Republic of
the Philippines
DEPARTMENT OF TRADE AND INDUSTRY
Cebu Provincial Office 3/F LDM Building, Legaspi Street, Cebu City
Phone: (6332) 2557084, 2557086 Fax: (6332) 2557609
APPLICATION
FORM
NO-DOLLAR IMPORTATION OF USED MOTOR VEHICLES (Please
submit one copy)
Please file at the
BUREAU OF IMPORT SERVICES (BIS) 3rd Floor Oppen Bldg. Sen Gil J. Puyat Ave.,
Makati City, Philippines
Telephone No. 8905333 local 335 to 336
A.
PERSONAL INFORMATION
Name
of Applicant
:
Date
of Birth
:
Civil
Status
:
Nationality
:
Type
of VISA
:
Acr
No. / ICR No.
:
Length
of Stay Abroad
:
Occupation
:
Name
of Spouse
:
Foreign
Address
:
Philippine
Address
:
Contact
Person
:
Tel
No.
:
B. DESCRIPTION
OF MOTOR VEHICLE
Make
:
Engine
Displacement(cc)
:
Engine
No.
:
Color
:
Year
Model
:
Type
of Fuel Used
:
Gross
Vehicle Weight (not to exceed 3000 kgs)
:
Vehicle
ID No.
:
Date
of Registration
:
In compliance with the provisions of the guidance for the importation
of motor vehicles under the No-dollar Import (NDI) Program. I hereby
declare that the data which I furnished in this application form
are true and correct to the best of my knowledge and belief and
it was given voluntarily and without fraudulent or deceitful purpose
whatsoever and that I am aware that any false statement that I gave
will make me oroginally liable under the provisions of the Revised
Penal Code.
______________________________ APPLICANT
(Print complete name and signature )
SUBSCRIBED
AND SWORN BEFORE ME this
day of
Affiant exhibiting to me his Residence Certificate No. __________
issued at _____________on ___________20
_____________________________ NOTARY PUBLIC
Doc. No.
_________
Page No. _________
Book No. ________
PTR No. _________
Valid Until _______
Series of _________
CHECKLIST
OF REQUIREMENTS
--------------------------------------------------
BASIC
REQUIREMENTS
IMPORTER:
Has resided abroad for at least
one (1) year
MOTOR VEHICLE:
a. Left Hand Drive
b. Not exceed 3,000 kgs, GVW
c. Registered under the name of the qualified importer for at least
six (6) months prior to the submission of the application to BIS
FOR PHILIPPINE PASSPORT HOLDERS
a. Completely Filled-up BIS Application Form
b. Notarized Affidavit of Undertaking
c. 2x2 Picture with Signature
d. Original or *Authenticated Copy of Complete Pages of Old and New
Passport
e. Original or *Authenticated Copy of Car Title or Registration
f. Processing Fee of One Thousand Pesos (P1,000.00) for Cars and Six
Hundred Pesos
FOR FOREIGN PASSPORT HOLDERS (13A AND 13G VISA HOLDERS ONLY)
a. Completely Filled-up BIS Application Form
b. Notarized Affidavit of Undertking
c. 2x2 Picture with Signature
d. Original or Authenticated Copy of Complete Pages of Old and New Passport
with Valid 13a or 13g Visa as the Case Maybe
e. Original or Authenticated Copy of Car Title or Registration
f. Processing Fee of One Thousand Pesos (P1,000.00) for Cars and Six
Hundred Pesos (P600.00) for Motorcycle
g. Alien Certificate of Registration (ACR) and Immigrant Certificate
of Residence (ICR) (To be compiled and presented upon arrival of applicant
in the Philippines)
FOR FOREIGN EXPATRIATES OF E.O. 226 "OTHERWISE KNOWN AS THE
OMNIBUS INVESTMENT CODE OF THE PHILIPPINES"
a. Completely Filled-up BIS Application Form
b. Notarized Affidavit of Undertking
c. 2x2 Picture with Signature
d. Endorsement or Certificate of Eligibility from the Board of Investments
(BOI)
e. Processing Fee of One Thousand Pesos (P1,000.00) for Cars and Six
Hundred Pesos (P600.00) for Motorcycle
* Authentication is required only when original documents cannot be
presented.
*Non-original documents shall be authenticated by Philippine Consulate/Embassy
abroad.
NOTE:
After
complying with all of he above requirements, please submit to the Bureau
of Import Services, 3rd Floor, OPPEN Bldg., 349 Sen. Gil J. Puyat Ave.,
Makati City. Your documents will be evaluated and you will be issued
a clearance/license/authority to your motor vehicle.
U N D E R T A K I N G
_ _ _ _ _ _ _ _ _ _ _ _
I
________________________ (applicant), of legal age married/single and
residing at _______ _______________________________________ after having
duly sworn to in accordance with the law, hereby depose and state;
That as principal
applicant, I am authorizing _________________________________ whose
signature appears below to be my representative;
That I shall undertake
to file complete application, comply with the requirements and conditions
provided in the NDI Giudelines and commit to a personal interview prior
to the release of my shipment. Failure to comply with the above-mentioned
conditon shall be a cause for the revocation of my application.
That
I shall further bind myself to answer for any criminal, civil or administrative
case that may arise relative to the aforesaid application.
IN WITNESS WHEREOF, Affiant hereby affixed his/her signature
this
day of
, on the year 20
at ____________________________.
SUBSCRIBED AND
SWORN TO BEFORE ME, Affiant hereby affixed his/her signature
this
day of
, Affiant exhibiting to me his Residence Certificate No. ______________
issued at __________________ on ___________20
.
_____________________________ NOTARY PUBLIC
Doc.
No. _________
Page No. _________
Book No. ________
PTR No. _________
Valid Until _______
Series of _________