Space Application

Outlet/Store Name

Business Address

Email Address

Owners Name


For Single Proprietorship

Tax Identification No. (Individual)

Community Tax Cert. No. (Individual)

If Corporation/Partnership (Name of Partner, Title, Community Tax Cert

Merchandise Information
FoodFurniture/FurnishingsApparelShoes/LeathergoodsGifts/NoveltySportsServicesHomeSpecialtyCar KioskOthers


Select If

Area Requirement (in sqm)

List of Branches

Other Business

References (Corporate name, Personal Name, Credit Reference, Address & Contact Number)

I certify that the above information is true and correct to the best of my knowledge, that this form given to me free of charge is only purposes of applying for commercial space. I am aware that this form is not considered as a lease agreement/contract.