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 [. / ' - & ( )]

General Contractor

PHILDIPPHIL BUILDERS CORPORATION

Hae Eun

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/ Address

Mandatory

Cheong Korean

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

#518 Mangosteen St. Ayala Alabang Vill. Muntinlupa,City

1780

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

Zip Code / Mandatory Country / Mandatory

Contact Information

Philippines

Phone / Mandatory
Minimum must be 7 characters

(02) 990-0474

Alternate Phone / Optional

Minimum must be 7 characters

Mobile Phone/ Optional

Minimum must be 7 characters

0915-206-8096

Fax / Optional
Minimum must be 10 characters

Email/ Mandatory

Cheong1026@naver.com

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

Page - 1 / 6 CPRS Importer Form

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"

Period of Effectivity / Capacity /

Only for clients with Nature of Business "Government Services Jo 2-91" 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 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".

253-092-003-000 M05576129 X01-07-000517

VA0000000051

SEC Registration Number /

Mandatory

This field becomes mandatory when the business entity is set to "Company", "Corporation" or "Partnership".

CS201111497 Forty Million (P40,000,000.00) pesos Ten Million (P10,000,000.00) pesos

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

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

Page - 2 / 6 CPRS Importer Form

TIN / Mandatory Code / Mandatory

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

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

#42 Central Avenue Brgy Culiat Quezon, City 1128

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

Zip Code / Mandatory Country / Mandatory

Philippines

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.

Fe Marie Sagud Manzano Filipino 265-999-243-000

Signature / Mandatory
Please submit in JPEG Form.

Address Address / Mandatory

Accepts the following special characters [. / , -]

#37 D Tacloban St. Pael Subdivision Culiat Quezon, City 1128 Philippines (02) 990-2482

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

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

Page - 3 / 6 CPRS Importer Form

Fax / Optional
Minimum must be 10 characters

Email / Mandatory

Shipyard_royalty@yahoo.com

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.

Liezl Kalaw Cruz Director 217-271-041-000

Signature / Mandatory
Please submit in JPEG Form.

Address Address / Mandatory

Accepts the following special characters [. / , -]

#13 Margarita St. San Antonio Homes Tandand Sora Quezon, City 1116 Philippines (02) 928-6123

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

Liezl.kalaw@yahoo.com

Responsible Officers/ Mandatory

to indicate at least one (1) Responsible Officer

First Name / Mandatory Middle Name / Mandatory Last Name/ Mandatory Position/ Mandatory TIN / Mandatory

Fe Marie Sagud Manzano Director 265-999-243-000

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

Page - 4 / 6 CPRS Importer Form

Area of Responsibility / Mandatory Photo / Mandatory

Please submit in JPEG Form.

Admin & Purchasing

Signature / Mandatory
Please submit in JPEG Form.

Address Address / Mandatory

Accepts the following special characters [. / , -]

#37D Tacloban St. Pael Subdivision Culiat Quezon, City 1128 Philippines (02) 990-2482

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

Shipyard_riyalty@yahoo.com

Major Suppliers/ Mandatory

to indicate at least one (1) Major Supplier

TIN / Mandatory Name / Mandatory Address Address / Mandatory

Accepts the following special characters [. / , -]

004-480-523-000 Steel Asia Manufacturing Corporation

2nd Flr Bldg 2 Bonifacio High St. Fort Bonifacio Global, City 1634 Philippines (02) 856-6888

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

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

Page - 5 / 6 CPRS Importer Form

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: ___________________________________ Authorized Company Officer

Page - 6 / 6 CPRS Importer Form