Client Profile Registration System

CPRS - Importer Profile Information

DATA ITEM INFORMATION

Scanned Photo / Mandatory

Please submit your photo or logo in JPEG Form.
Nature of Business / Mandatory
Business Name / Mandatory
Accepts the following special characters [. / ' - & ( )]
First Name / Mandatory
Only for clients with business entity "Individual" or "Sole
Proprietorship"
Middle Name / Mandatory
Only for clients with business entity "Individual" or "Sole
Proprietorship"
Last Name / Mandatory
Only for clients with business entity "Individual" or "Sole
Proprietorship"
Country of Citizenship/ Mandatory

Address

Address / Mandatory
Accepts the following special characters [. / , -]
City / Mandatory
Accepts the following special characters [. / , -]
Zip Code / Mandatory
Country / Mandatory

Contact Information

Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile Phone/ Optional
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email/ Mandatory
URL/Website / Optional
Warehouse / Transit Shed Code/ Optional

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 1 /5
Authorized Company Officer CPRS Importer Form
TIN / Mandatory
Social Security Number/ Optional
Passport Number/ Optional
Driver's License / Optional
PRC ID No. / Optional

Primary VASP CCN No. / Mandatory VA0000000434

Secondary VASP CCN No. / Optional

PEZA-BOI Registration Number (if
applicable)/CARR Code / Optional
This field becomes mandatory when the business entity is set to
"Company", "Corporation" or "Partnership".
SEC Registration Number / Mandatory
This field becomes mandatory when the business entity is set to
"Company", "Corporation" or "Partnership".
Amount of Authorized Capital Stock/ Mandatory
This field becomes mandatory when the business entity is set to
"Company", "Corporation" or "Partnership".
Amount of Paid up Capital/ Mandatory
This field becomes mandatory when the business entity is set to
"Company", "Corporation" or "Partnership".

Related domestic & foreign companies

Accepts the following special characters [. / ' -]

Related company 1 / Optional

Related company 2 / Optional
Related company 3 / Optional

Primary Broker / Mandatory

TIN / Mandatory
Code / Mandatory

Secondary Broker / Optional

TIN / Mandatory
Code / Mandatory

Plant Addresses/ Mandatory to indicate at least one (1) Plant Address

Address/ Mandatory

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 2 /5
Authorized Company Officer CPRS Importer Form
 Accepts the following special characters [. / ' -]
City / Mandatory
Accepts the following special characters [. / ' -]
Zip Code / Mandatory
Country / Mandatory

Major Stockholders/ Mandatory to indicate at least one (1) Major Stockholder

This field becomes mandatory when the business entity is set to "Company", "Corporation" or "Partnership"
Please put the name of a member of the Board of Directors.

First Name / Mandatory

Middle Name / Mandatory
Last Name / Mandatory
Country of Citizenship/ Mandatory
TIN / Mandatory
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.

Address

Address / Mandatory
Accepts the following special characters [. / , -]
City / Mandatory
Accepts the following special characters [. / , -]
Zip Code/ Mandatory
Country/ Mandatory
Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email / Mandatory

Principal Officers/ Mandatory to indicate at least one (1) Principal Officer

First Name / Mandatory

Middle Name / Mandatory

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 3 /5
Authorized Company Officer CPRS Importer Form
 Last Name / Mandatory
Position / Mandatory
TIN / Mandatory
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.

Address

Address / Mandatory
Accepts the following special characters [. / , -]
City / Mandatory
Accepts the following special characters [. / , -]
Zip Code / Mandatory
Country / Mandatory
Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email / Mandatory

Responsible Officers/ Mandatory to indicate at least one (1) Responsible Officer

First Name / Mandatory

Middle Name / Mandatory
Last Name/ Mandatory
Position/ Mandatory
TIN / Mandatory
Area of Responsibility / Mandatory
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.

Address

Address / Mandatory
Accepts the following special characters [. / , -]
City / Mandatory

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 4 /5
Authorized Company Officer CPRS Importer Form
 Accepts the following special characters [. / , -]
Zip Code / Mandatory
Country / Mandatory
Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email/ Mandatory

Major Suppliers/ Mandatory to indicate at least one (1) Major Supplier

TIN / Mandatory
Name / Mandatory

Address

Address / Mandatory
Accepts the following special characters [. / , -]
City / Mandatory
Accepts the following special characters [. / , -]
Zip Code / Mandatory
Country / Mandatory
Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email/ Mandatory

Kindly send your duly accomplished form via email at contactus@ekonek.com. Thank you.
E-KONEK HELPDESK HOTLINE NUMBERS: 386-3942 to 45 / 386-3384 to 86 / 386-2605 / 1-800-108EKONEK

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 5 /5
Authorized Company Officer CPRS Importer Form