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GraciaPay Merchant Application Form

Submit your information today and our team will assist with onboarding and compliance. Powered by GraciaPay

Section 1: Business Information

Fields with asterisk (*) are required.

Business Name (as registered with DTI/SEC)

Brand Name (if different)

Business Registration Type

Sole Proprietor Partnership Corporation Cooperative

Nature of Business

Industry

Business Registration Number (DTI/SEC/CDA)

Business TIN

Date of Registration

Country of Registration

Section 2: Contact Information

Business Address

City/Province

Zip Code

Business Phone Number

Business Email Address

Website or Social Media Link (if applicable)

Section 3: Owner / Authorized Representative Information

Full Name

Designation/Position

Date of Birth

Mobile Number

Email Address

Valid Government-issued ID (any 1)

Passport Driver's License UMID PRC ID

ID Number

Issuance Date

Expiration Date

Section 4: Bank Details (for settlement)

Bank Name

Account Name

Account Number

Bank Branch

Section 5: Payment Channels to Enable Select at least one

QRPH InstaPay PESONet Debit/Credit Card via GraciaPay PisoCoin / Crypto Payment Online Banking OTC (Over-the-counter)

Section 6: Estimated Monthly Sales & Transaction Volume

Estimated Monthly Sales Volume (PHP)

Average Transaction Value (PHP)

Projected Number of Transactions/Month

Section 7: Document Requirements

Allowed types: PDF/PNG/JPG/DOC/DOCX. Max size per file: 5 MB.

Valid Government-issued ID of Owner/Authorized Representative

Business Registration (DTI/SEC/CDA)

Mayor’s Permit or Barangay Clearance

BIR Certificate of Registration (Form 2303)

Bank Certificate or Bankbook

Sample Official Receipt or Sales Invoice

Optional but recommended:

Business Logo

Product Photos/Menu (you may upload multiple items at once; max 5 files)

Section 8: Consent and Signature

I hereby certify that the information provided above is true and correct. I authorize GraciaPay and its partner institutions to validate the information for the purpose of merchant onboarding and compliance with BSP KYC and AML policies.

Full Name

Date

Signature

Sign here

Use mouse, touch, or stylus. Black ink on white.

I agree to the declaration above and consent to data processing for onboarding.