(To be filled up by BIR) DLN: _________________

BIR Form No.

Republic of the Philippines
Application for Authority to Print
Department of Finance
Bureau of Internal Revenue Receipts and Invoices 1906
January 2018 (ENCS)
Fill in all applicable white spaces. Mark all appropriate boxes with an “X”
1 Taxpayer’s Identification Number (TIN) 2 ATP APPLIED FOR 3 RDO Code
6 2 9 - 6 8 4 - 6 6 7 -- 0 0 0 0 1 Head Office X Branch Office 081
4 Registered Name (Last Name, First Name, Middle Name for Individual)/(Registered Name for Non-Individual)
MOMMY’S COMFORT FOOD CORPORATION
5 Trade/Business Name, if applicable
MOMMY’S COMFORT FOOD CORPORATION
6 Business Address (Indicate applicable complete head or branch office address)
Passenger Terminal 1 Pier 1 Baseport, San Roque, Cebu City, Cebu
6A ZIP Code 6000
7 Contact Number 8 Email Address
09238419700 basildata@yahoo.com
Accredited Printer’s Details
9 Printer’s TIN 10 Printer’s Accreditation Number 11 Date of Accreditation
(MM/DD/YYYY)

285 - 431 - 314 - 000 081 MP20190000000023 0424 2019

12 Printer’s Name (Last Name, First Name, Middle Name for Individual)/(Registered Name for Non-Individual)
CORTES, MAE LORAINE DELA CALZADA
13 Printer’s Business Address (Indicate applicable complete head or branch office address)
P. DEL ROSARIO - DON PEDRO CUI. ST., CEBU CITY
13A ZIP Code 6000
14 Contact Number 15 Email Address
253-4574 quickway_printers@yahoo.com
Details of Application for Receipts and Invoices
16 Manner of Receipts/Invoices X Bound Loose Leaf Others
17 Description of Receipts and Invoices (ATTACH ADDITIONAL SHEET/S IF NECESSARY)
A. For Principal Receipts and Invoices
NO. OF NO. OF SETS NO. OF
TYPE BOXES/BOOKLETS SERIAL NO.
Description PER COPIES PER
VAT .NON-VAT LOOSE BOUND BOX/BOOKLET SET START END

SALES INVOICE X 30 5 0 0 2 0001 1500

B. For Secondary Receipts and Invoices

NO. OF NO. OF SETS NO. OF
TYPE SERIAL NO.
Description BOXES/BOOKLETS PER COPIES PER
VAT .NON-VAT LOOSE BOUND BOX/BOOKLET SET START END

18 Declaration Stamp of BIR Receiving Office

I declare, under the penalties of perjury that this application has been made in good faith, verified by me and to the best of my knowledge and belief, is true and Date of Receipt
and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, I give
consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 (RA No. 10173) for legitimate and lawful purposes.

OLIVER GARSULA
_______________________________________ OIC
__________________________ Date of Release of Authority to Print
TAXPAYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory
(Signature over Printed Name)
(MM/DD/YYYY)
*Note: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)
ATTACHMENTS:
For Manual Bound Receipts/Invoices: For Manual Loose Leaf Receipts/Invoices:
Final and clear sample of Principal and Supplementary Permit to Use Loose-Leaf Official Receipts or Sales Invoices;
Receipts/Invoices; and Final and clear sample of Principal and Supplementary Receipts/Invoices; and
Photocopy of last issued ATP or PCD; or any booklet from the Photocopy of last issued ATP or PCD; or any booklet from the last issued
last issued ATP for subsequent application. ATP for subsequent application.

Only the head office shall file the “Application for Authority to Print Receipts and Invoices (ATP)”. One (1) application should be filed and one (1) permit
should be issued for every establishment (head office or each branch). The data that should appear in the ATP are the data pertaining to the establishment
that will use the receipts/invoices.