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Simile: Telephone: Email: Name/s of other applicant/s (if any) 2. Resident Agent or Authorized Representative Agent Agent Code Address in the Philippines Name and Position of Company s Authorized Representative (if applicant is not represented by agent) Address in the Philippines 3. Address for service of correspondence in the Philippines Please check one: Telephone: Applicant s address Agent s address Facsimile: Authorized Representative s address Email: 4. The Mark (Plac.

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