PLDT BizDSL Application Form

Application Instructions: Answer all questions, sign the application form and submit to your Relationship Manager. Please use a black pen in filling up the form (use the caps lock key when answering electronically, except for case-sensitive entries) to ensure clear fax transmittal of information. Please complete all blank spaces and write N/A if the question does not apply to you. We regret that applications not duly completed or accompanied by documents may be delayed or rejected. All information shall be kept confidential. Please contact your Relationship Manager or call 688 2700 from any PLDT landline for more information.

Company Details
Company Name: Complete Address:
No. Street Village/Barangay/Municipality Zip Code

Billing Address:
No. Street Village/Barangay/Municipality Zip Code

SEC / DTI Registration No.: Authorized Signatory: Technical Contact:

Industry Segment: Official Designation: Mobile Phone No.:

Business Type: Sole Prop. Partnership Corporation Company ID no.: E-mail Address:

PLDT BizDSL Packages Packages and Value-Added Services*

SmallBiz Micro for P 3,000 / month (VAT-Ex)
3 Mbps max. download speed 307 Kbps CIR 1 e-mail address 100 MB e-mail space 1 dynamic IP address

Network-To-Go
Plus:
1 WiFi Access Point 2 WiFi Access Devices

(Choose either Network-To-Go or Office-To-Go)

- OR -

Office-To-Go

PLDT MyDSL Packages*

For Corporate Individuals Only
MyDSL Plan 999 for P 999 / mo. (Vat-In)
1 Mbps max. download speed 1 e-mail address 10 MB e-mail space

Plus:
Add P 2,000 (VAT-Ex) / month for the first 6 months and get 1 Desktop PC

SmallBiz Lite for P 4,000 / month (VAT-Ex)

3.5 Mbps max. download speed 358 Kbps CIR 1 e-mail address 100 MB e-mail space 1 dynamic or 1 static IP address

Plus:
1 WiFi Access Point 2 WiFi Access Devices

Plus:
1 Desktop PC

MyDSL Plan 1995 for P 1,995 / mo. (Subject to 2% EVAT) Plus:

1 Desktop PC -or- 1 Laptop PC 2 Mbps max. download speed 1 e-mail address 10 MB e-mail space

Small Biz Jr. for P 8,000 / month (VAT-Ex)

4.5 Mbps max. download speed 454 Kbps CIR 5 e-mail address 100 MB space per mailbox 100 MB web space 5 static IP address

Plus:
1 WiFi Access Point 2 WiFi Access Devices

Small Biz Sr. for P 14,500 / month (VAT-Ex)

5 Mbps max. download speed 512 Kbps CIR 10 e-mail address 100 MB space per mailbox 100 MB web space 5 static IP address

Plus:
1 WiFi Access Point 2 WiFi Access Devices

Plus:
1 Desktop PC 1 Laptop PC

MyDSL Plan 3000 for P 3,000 / mo. (Subject to 2% EVAT)

3 Mbps max. download speed 1 e-mail address 10 MB e-mail space
CONTRACT TERMS: Minimum of 12 months contract for all standard BizDSL and MyDSL packages Minimum of 24 months contract for all Network-To-Go and Office-To-Go BizDSL Packages Pre-termination fee is 50% of the remaining contract, and if applicable, plus the cost of bundled equipment (P 5,000 each for Network-To-Go; P 20,000 each for Office-To-Go) BizDSL Terms and Conditions apply

Power Packed A for P 20,000 / month (VAT-Ex)

6 Mbps max. download speed 614 Kbps CIR 20 e-mail address 100 MB space per mailbox 100 MB web space 5 static IP address

Plus:
1 WiFi Access Point 4 WiFi Access Devices

Plus:
2 Desktop PCs 1 Laptop PC

Power Packed B for P 35,000 / month (VAT-Ex)

7 Mbps max. download speed 768 Kbps CIR 20 e-mail address 100 MB space per mailbox 20 MB web space 5 static IP address

Plus:
1 WiFi Access Point 4 WiFi Access Devices

Plus:
3 Desktop PCs 1 Laptop PC

Power Packed C P 50,000 / month (Vat-Ex)

8 Mbps max. download speed 1024 Kbps CIR 20 e-mail address 100 MB space per mailbox 20 MB web space 5 static IP address

Plus:
1 WiFi Access Point 4 WiFi Access Devices

Plus:
4 Desktop PCs 1 Laptop PC

*One-time fees P 2,000 (VAT-Ex) for all MyDSL packages P 2,500 (VAT-Ex) for SmallBiz Micro apply:
and Lite P 5,000 (VAT-Ex) for SmallBiz Jr. and Sr. P 10,000 (VAT-Ex) for Power Packed A, B, and C

Optional E-mail/Web Service for Subscribers

First username choice: Second username choice:
For your e-mail/web account management/security, it is important that you supply us with the required information in the following fields.

