Welcome to Philcom Broadband Service

SERVICE APPLICATION FORM_

Mall Broadband Plans
Please check your selected plan:

Plan Monthly RecurringCharge One-Time Charge Service Inclusions

(VAT Exclusive) (VAT Exclusive)

□ Mall Broadband – Up to 10 Mb P1,388.00 P2,000.00

 Fast and Reliable 24/7
□ Mall Broadband – Up to 20 Mb P1,788.00 P2,000.00 Helpdesk Support
□ Mall Broadband – Up to 50 Mb P3,188.00 P2,000.00  With 1 static private IP
□ Mall Broadband – Up to 100 Mb P3,488.00 P2,000.00
 Contract Term : 12
□ Mall Broadband – Up to 500 Mb P6,388.00 P2,000.00 months

 7-day testing period

VALUE ADD SERVICES:
□ Router P 500.00 Waived  WI FI router
□ Public IP P 500.00 Waived  1 Public IP Routwif

CUSTOMER INFORMATION
Company Store SM Installation Address (exact floor/wing)
Name Name Branch

ContactPerson Position/Department Email Address Mobile No. / Landline No.

Installation:

Billing:

All information I have stated in this service application form, including all support documents are true and correct. I have
voluntarily provided thisinformation and supporting documents to Philcom to facilitate the processing and evaluation of my
application for service subscription.
(Signature Over Print Name and Date) Designation

Important subscription conditions Application requirements:

 Signed Service Application Form

 All service applications subject to standard 15-30 days
 Signed Data Service Agreement
installation provisioning period.
 Company ID of Authorized Signatory (back to
 Pre-termination fee equivalent to remaining contract duration.
 Exclusive of in-house wiring back copy)Secretary’s Certificate –

 Stable internet connection and less network congestion (85% SLA) Authorizing the signatory
 SEC registration / DTI or Business Permit
 BIR form 2303

