Code FM-SP-01A

FORM
Rev. 0
Date 01-Feb-23

SALES PROMOTION PERMIT APPLICATION FORM

________________________
(Date)

_______________________________________________________
(PROMO TITLE)

( ) 1. NAME OF SPONSOR: ____________________________________________________________________

 ADDRESS: ____________________________________________________________________
 TELEPHONE NO.: ____________________________________________________________________
 EMAIL ADDRESS: ____________________________________________________________________
 AUTHORIZED REPRESENTATIVE: _______________________________________________________
 DESIGNATION: ____________________________________________________________________

( ) 2. NAME OF ADVERTISING AGENCY: _________________________________________________________

 ADDRESS: ____________________________________________________________________
 TELEPHONE NO.: ____________________________________________________________________
 EMAIL ADDRESS: ____________________________________________________________________
 AUTHORIZED REPRESENTATIVE: _______________________________________________________
 DESIGNATION: ____________________________________________________________________

( ) 3. PROMO PERIOD: ________________________________________________________________________

( ) 4. PRODUCTS COVERED. (Submit in separate sheet/s a List of Products Covered using the template below.)

LIST OF PRODUCTS COVERED

Specifications
Name of Product/s Brand
(Model, size/dimensions, color, capacity, etc.)

( ) 5. COVERAGE:

 NCR, or several regions including Metro Manila

 2 REGIONS or more outside of NCR or Metro Manila

Region-location of Sponsor: _______________________
Regions: ____________________________________________________________________________

 SINGLE REGION covering 2 PROVINCES or more

Region: _______________________
Provinces: ___________________________________________________________________________
___________________________________________________________________________

 SINGLE PROVINCE

Province: ____________________
City/ies or Municipality/ies covered: _______________________________________________________
_______________________________________________________

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( ) 6. LIST OF PARTICIPATING BRANCHES OR ESTABLISHMENT/S. (Submit in separate sheet/s this List using the
template below.)

LIST OF PARTICIPATING BRANCHES OR ESTABLISHMENT/S

Address Contact
Name of Establishment Contact Person
(including Province name) Number

( ) 7. TYPE OF SALES PROMOTION SCHEME: (Please check type/s of sales promo scheme.)
 DISCOUNT  RAFFLE  PREMIUM
 REDEMPTION  PARLOR GAMES  COMPETITION

( ) 8. ATTACHMENTS: (Basic Sales Promo Permit Application Requirements)

( ) A. COMPLETE MECHANICS
"Mechanics" means the rules, procedure and criteria by which one may participate and win and by
which the winner may claim his prize in a sales promotion campaign.
Submit Mechanics with the following ATTACHMENTS for Promo Types check-marked in No. 7,
whichever is/are applicable.
 DISCOUNT (Email Excel file of the following table to facilitate evaluation of discounted price/s.)
LIST OF PRODUCTS AT DISCOUNTED PRICES
Name of Product Discount DISCOUNTED
Regular Price
(Name, brand, model, color, capacity, length, width, height, etc.) Rate (%) PRICE

 PREMIUM type
LIST OF PRODUCTS WITH PREMIUM ITEMS

PREMIUM ITEM/S
Name of Product to Buy or Service to Avail of
Projected Unit Value
(Name, brand, model, color, capacity, length, width, height, etc.)
TOTAL VALUE
Quantity or Cost or Cost
 REDEMPTION type (a) (b) (a) x (b)
LIST OF PRODUCTS OR SERVICES ENTITLED TO REDEEMABLE ITEM/S

REDEEMABLE ITEM/S
Name of Product to Buy or Service to Avail of
(Name, brand, model, color, capacity, length, width, height, etc.)
Projected Unit Value TOTAL VALUE
 Quantity or Cost or Cost
(a) (b) (a) x (b)
LIST OF PRIZES*
Prize Category Quantity or Unit Value TOTAL VALUE
(1st prize, DETAILS OF PRIZES Number of or Cost
nd
2 prize, etc. or
Grand Prize)
(Name, brand, model, color, capacity, length, width, height, etc.) Winners
(a) (b) (a) x (b)

* If sales promo has two or more scheduled draws, contests, or competitions with different prizes, use the same table to
list the prizes for the other scheduled draw, contest, or competition, and their respective sets of prizes.
SCHEDULE OF RAFFLE DRAWS/PARLOR GAMES/COMPETITION
Draw Category
(1st draw,
2nd draw, etc. or
Date Time Venue or Location
Grand Draw)

( ) B. REGISTRATION REQUIREMENTS: Certificate of registration for specific products as may be covered

by the sales promotion application, Business registration documents (for first time sponsor applicants)

( ) C. AGREEMENT OF PARTICIPATING OUTLETS AND SPONSORS (for joint sponsorships)

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 ( ) D. LEGAL DOCUMENTS OF HIGH–VALUED PRIZES/GIVEAWAYS: As may be required such as for
house and lot (title, blueprint, specifications, model, location plan, cost and area of the house and lot)
or jewelry (certificate of appraisal signed by a legitimate appraiser)

( ) E. MEDIA UTILIZED: (Please check-mark appropriate medium used and submit required attachment stated in
parentheses.)
 RADIO AD (Audio Script)
 TV/CINEMA AD (Story board)
 WEB-BASED ADS (Screenshots of online ads)
 SOCIAL MEDIA CARD (Layout of Artwork)
 EMAIL-BASED ADS (Email transcript)
 TEXT-BASED ADS (Text transcript/Spiel)
 POSTER (Layout of Artwork)
 STREAMER (Layout of Artwork)
 PRINT AD (Copy)
 MAILERS (Copy)
 FLYERS (Copy)
 OTHERS:__________________________________

 At least one advertising material shall contain the complete mechanics, duration, coverage and
clause “Per DTI Fair Trade Permit # (office) ____, series of ____”.

 All other Ad materials with incomplete mechanics shall indicate - “See/visit _________ for complete
details”, “promo duration”, and “Per DTI-Fair Trade Permit #(Office Code)-<Serial Number>, Series
of ” at the bottom right-hand corner of the page.

( ) F. OTHERS: (Please refer to the list of requirements per scheme.)

UNDERTAKING
I/We hereby consent to the collection and use by the DTI of my/our name, contact details, and the information
contained in this application for the purpose of issuing a Sales Promo Permit to the firm I am representing, if
warranted. This consent shall be valid unless revoked or withdrawn in writing, subject to the applicable provisions of
the Data Privacy Act of 2012 or Republic Act no. 10173.

I/We, the owner or duly authorized representative of SPONSOR and/or ADVERTISING AGENCY of this Sales Promo
Application, hereby undertake to comply with the hereto attached terms, which shall form an integral part hereof, to
serve as conditions for the issuance and validity of DTI-Name of Office Sales Promotion Permit. Any unjustified
breach thereof may be a ground for the denial of my application of the recall, suspension, cancellation or revocation of
the permit issued in my favor or the company I am representing.

Authorized Representative/s of:

SPONSOR ADVERTISING AGENCY

___________________________________ ___________________________________
Signature Signature

___________________________________ ___________________________________
Printed Name Printed Name

___________________________________ ___________________________________
Date Date