Telephone Line Pre-qualification

Please indicate the phone line to be tested and verified for BizDSL provisioning

For PLDT RM Use Only

ONE-TIME FEE CHARGED OTHER REMARKS

Security code:

Password:

Customer Conforme
INSTRUCTIONS: When you order the PLDT BizDSL Service, please be sure to carefully read the Terms & Conditions as they contain important information regarding your rights and obligations in connection with the use of the service. After we validate your acceptance of the Terms & Conditions, we will provide you with either a pick-up or delivery date, whichever is applicable.

I certify that the information supplied above is true and correct. By signing below, I signify that I have read the attached Terms and Conditions and agree to abide by them as soon as I have accepted the PLDT BizDSL Service.

Printed name over signature

APPLICATION REQUIREMENTS: For new applicants, please do not forget to submit the following documents to facilitate processing of your PLDT BizDSL application.

Authorized Signatory

Designation
CORPORATE ACCOUNT Corporate Registration Documents (SEC, Articles of Incorporation, DTI or Mayors Permit) Audited Financial Documents Written authority to transact (Corporate Secretarys Certificate, Authorization from the Partner, and/or Special Power of Attorney) Company ID with specimen signature

Date signed
CORPORATE INDIVIDUAL Valid ID (passport, drivers lincense, TIN ID etc.) Proof of Billing (Credit Card, Utility Bill, Bank Statement etc.) Proof of Income (ITR, Employees Certificate, Credit Card Bill etc.) Other ID (e.g., for foreigners: ACR, VISA, work permit, etc.)

