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BCTVI Bantayan

Client Registration

Step 1 of 3 — Tell us a little about yourself.

Personal

Contact & Address

Account

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Personal Information

First Name * Please enter letters only.

Middle Name Please enter letters only.

Last Name * Please enter letters only.

Birth Date *

Age *

Gender *

Place of Birth Please enter letters only.

Civil Status *

Contact & Address

Mobile Number * Enter 11 digits starting with 09 (e.g. 09123456789).

Email Address *

Province *

Municipality *

Barangay *

Account & Verification

Username *

Profile Photo (Optional)

Password *

Confirm Password *

Proof of Billing (Photo) *

Attach a clear photo of a recent billing statement (electric or water bill) showing your name and address. This is required to verify that your account details are valid.

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Client Registration

Create Your
Account