Professional Documents
Culture Documents
Contact Information
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Mobile Phone Optional
Minimum of 7 characters
This is to certify that all information in this page are true and correct.
This is to certify that all information in this page are true and correct.
Primary Broker
TIN Mandatory
CCN Mandatory
Secondary Broker
TIN Optional
CCN Optional
Plant Addresses
Provide at least one (1)
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
This is to certify that all information in this page are true and correct.
Major Stockholders
Mandatory only for Business Entities:
"Company", "Corporation" and "Partnership"
For company stockholder, name a Board
Member.
Provide at least one (1)
First Name Mandatory
Middle Name Mandatory
Last Name Mandatory
Country of Citizenship Mandatory
TIN Mandatory
Photo Mandatory
JPEG format
Signature Mandatory
JPEG format
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Mobile Phone Optional
Minimum of 7 characters
Fax Optional
Minimum of 10 characters
Email Mandatory
This is to certify that all information in this page are true and correct.
Principal Officers
Provide at least one (1)
First Name Mandatory
Middle Name Mandatory
Last Name Mandatory
Position Mandatory
TIN Mandatory
Photo Mandatory
JPEG format
Signature Mandatory
JPEG format
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Mobile Phone Optional
Minimum of 7 characters
Fax Optional
Minimum of 10 characters
Email Mandatory
This is to certify that all information in this page are true and correct.
Responsible Officers
Provide at least one (1)
First Name Mandatory
Middle Name Mandatory
Last Name Mandatory
Position Mandatory
TIN Mandatory
Area of Responsibility Mandatory
Photo Mandatory
JPEG format
Signature Mandatory
JPEG format
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Mobile Phone Optional
Minimum of 7 characters
Fax Optional
Minimum of 10 characters
Email Mandatory
This is to certify that all information in this page are true and correct.
Major Suppliers
Provide at least one (1)
TIN Mandatory
Name Mandatory
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Mobile Phone Optional
Minimum of 7 characters
Fax Optional
Minimum of 10 characters
Email Mandatory
This is to certify that all information in this page are true and correct.
Major Clients
Provide at least one (1)
Name Mandatory
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory
Phone Mandatory
Minimum of 7 characters
Alternate Phone Optional
Minimum of 7 characters
Fax Optional
Minimum of 10 characters
Email Mandatory
URL/Website Optional
Our own personnel shall process some / all of our Export Declarations.
X YES
NO
Send duly accomplished form and BIR Form 2303 via email to cprs@ekonek.com.
This is to certify that all information in this page are true and correct.