PLDT BizDSL Product Terms and Conditions

1. Definition of service assistance of PLDT, its affiliates and/or subsidiaries, if so requested.

5.2. You agree that the Internet is not owned, managed or managed by, or in any way affiliated with PLDT and PLDT 1.1. For purposes of this Agreement, the term Service shall mean the BizDSL Internet access, including all the has no control over the information or materials accessed via Internet through the use of the Service. value added services that you have selected. For purposes of this agreement; Equipment shall mean the DSL modem, and the wireless networking devices (if you avail of Network-To-Go), or Personal Computer/ Personal 5.3. PLDT does not warrant that the Service provided will be uninterrupted, error free, secure, or free from viruses, Computer Peripherals (if you avail of Office-To-Go). worms or the like. PLDT shall not be liable for loss of your data. PLDT makes no warranty, express or implied, regarding the reliability and completion of any and all transactions executed using the Service or the Internet. In no 2. Users Responsibilities event shall PLDT be liable for (a) any direct, indirect, special, consequential or incidental damages, including without limitation, lost profits or loss of revenue or damage to data arising out of the use, partial use or inability to use the 2.1. You acknowledge that you have the legal authority to enter into this agreement, being the duly designated service, regardless of the type of claim or the nature of the cause of action, including without limitation, those arising representative of your company and affirm that the information you supply to us is correct and complete. You under contract, negligence, tort or strict liability, even if PLDT has been advised of the possibility of such claim or damages, or (b) any claims against you by any other party. understand that for purposes of this agreement the term You shall mean the company that you represent. 2.2. You understand that PLDT relies on the information you supply and that providing false or incorrect information 6. Indemnification may result in Service provisioning delays or suspension or termination of your Service. You agree to promptly notify PLDT whenever your billing information changes. 6.1. You agree to defend, indemnify and hold harmless PLDT, its directors, officers and employees, free and harmless from and against all liabilities, costs and expenses, including reasonable attorneys fees, related to or 2.3. That in order to avail of the Network-To-Go or Office-To-Go promotion, you shall subscribe to a BizDSL arising from: (a) any violation of applicable laws, regulations or this Agreement by you (or any party using your connection for a minimum contract term indicated in this proposal (2 years for Office-To-Go and 1 Year for Networkaccount, with or without your permission, to access the Service); (b) the use of the Service or the Internet or the To-Go). PLDT retains absolute ownership over the said Equipment to be provided to you as a consequence of such placement or transmission of any message, information, software or other materials on the Internet by you (or subscription devices until the end of this contract period. In case of pre-termination, you agree to allow PLDT to any party using your account, with or without your permission, to access the Service); (c) negligent acts, errors, retrieve all PLDT-owned Equipment and other appurtenances and accessories installed at or within your premises or omissions by you (or any party using your account, with or without your permission, to access the Service); and further agree to pay the necessary pre-termination charges. (d) injuries to or death of any person and for damages to or loss of any property, which may in any way arise out 2.4. You undertake not to resell, assign, transfer, sublease, change or otherwise part with PLDTs Equipment. You of or result from or in connection with this agreement, except to the extent that such liabilities arise from the act, further undertake not to resell or make any commercial use of the Service without prior written consent of PLDT. If negligence or willful misconduct of PLDT; or (e) claims for infringement of any intellectual property rights arising from such violation is found, PLDT shall have the right to immediately disconnect/terminate the Service without obligation the use of the Service, any software, or the Internet. of serving a prior written notice. 7. Force Majeure 2.5. PLDT reserves the right to audit connections through ocular or electronic audit/inspections to enforce these or any and all other provisions of this agreement. 7.1. Neither party shall be responsible for any delay or failure in the performance of any of its obligations under this Agreement to the extent that such delay or failure is caused by Force Majeure. Force Majeure shall mean any event 3. Availability of Service or circumstance beyond the reasonable control of the party which renders the performance of said partys obligations illegal or impracticable, including but not limited to, acts of God, acts of any governmental body or public enemy, 3.1. The Service you select may not be available in all areas, and some telephone lines may not qualify for the war, civil commotion, strikes, riots, embargoes, or other concerted acts of workers, fire, explosion, sabotage, or any other causes, circumstances, or contingencies, whether of a similar or dissimilar nature to the foregoing, without Service even if initial testing showed that your telephone line was qualified. fault or negligence and beyond such partys control, which prevent or hinder the performance by either party of any 3.2. PLDT may, at any time, without notice or liability for damages in any case, restrict the use of the Service or of its obligations hereunder. limit its time of availability in order to perform Service or Equipment maintenance activities. PLDT shall however, immediately inform the Subscriber, whenever feasible, of any operational problems or outages, and shall forthwith 7.2. Promptly upon the occurrence of any event of Force Majeure event, which affects the performance by either party of its obligations under this Agreement, the affected party shall notify the other party specifying in such notice restore the Service upon such occurrence. the nature of the Force Majeure event; the effect of the said event on the partys performance of its obligations 4. Term and Termination hereunder and the estimated duration thereof. Upon receipt of such notice, the affected party may cancel or delay the performance of its obligations for so long as such performance is delayed or prevented by such Force Majeure 4.1. The subscription term begins on the date of your acceptance and ends after completion of the number of event and in such cases, event the affected party shall have no liability to the other party or to its customers. Upon payment periods or as agreed in the Order Form (the Term). However, should you wish to terminate the Service cessation of the Force Majeure event, notice of such cessation should be given by the party in delay to the other, and before the expiration of the Term, the request for service termination shall be subject to a 30-day prior written notice performance of the obligation should ensue, if cancellation has not yet been effected. to PLDT In addition, you agree to pay pre-termination penalty using the formula provided for in paragraph 4.11 7.3. If the Force Majeure continues unabated for a period of thirty (30) days, either party shall have the right to hereof. terminate the Service or these Terms and Conditions, and the rights and obligations of the parties shall be resolved 4.2. You understand that the delivery of equipment which forms part of the Network-To-Go and Office-To-Go either by mutual agreement or by applicable law. promotion will be provided only after the service has been turned over to you for your official use. 7.4. Any Force Majeure event shall not however be an excuse for your failure to make payments for amounts already 4.3. You shall pay PLDT all the required charges set forth in this agreement or any revisions thereof that may arise in due at the time of the occurrence of such Force Majeure event. connection thereto subject to such changes consistent with the requirements that the National Telecommunications Commission (NTC) may impose or approve pursuant to under its existing laws, and subsequent rules and regulations. 8. Amendments 4.4. Billing shall commence one (1) day from the date of activation ,delivery and turn-over of PLDT service(s), as indicated in the ASF form duly signed by your authorized or designated representative(s). If, for any reason whatsoever, we shall not hear from you or receive the signed ASF within seven (7) days from date of endorsement of the form, we shall assume that the service is working, deemed accepted and billable. We shall therefore take this as commitment on your part to pay/settle necessary billing components/charges for the service(s) in accordance with the signed Proposal with Conforme and consistent with the provision as herein stated. 4.5. In the event that you fail to pay the charges referred to in the preceding paragraph within thirty (30) days from receipt of the PLDT billing statement, PLDT shall issue a Notice of Disconnection at the end of the month following the unpaid billing period (the Notice of Disconnection). The Notice of Disconnection shall require you to pay the outstanding charges within ten (10) days from receipt of the said Notice of Disconnection. If notwithstanding said Notice of Disconnection, you still fail to make the necessary payment in full, the Service shall be temporarily disconnected (the Temporary Disconnection). You should settle the outstanding charges within thirty (30) days from date of Temporary Disconnection, otherwise, the Service shall be permanently disconnected. 8.1. This Agreement shall, at all times, be subject to such amendments and/or modifications as may from time to time be agreed upon by the parties or as the National Telecommunications Commission or any duly authorized government regulatory body may direct in the exercise of its jurisdiction. 9. Settlement of Disputes 9.1. In case of any dispute that may arise in connection with this Agreement, the parties shall promptly meet and exert their best efforts towards an amicable settlement of the dispute in good faith. In the event such dispute is not resolved amicably within a period of thirty (30) days from the date of its occurrence, the same may be resolved through legal action/s.

