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Change of Business Name

CIAP PCAB Checklist and forms for changing business name (updated as of 2017)

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD

CHANGE OF BUSINESS NAME APPLICATION
PCAB-PAD-CBN-F01. Revision No. 01, 10/19/2017 | This Form is NOT for sale. Reproduction is Allowed

Instruction: Read Important Reminders (page 5). The following pertinent documents and information shall be submitted in support to
PCAB Change of Business Name Application.

Checklist of Requirements

Remarks

A. LEGAL
For Sole Proprietorship - Certified true copy of Business Name Registration Certificate, showing new
A.1.
name (scope of business: national; nature of the business: construction);
For Corporations - Certified true copy of SEC Certificate of Registration and Amended Articles of
A.2.
Incorporation and By-Laws, showing the new name of the partnership or corporation;
For change in address only - Business Permit, or any other official document showing the new office
A.3.
address of the applicant;
A.4.
Original copy of Affidavit from the Proprietor/Authorized Managing Officer (AMO) containing the reason
for the change of business name and that the construction firm has no pending case;
A.5.
Original copy (news clipping) of announcement/publication in a newspaper of general circulation
(broadsheet only) re: Change of Business Name;
A.6.
Affidavit of Attestation (page 2);
A.7.

PCAB Integrity Pledge (page 3);

B. OTHERS
Firm’s Authorized Representatives (note: must be an employee of the firm) Affidavit with recent
B.1.
passport size picture (page 4);
B.1.1. Copy of company ID of the Authorized Representatives;
B.1.2.
B.2.
B.3.
B.4.
B.5.

Latest CCL - formerly SSS Form R-3 (for below 60 years old) or Certificate of Income Tax Withheld
- BIR Form 2316, formerly BIR W-2 (for 60 years old and above) of the representatives;
Original signature of AMO on each and every page of the application forms including supporting
documents;
Certified documents. In lieu of certified copies, photocopies may be accepted provided original copies
are presented for authentication;
Self-stamped envelopes for verification of supporting documents (one self-stamped envelope per
supporting document);
Mode of Release of License (please check only one): [ ] Mail using the attached prepaid courier pouch;
[ ] Claim at PCAB Makati; [ ] Claim at CIAP Window / DTI ROG Office ________________________.

FOR PCAB / DTI-ROG USE ONLY
1st Prescreening
Item
No.

[ ] PCAB Makati [ ] DTI-ROG ______
Prescreener:

Date:
[ ] Accepted [ ] Comply lacking items

2nd Prescreening

3rd Prescreening

4th Prescreening

[ ] PCAB Makati

[ ] PCAB Makati

[ ] PCAB Makati

[ ] DTI-ROG ______

[ ] DTI-ROG ______

[ ] DTI-ROG _____

PCAB-PAD-CBN-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 2 of 6

AFFIDAVIT OF ATTESTATION
In behalf of
(Name of Firm)

holder of Contractor's License No. ___________, originally issued on __________________ and last
renewed for CFY 20__ to 20__, I hereby request for a change of Business Name to
__________________________________________________________________________________.
I certify to the completeness of the information/documents contained in this application appertaining to
the category/classification the company is applying for and that the information/documents are true and
correct.
I further certify that the business name and/or SEC registration of this firm is valid and existing.
I certify furthermore that the SSS, Pag-IBIG, and PhilHealth contributions were remitted in favor of the
employees of this firm.
I am fully aware that:
1. All documents submitted in support to this application are subject to verification before PCAB
action;
2. Any discovered misrepresentation of information and/or manifestations of fraud on the
application
documents
submitted
by my
firm
applicant
or
its
Authorized
Representative/Agent/Liaison Officer shall be subjected to investigation which may result to the
disapproval of my application, denial/suspension/revocation of license and blacklisting of my firm
and myself as its Authorized Managing Officer; and
3. Unconfirmed information/documents submitted to support my firm's qualifications shall be
excluded for categorization/classification purposes.
4. The evaluation of my qualification shall be solely based on the documents submitted at the time
the application was filed/accepted by PCAB.

Authorized Managing Officer
(Signature over Printed Name)

Republic of the Philippines
)
Province of _________________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at
_____________________________________________; affiant exhibited to me his/her Community Tax
Certificate No. _______________ issued at __________________ on ___________________ 20 ___.
NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.

