Let’s Explore the Possibilities Together

Our team is dedicated to understanding your unique needs and challenges, ensuring that we craft solutions that align with your goals. We believe in building strong, long-lasting relationships and providing continuous support every step of the way.

Submit your information today, and let’s start the journey toward success!

GraciaPay Merchant Application Form

Fields with asterisk (*) are required

Section 1: Business Information

Business Name* (as registered with DTI/SEC)

Brand Name (if different)

Business Registration Type*

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)

ID Number*

Issuance Date*

Expiration Date*

Section 4: Bank Details (for settlement)

Bank Name

Account Name

Account Number

Bank Branch

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

Valid Government-issued ID of Owner/Authorized Representative

0 of 1

Business Registration (DTI/SEC/CDA)

0 of 1

Mayor's Permit or Barangay Clearance

0 of 1

BIR Certificate of Registration (Form 2303)

0 of 1

Bank Certificate or Bankbook

0 of 1

Sample Official Receipt or Sales Invoice

0 of 1

*Optional but recommended*

Business Logo

0 of 1

Product Photos/Menu

You may upload multiple items at once using below uploader. Maximum of 5 files

0 of 5

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* (Signature)

Date*

Digital Signature*

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Let’s Explore the Possibilities Together

GraciaPay Merchant Application Form

Section 1: Business Information

Section 2: Contact Information

Section 3: Owner / Authorized Representative Information

Section 4: Bank Details (for settlement)

Section 5: Payment Channels to Enable

Section 6: Estimated Monthly Sales & Transaction Volume

Section 7: Document Requirements

Section 8: Consent and Signature