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InterCommerce Network Services WEBCWS REGISTRATION FORM ‘Unit 601 The Pea Bank Center 146 Valero St, Salcedo Vilage, Makati 1227 Philippines MARKETING: (02)843.8182 CLIENT SUPPORT: (02}86-4674 da 1 FAX NO: (02) 843-8160 URL: ww intereommercecom.ph aan ow CCUENT TYPE Himporer oeporer Braker a Forwarder DOVCFS Tucker Hosrinping tine Tirpor spor BUREAU OF CUSTOMS | oCPRS ceManifest—GOLRS cass Declaration Declaration PEZA TaPS GeAEDS cel _aelTS DEPARTMENT OF SBAI_OBFAR GBM GMAVGNMIS AGRICULTURE osPsic OMAVIC oeRFI_oeCOM! DePhyto a (OC GFAB oPPMC SEMA Scone oeTAS DEEDS DeBIB0 ceees TIEZA [eens BOL aatal COMPANY NAME: CARLOS A. GOTHONG LINES, INC. ‘GT Ferry Whart, F.,Zuelig Ave, Brgy Subangdak, Mandaue Clty, COMPANY ADDRESS: ue Ne ener e ‘COMPANY TIN: (000-551-363-000 BOC CCN: : FAX ‘TELEPHONE NUMBER: (032) 346-0200 NUMBER: (032) 232-9998 TEL NO: (032) 2323998 PRESIDENT / GENERAL Mopite MANAGER: CALVIN BONIFACE L. NO: EMAIL GoTHONG ADDRESS: TELNO: (pay aaa oopw oe 28 KEY CONTACT PERSON BIOTA FRANCIS THERESE R, ROSALES ; : oat srare salefanclstherese@gmalicom interCommerce Network Services | VASP CCN: tne ‘vaco9o000136 ‘ent will use the Services in accordance with applicable aw, lncling data privacy laws, and standard conditions of use established by InterCommerce. InterCommece wllkeep Cent Data confidential and will nt diciose to any thid party witout prior authoreation. InterCommerce may terminate access or take other ations it reasonably believes tobe necessary to comply with the law or prevent damage to InterCommerce systems or customers or disruption cof etneriterCommerce customer’ use ofthe affected Serves ‘Cent isaso accountable forthe designation ofthe Users and the Company's avaiment ofthe service. Its the sole responsibly ofthe Client to notify Intercommercein wrting onthe activation o termination of User's access to the system, Unless User ID's and Passwords ae terminated, users, who may no longer be connected with the company or have been reasianed to perform other functions, shall continue to have accesso confidential transaction daa of the company. JUN 0.42 ate | IN BONIFACE L. GOTHOT ‘or InterCommerce Use Oly cuenT cove: csorricer Tyee OF DosTE ACTATED: SERVICE ‘Cent ato holds nterCommerce fee and harmless rom any liability arsing from any access bythe Users to the systom whether arising fem the Company or ‘rom tid parts [AUTHORIZED SIGNATORY:

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