PCAB-PAD-CBN-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 3 of 6

PCAB INTEGRITY PLEDGE
We believe that the construction industry is one of the most susceptible to all forms of corruption that hampers the
noble objectives towards national progress and global competitiveness.
As frontrunners of nation-building, we acknowledge our major role and responsibility in ensuring that we carry out
our tasks guided by ethical standards and equipped with the necessary capability for the successful prosecution of
our contracts.
In view thereof, we pledge the following:


We will present only true qualifications to PCAB so that we may be evaluated properly and be given the
category and classification where we should rightfully belong;



We will uphold the dignity of the license and not be instruments for unlicensed contractors to undertake
construction projects through license lending nor through false joint ventures/consortium or pseudo
combinations which is inimical to the public safety/interest;



We will not employ unlicensed sub-contractors/specialty contractors which is a clear circumvention of the
requirement that all contractors must be licensed;



We will absolutely shun away from any form of collusion that destroys the very essence and integrity of
biddings;



We will not engage in bribery or do any act which constitutes graft or corrupt practice which is the root
cause of bloated contract amounts;



We will not use sub-standard materials which will in any way compromise the safety, reliability and
performance of the built environment;



We will not abandon our contracts and we will implement our projects faithfully in accordance with the
prescribed specifications thereof;



We will provide the necessary resources, financial and technical capability in carrying out our contractual
obligations, and as far as possible, within the stipulated time of completion;



We are aware that we will be imposed disciplinary action should we violate any of the commitments hereof
or the PCAB Code of Ethics or be found to be a party to corruption.
_____________________________________
Authorized Managing Officer
(Signature over Printed Name)

_____________________________________
Name of Company
Republic of the Philippines
)
Province of _________________)
City/Municipality of ___________) S.S

SUBSCRIBED AND SWORN to before me this ________ day of ___________________ 20____ at
____________________________________________________________; affiant exhibited to me his/her
Community Tax Certificate No. _______________ issued at __________________ on _________________ 20 ___.

NOTARY PUBLIC
Until December 31, 20 ____
Doc. No.
Page No.
Book No.
Series of 20 __.

PCAB-PAD-CBN-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 4 of 6

AUTHORIZED REPRESENTATIVES AFFIDAVIT
Note: To be accomplished by the AMO.

Republic of the Philippines )
Province of ______________)
City/Municipality of ________) S.S
Last Name

I,
born on

mm

dd

First Name
yyyy

Single /
Married to

Last Name

Ext. Name (Jr/Sr, if any)

Middle Name

First Name

Middle Name

Room/Floor/Unit/Bldg. Name, Lot/Block/Phase No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code
and
residing
at:
having duly sworn to in accordance with law depose and say:
Name of Firm
That I am the
Authorized
Managing
1.
Officer of :

with office
address at:

Room/Floor/Unit/Bldg. Name, Lot/Block/Ph. No., Street, Subdivision, Barangay, City/Municipality, Province, Zip Code

That I appoint two (2) representatives, whose pictures and signatures appear below:
Name of Representative and
Position in the Firm

Picture
See Important Reminders (page 5,
item no. 4) for specification

Signature of Representative over
Printed Name

A.

2.

B.

3.
4.
5.

to transact business with PCAB; i.e, present for pre-screening my application for contractor’s license or any
application related thereto, file/follow-up, submit documents, receive notices/license in connection with the said
application and the like.
That I am aware that I am responsible/liable for any or all acts/representation made by my representatives in
connection with the functions stated herein.
That I undertake to notify PCAB in the event that this appointment is modified, amended or revoked.
That I have read and fully understood and complied with the requirements of PCAB Board Resolution No. 515 s.
2011 (copies of required documents are attached).
____________________________
Affiant
(Authorized Managing Officer of Firm)

SUBSCRIBED AND SWORN to before me this _________ day of ____________________________, 20_____ at
_____________________________________________________; affiant exhibited his/her Community Tax Certificate
No. _____________________ issued at _____________________________ on ________________ 20_________.
NOTARY PUBLIC
Until December 31, 20 ___
Doc. No.
Page No.
Book No.
Series of 20 ___

PCAB-PAD-CBN-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 5 of 6

IMPORTANT REMINDERS
1.

All required information in the application forms should be properly filled out. Do not leave an item blank. If an item is no t
applicable, indicate “N/A”.

2.

The recommended paper size in printing the application forms is 8.27” x 11.69” (A4 size).

3.