Contact us : +63 929 350 9314 / +63 908 510 2863 / +63 917 861 0149 or email us at bizdev@philcom.com
PHILCOM DATA SERVICE AGREEMENT
1. Application for the service. Approval of applications shall be at Philcom’s sole discretion. PhilCom shall government, or of any department, agency, commission, bureau or other
process customer’s application for service, only if the subscription documents specified in the Abstract of instrumentality thereof, or of any civil or military authority; national emergencies;
Service and Investment Fees are completely furnished to Philcom. The customer may be required to insurrections; riots or war; strikes, terrorist attacks, lockouts, work stoppages, or other
provide other documents, as needed. labor difficulties, willful interference by third parties, and other causes or acts
2. For new installation, the Customer is given a 7-days testing period upon circuit activation and equipment commonly comprehended in such term), or other factors which are beyond
installation to test its applications and corrective actions, if necessary. After the said period has ended, PHILCOM‘s control or which are not attributable to PHILCOM‘s fault or negligence.
start of billing shall commence accordingly. Any CPE and/or facilities not installed, operational or PHILCOM’s liability to Subscriber for the occurrence of Faults shall only be solely to the
otherwise available for use shall not be sufficient ground for Customer not to sign the Testing Acceptance. extent of extending rebates to its monthly recurring charges. PHILCOM shall not be
3. Contract Term is indicated in the Abstract of Service & Investment Fees Section and shall commence from held liable or responsible for claims of damages arising from loss of profit, loss of
the Start of Billing. This Agreement shall be renewed automatically for one (1) year under the same terms goodwill, loss of business opportunity or other similar matters due to the occurrence
and conditions unless a written notice of termination is received from either Party by the other Party of Faults.
provided at least ninety (90) calendar days prior to its expiration. Should the Customer request for a
permanent service disconnection, Philcom will duly acknowledge the request by sending an official reply Only Faults with official trouble ticket and lasted for a minimum of one (1) hour may
stating that the request is being processed with the effective date of disconnection. The standard be granted rebate/s. Faults that occurred beyond 30days from the actual service
processing of disconnection request is 30 days. disruption shall be considered invalid for claim of rebate/s.
4. Cancellation of Service: Where the service is cancelled by the Subscriber after installation work has started Rebate is computed in accordance with the schedule below:
or has been completed before service commences, the Subscriber shall be liable to pay PHILCOM a penalty
fee equivalent to one month’s service charge plus the actual cash-out expenses incurred by PHILCOM in AMOUNT TO BE CREDITED = Amount per Hour x Circuit Unavailable Time
preparation for the activation of the Service. Where:
5. Downgrade or any form of rate reduction is not allowed within the specified Contract Term. Amount per Hour = Amount per Day/ 24 hour
6. Should the Customer decide to pre-terminate the Contract before the expiration of the initial contract Amount per Day = Monthly Recurring Charge (MRC) / No. of days on a given month
term, the Customer shall pay pre-termination charges pertaining, but not limited to, the Monthly
Recurring Charge equivalent to the remaining number of months in the Contract Term.
7. PHILCOM shall provide the Subscriber with a monthly statement of account (SOA) to be paid on or before
the date stated therein. The Subscriber may opt to pay its account in United States Dollars at the exchange 12. Customer shall defend, indemnify and hold PHILCOM or its subsidiaries and affiliates, and their respective
rate set by the Bangko Sentral ng Pilipinas. The statement of account shall be conclusively presumed to be directors, officers, employees, principals; agents and representatives, free and harmless from and against
correct unless the Subscriber notifies PHILCOM in writing of any error therein within ten (10) days from all claims, demands, actions, losses, damages: liabilities, suits, proceedings, judgments. fuses, penalties,
the receipt of the statement otherwise all objections thereto shall be deemed waived. Information costs and reasonable attorney’s fees and expenses of any kind or nature or for any damages of any kind
regarding the outstanding balance of the Subscriber may also be obtained through PHILCOM’s business arising homer treated to any use of the Service and or the Equipment, whether such use is by the Customer
office. Thus, notwithstanding the non-delivery of any bill, the Subscriber shall still be liable for the payment of or by any third party irrespective of whether the Customer has authorized or known about such usage, or
the outstanding balance on the advised due date. otherwise arising under or related to this Agreement, Use Service and or the Equipment.
8. If payment is not received on or before the payment due date, a 3% surcharge shall be applied on the total In the event Customer uses the Service or the Equipment to performer conduct bypass activity, national
outstanding balance. Philcom reserves the right to temporarily disconnect the circuit or hold additional or International simple resale or any fraudulent activities. Customer agrees to pay PHILCOM liquidated
installation without need of prior court approval, upon written notice to the Customer, and without any damages equivalent to 100% of the losses incurred by PHILCOM, including but not limited to, actual loss,
