Client Profile Registration System

CPRS - Importer Profile Information

DATA ITEM INFORMATION

Scanned Photo / Mandatory

Please submit your photo or logo in JPEG Form.
WHOLE SALE & RETAIL OF DISTRIBUTION
Nature of Business / Mandatory TRANSFORMERS
Business Name / Mandatory
Accepts the following special characters [. / ' - & ASIAWIDE ELECTRIC MARKETING CO.,
( )] LTD.
First Name / Mandatory
Only for clients with business entity "Individual"
or "Sole Proprietorship" N/A
Middle Name / Mandatory
Only for clients with business entity "Individual"
or "Sole Proprietorship" N/A
Last Name / Mandatory
Only for clients with business entity "Individual"
or "Sole Proprietorship" N/A
Country of Citizenship/ Mandatory

Address

    Address / Mandatory UNIT 907-A WEST TOWER PHILIPPINE

Accepts the following special characters [. / , -] STOCK EXCHANGE RD ORTIGAS CENTER
    City / Mandatory
Accepts the following special characters [. / , -] PASIG CITY
    Zip Code / Mandatory 1605
    Country / Mandatory PHILIPPINES

Contact Information

    Phone / Mandatory
Minimum must be 7 characters 8563-2137
    Alternate Phone / Optional
Minimum must be 7 characters 8563-3553
    Mobile Phone/ Optional 0917-8503147

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 1 /6
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System
Minimum must be 7 characters
    Fax / Optional
Minimum must be 10 characters 8563-3830
    Email/ Mandatory asiawidemktg@gmail.com
    URL/Website / Optional N/A
Warehouse / Transit Shed Code/ Optional
JO 2-91 Reference Number / Only for clients
with Nature of Business "Government Services Jo
2-91" N/A
Period of Effectivity / Only for clients with
Nature of Business "Government Services Jo 2-91" N/A
Capacity / Only for clients with Nature of Business
"Government Services Jo 2-91" N/A
TIN / Mandatory 007-048-686-000
Social Security Number/ Optional N/A
Passport Number/ Optional N/A
Driver's License / Optional N/A
PRC ID No. / Optional N/A

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". N/A
SEC Registration Number / Mandatory
This field becomes mandatory when the business
entity is set to "Company", "Corporation" or
"Partnership". PL200808482
Amount of Authorized Capital Stock/ Mandatory
This field becomes mandatory when the business
entity is set to "Company", "Corporation" or
"Partnership". 9,000,000.00
Amount of Paid up Capital/ Mandatory
This field becomes mandatory when the business
entity is set to "Company", "Corporation" or
"Partnership". 9,000,000.00

Related domestic & foreign companies

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 2 /6
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System

Accepts the following special characters [. / ' -]

    Related company 1 / Optional N/A

    Related company 2 / Optional N/A
    Related company 3 / Optional N/A

Primary Broker / Mandatory

    TIN / Mandatory 914-395-109-000

    Code / Mandatory BR0000584037

Secondary Broker / Optional

    TIN / Mandatory N/A

    Code / Mandatory N/A

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

    Address/ Mandatory 346 HWANGGEUM RO YANGCHON EUP

Accepts the following special characters [. / ' -] GIMPO SI,
    City / Mandatory
Accepts the following special characters [. / ' -] GYEONGGI DO
    Zip Code / Mandatory 18544
    Country / Mandatory KOREA

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 MOON SEUNG

    Middle Name / Mandatory N/A
    Last Name / Mandatory JANG
    Country of Citizenship/ Mandatory KOREAN
    TIN / Mandatory 220-130-719-000

    Photo / Mandatory

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 3 /6
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System

Please submit in JPEG Form.

    Signature / Mandatory

Please submit in JPEG Form.

    Address

        Address / Mandatory
Accepts the following special characters [. / , -] U-702 Residencia 8888, Pearl Drive
        City / Mandatory
Accepts the following special characters [. / , -] Pasig City
        Zip Code/ Mandatory 1605
        Country/ Mandatory Korea
    Phone / Mandatory
Minimum must be 7 characters 8563-2137
    Alternate Phone / Optional
Minimum must be 7 characters 8563-3553
    Mobile / Optional
Minimum must be 7 characters N/A
    Fax / Optional
Minimum must be 10 characters 8563-3830
asiawidemktg@gmail.com
Email / Mandatory
Principal Officers/ Mandatory to indicate at least one (1) Principal Officer
    First Name / Mandatory MELODY
    Middle Name / Mandatory ANCHETA
    Last Name / Mandatory MENDOZA
    Position / Mandatory LIMITED PARTNER
    TIN / Mandatory 269-842-440-000
    Photo / Mandatory

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 4 /6
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System

Please submit in JPEG Form.

    Signature / Mandatory
Please submit in JPEG Form.
    Address
        Address / Mandatory #72 Montreal St. Brgy. E. Rodriguez ,
Accepts the following special characters [. / , -] Cubao
        City / Mandatory
Accepts the following special characters [. / , -] Quezon City
        Zip Code / Mandatory 1109
        Country / Mandatory Philippines
    Phone / Mandatory
Minimum must be 7 characters 8562-5397
    Alternate Phone / Optional
Minimum must be 7 characters N/A
    Mobile / Optional
Minimum must be 7 characters 0915-2005399
    Fax / Optional
Minimum must be 10 characters 8563-3830
asiawidemktg@yahoo.com
    Email / Mandatory
Responsible Officers/ Mandatory to indicate at least one (1) Responsible Officer

    First Name / Mandatory MELODY

    Middle Name / Mandatory ANCHETA
    Last Name/ Mandatory MENDOZA
    Position/ Mandatory LIMITED PARTNER
    TIN / Mandatory 269-842-440-000
    Area of Responsibility / Mandatory
    Photo / Mandatory

Please submit in JPEG Form.

    Signature / Mandatory
Please submit in JPEG Form.

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 5 /6
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System
    Address
        Address / Mandatory #72 Montreal St. Brgy. E. Rodriguez ,
Accepts the following special characters [. / , -] Cubao
        City / Mandatory
Accepts the following special characters [. / , -] Quezon City
        Zip Code / Mandatory 1109
        Country / Mandatory Philippines
    Phone / Mandatory
Minimum must be 7 characters 8563-2137
    Alternate Phone / Optional
Minimum must be 7 characters 8563-3553
    Mobile / Optional
Minimum must be 7 characters 0915-2005399
    Fax / Optional
Minimum must be 10 characters 8563-3830
asiawidemktg@gmail.com
    Email/ Mandatory
Major Suppliers/ Mandatory to indicate at least one (1) Major Supplier

    TIN / Mandatory
    Name / Mandatory EL POWER TECH CO., LTD
    Address
        Address / Mandatory 421-24 Mado-Ro, Mado-Myeon,
Accepts the following special characters [. / , -] Hwaseong-si
        City / Mandatory
Accepts the following special characters [. / , -] Gyeonggi-Do
        Zip Code / Mandatory 18544
        Country / Mandatory Korea
    Phone / Mandatory
Minimum must be 7 characters 031-355-9888
    Alternate Phone / Optional
Minimum must be 7 characters N/A
    Mobile / Optional
Minimum must be 7 characters N/A
    Fax / Optional
Minimum must be 10 characters 031-355-9808
    Email/ Mandatory csk@elpowertech.com

Kindly send your duly accomplished form via email at cprs@ekonek.com. Thank you.
E-KONEK HELPDESK HOTLINE NUMBERS: (02) 4592133/ 1-800-108EKONEK

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 6 /6
Authorized Company Officer CPRS Importer Form