Professional Documents
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GCash Merchant Application Form v2
GCash Merchant Application Form v2
Individual
Mobile Number for GCash Account Merchant Name
Business Address Unit No., Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
Business Industry
(Select one business industry) Food Retail Transportation Entertainment Lifestyle E-commerce E-payments Others
Full Name
Date of Birth Place of Birth Nationality
Contact Number Email Address
(indicate Area Code or Mobile Prefix + Last 7 digits)
Tax Identification Number (TIN) SSS Number
Current Address House/Unit No., Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
Permanent Address House/Unit No., Bldg Name, Street Name
Permanent Address Barangay / Subdivision / Village City / Municipality
is same as
Current Address
Region / Province Country Zip Code
Nature of Work Business Owner Company Representative (designation):
Source of Income Self Employed Employed Others
*For companies with more than one (1) authorized representative, kindly attach additional sheet/s to this form
If there are any individuals, companies, or government
ULTIMATE BENEFICIAL OWNER entities that own 20% or greater
PSE Code
Ownership Information First-tier Second-tier Higher-tier Controlling Ownership N/A (if registered)
I have checked and verified the supporting requirements against the original documents, and found them to be
authentic and in accordance with G-Xchange Inc requirements.