9.2. In the event of suit, venue shall exclusively be in Makati City, Metro Manila, to the exclusion of any other venue. In the event that either party is compelled to seek judicial relief against the other party in order to enforce any or all 4.6. If your company fails to pay the monthly charges within the required period and there is no deposit that can be of its rights under this Agreement, the erring party, as determined by the proper court, shall, in addition to any other the subject of off-setting, You shall pay late payment charges equivalent to one percent (1%) of the unpaid amount damages that may be awarded by the court, hereby agrees to pay an amount equivalent to twenty-five percent (25%) of the amount claimed by the aggrieved party but shall in no case be less than Fifty Thousand Pesos (P50,000.00), per month or a fraction of a month, reckoned from the day following the due date of payment, until fully paid. as and by way of Attorneys fees, apart from the costs of litigation and other expenses which the law allows the 4.7. In any case, the termination of the BizDSL shall not prejudice PLDTs right to collect any unpaid charges from aggrieved party to recover from the erring party. the company you are currently representing. 10. Confidentiality 4.8. Reconnection of permanently disconnected BizDSL Service shall require full payment by you of the outstanding balance and the corresponding late payment charges for late payment, plus a reconnection fee of P500 if the Service All business and technical information, data, and related documentation, in whatever form provided, recorded or had already been suspended for 3 months or the amount of P 2,500 if the Service had already been suspended unrecorded (hereinafter collectively referred to as Information), which the parties may furnish or have furnished for more than 3 months but not more than 6 months. All applicable one-time charges shall be applied in case of each other in connection with this agreement shall: reconnection of permanently disconnected lines. 4.9. It is understood that in addition to the monthly recurring charges, you shall pay the applicable Value Added Tax 10.1. Be used solely for the purpose for which it was furnished; (VAT), or other applicable present or future taxes that may be levied or imposed by any governmental authority or 10.2. Be treated in strictest confidence and protected; its instrumentalities or required to be paid under this agreement as imposed by any governmental authority or its instrumentalities. 10.3. Not be reproduced, except as necessary for its authorized use; and 4.10. In case of contested bills, the amount due shall be fully settled with corresponding adjustments, if any, to be 10.4. If in tangible form, shall be returned together with all copies thereof, including promotional materials, when effected on the succeeding bill. Requests for bill adjustments, for whatever reason, shall be made in writing within a demanded by either party or if no longer needed. period of thirty (30) days from receipt by of the billing statements/invoice from PLDT, otherwise, requests for billing adjustments made after the said this period shall no longer be considered or entertained by PLDT. The foregoing obligations of confidentiality and restricted use shall survive the termination of this agreement. 4.11. In the event that you pre-terminate the Service before the contracted Term, you agree to pay PLDT upon 11. Acceptable Use Policy for PLDT Data Services discontinuance of the Service a termination fee based on the following formula: Pre-termination Penalty = [(No. of months remaining from the term x Monthly Charge) x 50%] + full cost of equipment (P 25,000 per PC or P 30,000 per 11.1. The use of the Service for any activity that is contrary to laws, morals, customs or public policy or which violates Notebook PC or P 5,000 for each mobile data card or P 5,000 for each wireless networking device.) any ordinance, decree, order or regulation, or affects, interferes with or disrupts the use of the Service by other 4.12. You understand that the Equipment provided to you was provided by an entity not related to PLDT. The parties or the manner by which PLDT provides the Service or any other services shall be deemed inappropriate use equipment shall be under limited warranty by the manufacturer/supplier thereof for a period of 1 year from delivery and shall be considered as a violation of the acceptable use of the Service under this agreement Conditions (the thereof. In no case will the manufacturer/supplier nor PLDT be liable for repair or replacement of the said Network- Acceptable Use Policy). To-Go or Office-To-Go equipment outside the warranty period. Only those equipment found to have factory defects 12. Governing Law will be replaced within the said warranty period. 5. Management of your data and computer 5.1. PLDT shall not be responsible in protecting your telecommunications system against unauthorized external attacks/hacks. Any and all damage, loss and prejudice suffered by you by reason of such attacks/hacks shall be for your sole account. Thus, in the event of such occurrence, it is your responsibility to investigate the incident with the 12.1. This Agreement shall be construed and governed by the laws of the Republic of the Philippines.