Autosweep RFID | ATG Update

AGRI-BUSINESS ENROLLMENT

Fill up the form below to apply for the Agri-Business SLEX Toll Hike exemption

Business Information

Please enter your Account Number and Plate/Card Number which can be found at the back of your Autosweep RFID Card.

Plate/Card Number

Account Number

Business Type

Business Name

Business Address

Office Phone Number

Mobile Number*

Email Address*

I hereby certify that the information provided above is true, correct and complete. I voluntarily disclose my personal information for the fulfillment of my Autosweep RFID account management. I understand that any false, misleading, incorrect or withheld information may cause the disapproval or termination of the contract for the Autosweep RFID Services.

Vehicle Information

Vehicle Make*

Vehicle Model*

Vehicle Year*

Vehicle Color*

Conduction Number

RFID Tag Number

DA Accreditation Number*

Validity Date of DA Accreditation*

Emergency Contact*

Position*

Emergency Contact Number*

Email Address*

Upload CR*

Upload OR*

Upload DA Accreditation*

Upload RFID Card Image (back)