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
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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
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|
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: