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XEER Registration Form

Please complete all required fields.

Section 1: Institution Details
Institution Name *
Business Registration Number *
Tax Identification Number *
Type of Institution *
Provider Code *
Exactly 8 characters (A–Z, 0–9).
Landline
Business Address
Building / Unit *
Street *
Barangay *
Province *
Country *
ZIP Code *
Section 2: Contact Information
Primary Contact First Name *
Last Name *
Middle Name
Extension (e.g., Jr.)
Designation *
Email Address *
Phone Number *
Alternate Contact Person and Phone Number *
CIC Details
Previously submitted data to CIC? *
Estimated Average Monthly Records *
Compliance & Authorization
Choose the plan that fits your process.