liability to Philcom. Accounts with 60days past due shall be subject to temporary disconnection. potential revenue loss and claims of third parties, whether disputed or actually paid by PHILCOM. The
Reconnection of circuit shall effect within 24 hours only upon receipt of all payment due. Non-payment by foregoing it without prejudice to any other remedy available to PHILCOM in this Agreement and under
the Subscriber of the monthly charges for a continuous period of two (2) months or for any material breach applicable laws, rules and regulations. in no event shall PHILCOM be liable for any unauthorized access by
of the Subscriber’s obligations herein which remains unresolved after thirty (30) days from receipt of notice a third party to Customer's computer network or data, loss of profit or data, or for any incidental, special,
from PHILCOM regarding such breach shall be conclusively presumed to be a case of pre- termination by exemplary, or consequential damages. PHILCOM' maximum liability for any damages arising out of or any
the Subscriber and subject to the aforementioned charges and penalties. In case the Service is way related to this Agreement or the Service or the Equipment, if any, shall not exceed the total Charges
discontinued or terminated for any reason, all unpaid bills, applicable fees and penalty charges shall for the Service provided during the month in which such liability arises.
immediately become due and demandable, without prejudice to the right of PHILCOM to bill the 13. PHILCOM shall provide the Service and the Equipment as set forth in this Agreement. PHILCOM does not
Customer by way of supplementary bills for charges that it discovers after such termination and final billing.
warrant that the Service or Equipment shall be uninterrupted or error free; nor does PHILCOM guarantee
If the Customer fails to pay the pre-termination charges and penalties, the same shall be subject to interest
the security or privacy of any computer network or any data. Further, PHILCOM does not warrant that the
at the rate of three percent (3%) per month, compounded monthly, until fully settled.
9. The Subscriber shall only use the Service and the equipment and facilities connected therewith for information available and/or accessed through the Service or the Internet shall be accurate, correct or
legitimate business purposes in accordance with its representations to PHILCOM. The Subscriber shall not appropriate for the Customer or any third party's needs, free from viruses or other disabling codes, or that
use the Service for illegal purposes, unauthorized voice over internet protocol or by-pass, international such information shall not infringe upon any proprietary or other rights of others. The use of the Service
simple reselling (ISR) or in a manner which would be detrimental to the business of PHILCOM. The or the Internet and any Information available and/or accessed through the Service or the Internet and any
Subscriber shall be responsible for keeping the equipment supplied for the Service in good order and security features provided for the Service shall be at Customers and user's sole risks. Other than any
condition. Ownership of the equipment and in-house cabling facilities remain with PHILCOM. express warranties contained in this Agreement, PHILCOM disclaims all warranties, either express or
10. PHILCOM reserves the right to disconnect the Service, and shall not in any way be held liable, either implied, with felled to the Service including without limitation, any implied warranties or conditions of
temporarily or permanently and without need of notice, due to the following instances: merchantability, fitness for a particular purpose and non-Infringement of third party Customer hereby
 unauthorized transfer of equipment and/or facilities; represents and warrants that use of the Service shall not violate or infringe upon any proprietary or other
 linking unauthorized connections to the Service which is illegal and/or harmful to PHILCOM’s rights of others be abusive, threatening, obscene, profane or otherwise offensive, or violate any laws or
network; regulations. Customer shall not represent to any third party that PHILCOM has made any warranty or
 emission of signals harmful to or interfering with PHILCOM’s network; representation of any kind with respect to the Service, the Internet or the Equipment.
 subscription fraud discovered after approval of the application; 14. Customer may not assign or transfer this Agreement or any rights or obligations hereunder without the
 use of the Service for any illegal purpose or for obstruction of justice;
prior express written consent of PHILCOM, It Is hereby agreed and understood that PHILCOM may assign
 bankruptcy or similar economic predicaments;
or transfer any of its rights under this Agreement to any of its affiliates upon written notice to Customer.
 transfer of place of business without notifying PHILCOM; and other similar causes.
This Agreement shall not give rise to any third party being a third patty beneficiary or being entitled to any
11. Service Level Agreement
Philcom hereby guarantees compliance with the following performance SLA parameter rights whatsoever under this Agreement.
15. The parties hereby agree to keep confidential all Information disclosed by reason of the provision of the
i. Service Availability Service and mutually undertake not to disclose to anybody any information without prior written consent
If facility is via : Metric from the other party However, Customer hereby allows PHILCOM to disclose information about Customer
DSL 85% and its use of the Service If the same is required by reason of any investigation conducted by arty
