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Client Profile Registration System

CPRS - Exporter Profile Information

DATA ITEM INPUT INFORMATION


Scanned Photo Mandatory
Individual Owner’s /Sole Proprietor’s Photo or
Company logo for Company / Corporation in
JPEG format
Nature of Business Mandatory
Refer to BIR Form 2303 (See also Reference
List)
Business Name Mandatory
Exactly as written in the BIR Form 2303
Only special characters [. / ' - & ( )] are
accepted
First Name Conditional
Mandatory only for “Individual” and “Sole
Proprietorship” business entities only
Middle Name Conditional
Mandatory only for “Individual” and “Sole
Proprietorship” business entities only
Last Name Conditional
Mandatory only for “Individual” and “Sole
Proprietorship” business entities only
Business Entity Mandatory
Individual, Sole Proprietorship, Partnership,
Company or Corporation
Country of Citizenship Mandatory
Address
Address Mandatory
Only special characters [. / ' - & ( )] are
accepted
City Mandatory
Only special characters [. / ' - & ( )] are
accepted
Zip Code Mandatory
Country Mandatory

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.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 1 of 8
CPRS Exporter Form
Client Profile Registration System
Fax Optional
Minimum of 10 characters
Email Mandatory
Recipient of BOC notifications
URL/Website Optional
Warehouse / Transit Shed Code Optional
JO 2-91 Reference No. Conditional
Only for Nature of Business: “Government
Services” under JO 2-91
Period of Effectivity Conditional
Only for Nature of Business: “Government
Services” under JO 2-91
Capacity Conditional
Only for Nature of Business: “Government
Services” under 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

PEZA or BOI Registration Number /CARR Conditional


Code
Mandatory only for Business Entities:
"Company", "Corporation" and "Partnership"
SEC Registration Number Conditional
Mandatory only for Business Entities:
"Company", "Corporation" and "Partnership"
Amount of Authorized Capital Stock Conditional
Mandatory only for Business Entities:
"Company", "Corporation" and "Partnership"
Amount of Paid up Capital Conditional
Mandatory only for Business Entities:
"Company", "Corporation" and "Partnership"

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 2 of 8
CPRS Exporter Form
Client Profile Registration System
Related domestic & foreign companies
Only special characters [. / ' - & ( )] are
accepted
Related company 1 Optional
Related company 2 Optional
Related company 3 Optional

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

Reproduce this segment for multiple entries.

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 3 of 8
CPRS Exporter Form
Client Profile Registration System

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

Reproduce this segment for multiple entries.

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 4 of 8
CPRS Exporter Form
Client Profile Registration System

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

Reproduce this segment for multiple entries.

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 5 of 8
CPRS Exporter Form
Client Profile Registration System

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

Reproduce this segment for multiple entries.

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 6 of 8
CPRS Exporter Form
Client Profile Registration System

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

Reproduce this segment for multiple entries.

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 7 of 8
CPRS Exporter Form
Client Profile Registration System

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

Reproduce this segment for multiple entries.

Place the X where applicable.

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.

Subject: EXPORT CPRS | <COMPANY NAME>

Contact E-Konek Helpdesk at (02) 879-4699

This is to certify that all information in this page are true and correct.

Approved for CPRS registration by: ___________________________________


Authorized Company Officer
Page 8 of 8
CPRS Exporter Form

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