Nominate Your Property for a New Cell Site

Are you sending this form as the property owner?

Yes

First Name of Property Owner*

Last Name of Property Owner*

Contact Number of Property Owner

Please provide your 11-digit mobile number in this format: 09177654321 or your 7 to 8-digit landline number in this format: 71234567

Email Address of Property Owner

Please provide your valid email address. Example: [email protected]

First Name of Sender

Last Name of Sender

Contact Number of Sender

Please provide your 11-digit mobile number in this format: 09177654321 or your 7 to 8-digit landline number in this format: 71234567

Email Address of Sender

Please provide your valid email address. Example: [email protected]

Relationship to the Property Owner

Intermediate Family, Relative, or Friend

First Name of Property Owner

Last Name of Property Owner

Contact Number of Property Owner

Please provide your 11-digit mobile number in this format: 09177654321 or your 7 to 8-digit landline number in this format: 71234567

Email Address of Property Owner

Please provide your valid email address. Example: [email protected]

Address of the Nominated Property:

Building/House No.

Street

Barangay

Town/City

Province/Region

Zip Code

Landmark

Latitude

Longitude

Type of Property

Commercial

Residential

Property Sub-type

Vacant Lot

Rooftop

Length

At least 12 meters

Width

At least 12 meters

Roof Type

No. of Floors

UPLOAD PHOTOS OF THE WHOLE PROPERTY AND ITS VICINITY

The file must be in .JPG, .PNG, or .PDF format and 1 MB max only.

By clicking the "I agree" checkbox below, I consent to the collection and use of the data that I have provided to Globe through this survey form for Property Nomination. I understand that the collection and use of this data, which may include personal information and sensitive personal information, shall be in accordance with the Data Privacy Act of 2012 and the Privacy Policy of Globe.

I agree