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SPS-AF-002 03/15/02

REV 00

APPLICATION FOR SALES PROMOTION PERMIT


UNDER DEPARTMENT ADMINISTRATIVE
ORDER # 2, SERIES OF 1993
( IRR CONSUMER ACT OF THE PHILIPPINES )

_____________________
( DATE )
PHILIPS HUE VALENTINE’S PROMO BUNDLE
_____________________________________________
( PROMO TITLE )

( ) 1. NAME OF SPONSOR : Signify Philippines, Inc.


ADDRESS : 10/F Sunlife Centre 5th Avenue corner Rizal Drive, Bonifacio Global City, Taguig
TELEPHONE NO: +632-779-59-00
AUTHORIZED REPRESENTATIVE :
DESIGNATION :

( ) 2. NAME OF ADVERTISING AGENCY :


ADDRESS :
TELEPHONE NO:
AUTHORIZED REPRESENTATIVE :
DESIGNATION :

( ) 3. PROMO PERIOD : January 31, 2020 to February 16, 2020


( ) 4. TYPE OF PROMO : P R E M I U M
( ) 5. COVERAGE : GMA ✓ NATIONWIDE OTHERS :
( ) 6. LIST OF PARTICIPATING OUTLETS/BRANCHES : (See attached file.)

( ) 7. PRODUCTS COVERED :
BRAND SIZES (in metric, enclose English size in parenthesis )
Philips Hue
________________________ White Color Ambiance (WCA) Starter Kit 9W A60 E27
__________________________________________________
________________________
Philips Hue __________________________________________________
White Ambiance (WA) 8.5W A60 E27
________________________ __________________________________________________
________________________ __________________________________________________

( ) 8. PURCHASE AMOUNT REQUIRED : Php 10,390 OR Php7,490


Anyone who purchases one (1) unit of White Color Ambiance (WCA) Starter
( ) 9. WHO ARE QUALIFIED TO AVAIL? : Kit 9W A60 E27 OR one (1) unit of White Ambiance (WA) 8.5W A60 E27 in
any of the participating stores/branches.
( ) 10. HOW TO AVAIL ? : Go to any of the participating stores/branches and purchase one (1) unit of White Color
Ambiance (WCA) Starter Kit 9W A60 E27 OR one (1) unit of White Ambiance (WA) 8.5W
A60 E27.
( ) 11. LIST OF ITEMS COST OF EACH PAY ONLY SAVINGS
______________ ______________ ____________ ______________
______________ ______________ ____________ ______________
______________ ______________ ____________ ______________
______________ ______________ ____________ ______________
______________ ______________ ____________ ______________
______________ ______________ ____________ ______________

TOTAL : ______________ ____________ ______________

( ) 12. COST OF FREE PRODUCT :


( ) 13. AMOUNT TO BE PAID :

( ) 14. PREMIUM W/SPECIFICATION :


( SIZES IN METRIC,
BRAND, MODEL ) QUANTITY COST OF EACH TOTAL COST
Philips Hue WCA________________
9W A60 E27 Single Bulb ________________
55 units Php 200
_______________ Php11,000
____________
Philips Hue WA 8.5W
________________ 55 units
A60 E27 Single Bulb ________________ Php 100
_______________ Php5,500
____________
________________ ________________ _______________ ____________
________________ ________________ _______________ ____________
________________ ________________ _______________ ____________
________________ ________________ _______________ ____________
________________ ________________ _______________ ____________

TOTAL /OUTLET __________________


5 units ____________
TOTAL FOR ALL OUTLETS ___________
110 units ____________

( ) TRIP, SCHOLARSHIP & CELLPHONE PRIZES :


TRANSFERABLE CONVERTIBLE TO CASH

( ) CASH CONVERSION VALUE :

( ) 15. WHO SHALL PAY 20% TAX FOR PRIZES EXCEEDING P10,000.00:

( ) 16. PERIOD OF REDEMPTION/CLAIM PERIOD : Redemption period shall be until 60 days from
end of promo period.

(✓) 17. COMPLETE ADDRESS OF REDEMPTION CENTER : For GMA winners – For PROVINCIAL
winners.

( ) 18. HOW TO CLAIM : Present official purchase receipt to the branch where the product has been
purchased to claim free item.

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ATTACHMENTS :

1. MEDIA UTILIZED : At least one advertising material shall contain the complete mechanics,
duration, prizes, coverage and Per DTI – NCR Permit # , series of
200__. All other Ad materials with incomplete mechanics shall indicate
“ See ( poster or print Ad ) for complete details “ duration and “ Per
DTI – NCR Permit # __, Series of 200__ (bottom right).
(✓) POSTER
( ) RADIO SCRIPT
( ) STREAMER
( ) STORY BOARD ( T.V CINEMA )
( ) COMPRE :
( ) PRINT AD
( ) MAILERS
( ) FLYERS

2. PROMO PARTICULARS : (See attached file.)


3. REGISTRATION REQUIREMENTS : Certificate of product registration for FOOD, DRUG, COSMETICS,
Etc. (See attached file.)
4. AGREEMENT WITH REDEMPTION CENTERS: (See attached file.)
5. HOUSE AND LOT PRIZE : Title, blueprint, specifications, model, location plan, cost and area Of house,
cost and area of lot.
6. APPRAISED VALUE OF JEWELRY SIGNED BY THE APPRAISER.
7. COMPLETE MECHANICS (See attached file.)

UNDERTAKING

I/We hereby understand and agree that :

1. DTI- NCR shall act on this application within fifteen ( 15 ) days from receipt of complete documents.

2. If I/We do not receive any communication from DTI – NCR after submission of complete documents/
requirements. Within the prescribed fifteen ( 15 ) days, the above application shall be deemed approved.
However ,such presumption of approval shall not absolve us from violations other than our lack of permit from
your Office.

Authorized Representative of :

SPONSOR ADVERTISING AGENCY

_________________________ _________________________

SIGNATURE SIGNATURE

RODEL B. MELENDRES
_________________________ _________________________

PRINTED NAME PRINTED NAME

_________________________ __________________________
DATE DATE

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