ERD.2.F.

006
Rev.02, 27 September 2017

PHILIPPINE ECONOMIC ZONE AUTHORITY

REQUEST FOR CERTIFICATION

THE DIRECTOR GENERAL

PEZA
On behalf of ___________________________________________________, located at
(Name of Enterprise)
the ___________________________________________________________ with PEZA Certificate
(Ecozone/ITPark/Building including city or municipality)
of Registration No. __ dated, may I respectfully request for the issuance of the following
certification/s for the year/s _____
Please check (√) appropriate box:
New (if newly-registered or √ Renewal (With cert. Updated (amendment of a previously.
never requested/been issued issued for the previous issued cert. to reflect changes in the
a cert.) year/s) Cert. of Reg. e.g., name, location, and
to include new/additional activity/
project, location)

Please check (√) type of

certification requested TYPE OF CERTIFICATION
√ VAT Zero Rating (ERD Form No. 97-01)
√ Available Incentives(ERD Form No. 03-01)
5% Gross Income Tax (ERD Form No. 00-01)

Thank you.
Very truly yours,

_________________________________________ ___________________ ______________

Signature of Responsible Official* over Printed Name Position/Designation Date

Tel. No./s: _________________________________ E-mail add.:_____________________________________

Reminders:
1. Please completely fill up the form. Please indicate all PEZA-registered locations (please use extra sheet if
necessary)
2. *Request should be signed by responsible official of the enterprise (CEO, President, Vice President or
General Manager or equivalent, as appearing in the Ecozone Monthly Performance Report).
3. Request should be e-mailed to the Office of the PEZA Director General at odg@peza.gov.ph.
4. Fee: Php120 per certification/copy
5. Certification/s shall be e-mailed to the responsible official of the enterprise by the Zone
Administrator/Zone Manager/Officer-in-Charge of the ecozone location of the enterprise.
Please see PEZA Memorandum Order No. 2015-10 dated 03 November 2015 for the guidelines on the
issuance of VAT Zero Rating Cert. and PEZA Memorandum Order No. 2017- 012 dated 27 September
2017 guidelines on the issuance of Available Incentives and 5% GIT certifications.
For PEZA-Enterprise Services Division (ESD) Use

Complete reportorial requirements. For endorsement to Incentives Management Division (IMD)

Cleared by: ___________________ Date: __________________

(ESD Staff)

With lacking reports (for compliance)

For PEZA-Incentives Management Division (IMD) Use

Evaluated/processed by (IMD Staff): _____________

Certification No.: __________________ Others: ______________________________________________