Choose (Individual, Sole Proprietorship, Partnership, or
Corporation) and provide applicable below
Unit No., Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
(indicate Area Code or Mobile Prefix + Last 7 digits)
Food Retail Transportation Entertainment Lifestyle/Services E-commerce Services/Bills Pay
(Select one business industry)
Unit No., Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
Food Retail Transportation Entertainment Lifestyle/Services E-commerce Services/Bills Pay
(Select one business industry)
or
(indicate Area Code or Mobile Prefix + Last 7 digits)
House/Unit No., Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
House/Unit No., Bldg Name, Street Name
Permanent Address Barangay / Subdivision / Village City / Municipality
is same as
Current Address
Region / Province Country Zip Code
Business Owner
Company Representative (please indicate designation)
Self Employed Employed Others
*For companies with more than one (1) authorized representative, kindly attach additional sheet/s to this form
Merchant Application Form with Conforme Merchant Application Form with Conforme
Government-issued ID Government-issued ID of Authorized Representative
*Available standard settlement for individuals is through Proof of bank account (photo of passbook, deposit slip,
nominated GCash account only or bank certificate)
Branch Enrollment Form
Memorandum of Agreement
Merchant Application Form with Conforme Certificate of Registration issued by SEC
Government-issued ID of Business Owner Certificate of Registration issued by BIR
Proof of bank account (photo of passbook, Articles of Partnership / Incorporation
deposit slip, or bank certificate) Partner’s Resolution / Notarized Secretary’s Certificate
Branch Enrollment Form of Board Resolution
Certificate of Registration issued by BIR Valid ID of Corporate Secretary (w/ Signature)
Certificate of Registration issued by DTI Latest General Information Sheet
By the signing of its authorized representative below, the MERCHANT (i) certifies that all the information provided
herein are true and correct; (ii) authorizes G-Xchange, Inc. (GXI) to update any and all of its records with GXI using the
information, (iii) authorizes GXI to validate all or part of the information related to its wallet from any sources, as GXI
may deem necessary, and (iv) agrees to the conforme / terms and conditions of the service indicated.
Full Name Signature
Business / Corporate Name Date
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.
Account Manager Signature of Account Manager Date
or
(indicate Area Code or Mobile Prefix + Last 7 digits)
House/Unit No, Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
House/Unit No, Bldg Name, Street Name
Permanent Address Barangay / Subdivision / Village City / Municipality
is same as
Current Address
Region / Province Country Zip Code
Business Owner
Company Representative (please indicate designation)
Self Employed Employed Others
By the signing of its authorized representative below, the MERCHANT (i) certifies that all the information provided
herein are true and correct; (ii) authorizes G-Xchange, Inc. (GXI) to update any and all of its records with GXI using the
information, (iii) authorizes GXI to validate all or part of the information related to its wallet from any sources, as GXI
may deem necessary, and (iv) agrees to the conforme / terms and conditions of the service indicated.
Full Name Signature
Business / Corporate Name Date
or
(indicate Area Code or Mobile Prefix + Last 7 digits)
House/Unit No, Bldg Name, Street Name
Barangay / Subdivision / Village City / Municipality
Region / Province Country Zip Code
House/Unit No, Bldg Name, Street Name
Permanent Address Barangay / Subdivision / Village City / Municipality
is same as
Current Address
Region / Province Country Zip Code
Business Owner
Company Representative (please indicate designation)
Self Employed Employed Others
By the signing of its authorized representative below, the MERCHANT (i) certifies that all the information provided
herein are true and correct; (ii) authorizes G-Xchange, Inc. (GXI) to update any and all of its records with GXI using the
information, (iii) authorizes GXI to validate all or part of the information related to its wallet from any sources, as GXI
may deem necessary, and (iv) agrees to the conforme / terms and conditions of the service indicated.
Full Name Signature
Business / Corporate Name Date
