PLDT

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.