Application forms and its corresponding supporting documents/attachments should be:
a. arranged according to page number with index tabs;
b. fastened in a long size folder.
The required picture specification for the Authorized Representatives Affidavit as follows:

4.

a.
b.
c.
d.
e.
f.

taken within the last three (3) months prior to filing of application;
Philippine passport size (4.5 cm x 3.5 cm or 1.78” x 1.38”);
colored, with white background and printed on good quality photo paper;
in standard close-up shot, taken in full-face view directly facing the camera;
in bare face (with no eyeglasses or any accessories that may cover the facial features), showing left and right ears;
with handwritten (not computer-generated) name tag legibly showing signature over printed full name in the format:
First Name, Middle Initial, Last Name and Extension Name, if any;

5.

Only the Authorized Managing Officer or one of the two (2) Authorized Representatives of the Firm is allowed to transact
with PCAB (Board Resolution No. 515, s. 2011).

6.

All applicants are required to pay non-refundable upfront fees for all types of license applications upon acceptance (Board
Resolution No. 313, s. 2011).

7.

Avoid the rush and delay in the filing/processing of renewal application. Observe and follow the revised filing schedule
(Board Resolution No. 376, s. 2014) as stated below:
Last Digit of License No.
0
1
2
3
4
5
6
7
8 and new license approved from
January to March
9 and approved from April to June

Filing Month
February 1-14
February 15-28
March 1-15
March 16-31
April 1-15
April 16-30
May 1-15
May 16-31
June 1-15
June 16-30



8.
9.

Contractors with license number ending 0-3 filing on their time schedule and whose accounting period is on
calendar year i.e., from January 1-December 31 may submit the previous year’s Audited Financial Statements
(AFS). For contractors whose accounting periods are other than calendar year may submit the latest AFS submitted
to the Bureau of Internal Revenue;

Release of the license certificate for these contractors is subject to the submission of the current AFS filed with the
BIR and that no significant erosion of Net Worth or equity is suffered by the contractor as not to qualify it for its
present category;

Should the contractor become unqualified for its present category due to financial erosion, the application shall be
reviewed by the Board for issuance of the highest category sustainable by the contractor’s qualification;

Contractors filing their renewal applications beyond the schedule for their license number ending s hall be assessed
an Additional Processing Fee (APF) of PhP 5,000.00; and

If the renewal application is filed after the end of the CFY which is 30 June, an Additional License Fee (ALF) which
existed before the APF will still be imposed or a total of Php 10,000 will be collected on top of the regular renewal
fees for each category.
Filing/submission of application/s can be done at PCAB Makati / CIAP Windows / DTI Regional or Provincial Offices /
PCAB Accredited Contractors’ Associations & Professional Organizations.
Application Forms (i.e. ARC, Amendments, Special License, etc.), Citizen’s Charter, Board Resolutions, Advisories and
other relevant information about PCAB application can be downloaded at www.ciap.dti.gov.ph

10. For further inquiries or clarifications, please communicate with us thru email or thru contact numbers below:
Department of Trade & Industry Philippines
Construction Industry Authority of the Philippines
PHILIPPINE CONTRACTORS ACCREDITATION BOARD
5F Executive Building Center, 369 Sen. Gil J. Puyat Ave.,
Makati City 1209
Tel/TeleFax: 895-4258 / 895-4220 / 09178482427
E-mail Address: ciappcab.main@gmail.com, pcab@dti.gov.ph

Note: Do not include this page in your application folder. For reference use only.

PCAB-PAD-CBN-F01
Revision No. 01, 10/19/2017
This Form is NOT for sale. Reproduction is Allowed
Page 6 of 6

FEE STRUCTURE
Change of AMO / Change of Business Name / Change of Business Name & Status
Category
Fee Particulars
AAAA
AAA
AA
A
B
C
D
1,200
Filing Fee
1,200
1,200 1,200 1,200
1,200
1,200
100
License Fee
100
100
100
100
100
100
30
Documentary Stamp Tax
30
30
30
30
30
30
12
12
12
12
12
12
Legal Research Fund
12
Grand Total (P)
1,342
1,342
1,342 1,342 1,342
1,342
1,342

E/Trade
1,200
100
30
12
1,342

Forms of Payment:
Cash / Manager’s Check or Cashier’s Check payable to “CIAP” /
Online payment via Landbank
Note: Do not include this page in your application folder. For reference use only.
 
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