Skip to Content

Application Form

PLEASE PROVIDE FRONT & BACK PHOTOS OF ID
​Submit

Thank you!

Our team will message you back as soon as possible.

In the meantime we invite you to visit our website.

SUBSCRIBER DECLARATION​​
 
All information that I have stated in this application, including all supporting documents that I have submitted, are true and correct. I have voluntarily provided this information and supporting documents to BlackFiber its assignees and successors-in-interest to facilitate the processing and evaluation of my application for service subscription; and

I acknowledge and consent to how BlackFiber collects, uses, and shares my personal data.​

  • I acknowledge that BlackFiber will require the validation of my identity and my credit history in order to evaluate my application for service subscription. I therefore authorize the following:
    • For BlackFiber to obtain relevant information about myself and my credit information from my declared employer or business, and from the banks, credit card companies, and other financial institutions and service providers with whom I have existing accounts with, as evidenced by the supporting documents I have submitted together with my application;
    • For BlackFiber to obtain from my declared employer or business, and for the banks, credit card companies, and other financial instituions and service providers, which I have identified and authorized to release, my information as may be necessary for the evaluation of my application and for BlackFiber to verify relevant information concerning  myself or my subscription with them; and 
    • For BlackFiber, and third-party business partners authorized by PLDT, to compute my credit score and using the relevant information that has been obtained about myself and my credit information. I acknowledge that my credit score shall be used solely to evaluate my application for service subscription.
      • As an alternative to submitting financial documents together with my application, I acknowledge that I have the option to allow BlackFiber to share the following personal data:

        Complete Name
        Unit/House Number
        Email
        Phone Number
        ID Number and ID Type (Driver's License, Passport, Philhealth ID, etc.)

    • I acknowledge that BlackFiber may temporarily park my service application incases when:
      My preferred service is currently unavailable. I understand that I may choose to wait up to a maximum of 30 days for my preferred service to become available. If, after the prescribed 30 days, my preferred service is still unavailable, my service application shall automatically be cancelled, unless I update my application and avail a different service type;
    • BlackFiber requires additional supporting documents to be submitted. I understand that my service application shall be processed until these supporting documents are submitted by me. If I am unable to submit these additional documents within 30 days, my service application shall automatically be cancelled; and
    • I have unpaid balances due to BlackFiber. I understand that my service application shall not be processed until I have settled all unpaid balances. If I am unable to settle payment for these unpaid balances within 30 days, my service application shall automatically be cancelled.
    • I acknowledge that BlackFiber may contact me for updates or reminders within the 30 days that my service application is temporarily parked. I also acknowledge that BlackFiber may use my parked service application for further analysis within a 120-day period, solely for BlackFiber to plan for future growth, increase its areas of serviceability, and improve its installation services.
    • I acknowledge that I can choose to object to and withdraw my consent from any of these processes at any time as well as adjusting my privacy settings.
    • I acknowledge that BlackFiber will keep all information pertaining to my account, including all personal data about myself, for as long as I continue to use BlackFiber's products and services, and for a maximum of twelve (12) years after termination. I agree that, in the event of payment default, BlackFiber will have the right to collect all unpaid balance/s of my account including applicable surcharges and late payment fees.​