Client Profile Registration System

CPRS - Importer Profile Information (For Informal ONLY)

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 Proprietor-
ship"
Middle Name / Mandatory
Only for clients with business entity "Individual" or "Sole Proprietor-
ship"
Last Name / Mandatory
Only for clients with business entity "Individual" or "Sole Proprietor-
ship"
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
JO 2-91 Reference Number / Only for clients with Nature of
Business "Government Services Jo 2-91"

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
 Client Profile Registration System
Period of Effectivity / Only for clients with Nature of Business
"Government Services Jo 2-91"
Capacity / Only for clients with Nature of Business "Government
Services Jo 2-91"
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
Informal Importers
Unique Reference Number
SVI
SEC Registration Number / Mandatory
This field becomes mandatory when the business entity is set to "Com-
pany", "Corporation" or "Partnership".
Amount of Authorized Capital Stock/ Mandatory
This field becomes mandatory when the business entity is set to "Com-
pany", "Corporation" or "Partnership".
Amount of Paid up Capital/ Mandatory
This field becomes mandatory when the business entity is set to "Com-
pany", "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
Accepts the following special characters [. / ' -]
City / Mandatory
Accepts the following special characters [. / ' -]
Zip Code / Mandatory
Country / 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
 Client Profile Registration System
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
Last Name / Mandatory
Position / Mandatory
TIN / Mandatory
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.
Address
Address / 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
 Client Profile Registration System
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
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

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
 Client Profile Registration System
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 cprs@ekonek.com. Thank you.

E-KONEK HELPDESK HOTLINE NUMBER: (02) 8879-4699

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