governmental agency/agencies relative to Customer's use of the Service.
Compliance by PHILCOM of the committed percentage of SLA shall be measured on a 16. Customer hereby authorized PHILCOM to collect process and stare personal Information as may be
monthly basis and equivalent to the difference between the circuit available time and necessary to provide the Service. PHILCOM will collect, process, and store personal Information, and
circuit unavailable time or “Fault” divided by the circuit available time. Circuit handle personal data breach In accordance with law.
availability shall be computed by multiplying the actual number of days for a given 17. PHILCOM shall not be liable for, and is excused from, any failure or delay in the performance of Its
month by twenty-four (24) hours. Circuit unavailability excludes scheduled service obligations rive to Acts of God, acts of civil or military authorities, acts of the public enemy, war or threats
maintenance, defects or malfunctions in the network/equipment of the Customer or of war, accidents, fires, explosions, earthquakes, floods, unusually severe weather, epidemics, or due to
that of its clients which are interfaced with the said Service. Thus: any other owe beyond its reasonable control.
18. PHILCOM and Customer are independent contracting parties, This Agreement shall not constitute the
PERCENT AVAILABILITY = CIRCUIT AVAILABLE TIME – FAULT parties as principal and agent, partners, Joint ventures, or employer and employee.
CIRCUIT AVAILABLE TIME
19. Customer shall send all written notice to PHILCOM address. Attention to the Head of Commercial Group,
8755 Philcom Building Paseo de Roxas, Makati City. Contact Number : 88162851. Email :
Customer further acknowledges that there may be interruptions/outages in the
provision of the Service, as no facility is 100% free of risks of breakdown or failure. helpdesk@philcom.com. Any other written notice that does comply with the notice requirements
ii. Customer Experience specified in this Agreement shall not be considered.
PHILCOM shall use all reasonable measures to remedy the fault/s as soon as 20. This Agreement shall be governed and construed in accordance with the laws of the Republic of the
practicable in consonance with the Service Level Agreement. Onsite technical Philippines. Inducting the rules and regulations of the National Telecommunication Commission which are
support/assistance shall be provided within 5 hours in NCR, 8-10 hours in South/North deemed Incorporated by reference to this Agreement. This Agreement may be terminated / suspended by
Luzon, from the time a trouble ticket have been issued. The obligation of PHILCOM to PHILCOM by reason of or on any ground provided for in such rules, regulations, laws or ordinances.
restore the service shall be limited only to the equipment and its facilities. Furthermore, the parties hereby agree to observe and be bound by pertinent rules and regulations of the
iii. Procedure on Reporting Fault/s International Telecommunication Union as well as any and all ordinances, statutes, rules or regulations
Upon the occurrence of trouble, The Customer should report via Philcom Customer relating to telecommunications, all of which are incorporated to this Agreement by reference. Any dispute
Service Hotline at +632-8451101 or +632-816-2851, or send an email to which may arise out of, or In connection with, this Agreement shall be subject to the exclusive jurisdiction
helpdesk@philcom.com. PHILCOM Customer Service shall open a trouble ticket and of the proper courts of Makati City, Metro Manila,
relay the trouble ticket number to the Customer. PHILCOM Customer Service shall
then initiate and coordinate diagnostic testing and trouble isolation activities to
determine the source of the problem. PHILCOM Customer Service shall apprise the
Customer every hour concerning the progress of restoration activities. Status updates As proof of my understanding, and conformity with the foregoing terms and
may be undertaken via phone, SMS, or email. Once the service has been restored, the
PHILCOM Customer Service Representative shall advise Subscriber of the restoration
conditions of this Agreement, relative to the provision of the service by Philippine
of the service. Upon receipt of advice from PHILCOM, the Customer shall have thirty Global Communications, Inc. (Philcom), I hereby affix my signature below.
(30) minutes to confirm the same and, upon confirmation, the Fault shall be deemed
to have been cleared, and the trouble ticket closed, as of the time that the Customer
was notified by PHILCOM. If Customer fails to respond within the thirty (30) minute
Signature :
period, the Fault shall be deemed to have been cleared as of the time that Subscriber
was first notified by PHILCOM. Name :
iv. Scheduled Service Maintenance
Scheduled service interruptions shall not be counted as Faults. Scheduled service
interruptions include two (2) categories: (1) maintenance by PHILCOM and/or its Third Position :
Party Providers of the Service Circuits; and (2) maintenance of the hardware or
software in the node of PHILCOM or its Third Party Providers. PHILCOM shall, within
a reasonable amount of time, notify Subscribers prior to the actual implementation of
Company :
any scheduled service interruption.
v. Rebate Policy
PHILCOM may grant a rebate to the Customer due to full service interruption.
However, rebates shall not be granted in cases where the interruption is directly
attributable to the equipment supplied, provided or installed by Subscriber or its
clients or due to force majeure (acts of God or public enemy, fire, flood, storms or
other exceptional weather conditions, earth station sun outage or natural
catastrophes, any law, order, regulation, statutory direction or action of any