information of Authorized Representative: Write or type authorized representative’s full contact details.
Telephone No.
Cellphone No.
E-Mail Address
6. Description of Motor Vehicle: Write or type the needed information in the given space below. Place one letter or number on each box.
Make:

Retail Price:

Model:

Year:

Chassis No.*:

Color:
*If applicable

Engine No.*:

Engine Displacement*:

*If applicable

7. Previous Admissions: if applicable
Plate Number

Make

Year Model

*If applicable

Type

Color

AFAB-07-05-04_FM_Application for Admission of TEVs

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I affirm that:
(1) All the information supplied in this application form, and all submitted documents are true, complete, and accurate;
(2) I will abide by the rules and policies set by the Authority of the Freeport Area of Bataan (AFAB).
I am aware that any or all the information furnished in this application may be checked against the original documents and that withholding information or giving
false information, as well as violations on my part of any of the AFAB’s policies, rules and regulations will disqualify me from approval of application/will be a basis
for revocation of certificate, if approved. I also understand that no results for my application may be released until all requirements are satisfied.
Furthermore, I understand that all information I provide in this form and submitted documents may be used by the Authority for research and background
check, and I consent to such with the assurance that my personal details will be kept secure.

_________________________
Date

________________________________
Signature over Printed Name

Do NOT write anything after this part. TO BE FILLED OUT ONLY BY AFAB PERSONNEL
REQUIRED DOCUMENTS AND CLEARANCES










Accomplished application form signed by the Authorized Officer/owner of vehicle
Original/Certified copy of Certificate of Registration
Letter of Intent
Certification from the FAB Enterprise Department on the amount of investment or Certification from the FAB Labor Center on the number of regular
employees
Certificate of “No Outstanding Financial Obligations” from the Finance Department
Certification of Inspection from the FED of previously admitted duty-free and tax-exempt motor vehicles, if applicable.
Original/Certified Copy of the Commercial sales invoice (brand new motor vehicles), if applicable.
Original/Certified Copy of the Certificate of Ownership (used trucks, buses and heavy and/or agricultural equipment), if applicable.
Agreement on conditions for admission of motor vehicle, if applicable.

Received this ______ day of ________________ 20__.

Approved by:

Processed and Evaluated by:
___________________________

ALEWIJN AIDAN K. ONG
Deputy Administrator

AFAB-07-05-04_FM_Application for Admission of TEVs
 
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