Republic of the Philippines
DEPARTMENT OF TRADE AND INDUSTRY
Trade and Industry Regulatory Division
Cebu Provincial Office 3/F LDM Building, Legaspi Street, Cebu City
Phone: (6332) 2557084, 2557086 Fax: (6332) 2557609

 

_______________________
( Date )              

APPLICATION FOR RENEWAL OF LICENSE AS REAL ESTATE
SALESMAN      BROKER      APPRAISER      CONSULTANT
(Please submit one copy)

 

The Provincial Director
Cebu City

           In accordance with the provision of Section 3 (c) of Act 2728, as amended by Act Nos. 3715 and 3969 of the Philippine Legislature and implemented by Domestic Administrative Order No. 1, dated April 2, 1976, I have the honor to apply for the renewal of my license as REAL ESTATE

        I hereby certify that:

  1. During the past twelve(12)months I have not been convicted by a competent court for any violation of law, ordinance or regulation involving cheating, fraud, deceit, misrepresentation or wrongful conversion of property or for any crime involving moral turpitude. (If the preceeding statement is in the affirmative, a certified copy of the decision of the court shall be attached hereto.)

  2. I have not employed unlicensed agents nor violated any provision of Domestic Trade Administrative Order No. 1, dated April 2, 1975.

  3. I was originally licensed as:   
    a. REAL ESTATE SALESMAN on ____________________, 20_______ under ______________
    b. REAL ESTATE BROKER on ______________________ , 20 ______ under ______________
    c. REAL ESTATE APPRAISER on ___________________ , 20 ______ under ______________
    d. REAL ESTATE CONSULTANT on __________________ , 20 ______ under ______________


  4. FOR REAL ESTATE BROKERS; APPRAISERS AND CONSULTANTS:
    a. I/We have the following broker (REB) and/or salesman (RES) licensed under me/us:

    NAME OF (RES) or (RES)
    REB or RES LICENSE NO.
    DATE ORIGINALLY
    LICS'D WITH APPLICANT
    (1) _____________________     _________________     ________________
    (2) _____________________     _________________     ________________
    (3) _____________________     _________________     ________________

    b. I/We do not have any real estae salesman licensed under me/us because ________________
    _______________________________________________________________________________

    c. I/We have the following branch office/s:

    LOCATION/S OF BRANCH OFFICE/S
    NAME OF BRANCH MANAGER/S
    REB or RES LICENSE NO.
    (1) _____________________
    __________________
    _______________
    (2) _____________________
    __________________
    _______________


      

______________________________
SIGNATURE               

CONFORMITY OF BROKER-EMPLOYER
(For Real Estate Salesman)

________________________
           Signature

________________________
        NAME IN PRINT

REB License No.__________
Renewal ________________
Office Address & Tel No. ________________________________
Res. Address & Tel No. _________________________________
RE _________ LIC No. ___________ RENEWAL _____ 19 ____
Res. Cer No. _______________ Issued on __________________
at ___________________________________________________
TAN ____________________ PRT No. _____________________