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
General Contractor
Business Name / Mandatory Accepts Accept s the followin following g special special characters characters [. / ' - & ( )]
PHILDIPPHIL PHILDIPPHIL BUILDERS CORPORATION
First Name / Mandatory Only for Only for clients with business entity "Individual" or "Sole Proprietorship"
Hae Eun
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 / Mandatory
Cheong Korean
Address
Address / Mandatory Accepts Accept s the following special charac characters ters [. [. / , -]
City / Mandatory Accepts Accept s the following special charac characters ters [. [. / , -]
Zip Code / Mandatory Country / Mandatory
#518 Mangosteen St. Ayala Alabang Vill. Muntinlupa,City 1780
Philippines
Contact Information
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
[email protected]
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 / 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
253-092-003-000
Social Security Number / Optional Passport Number / Optional Driver's License / Optional
M05576129 X01-07-000517
PRC ID No. / Optional Primary VASP CCN No. / Mandatory
VA0000000051
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 "Com pany", "Corporation" or "Partnership".
SEC Registration Number / Mandatory This field becomes mandatory when the business entity is set to "Com pany", "Corporation" or "Partnership".
CS201111497
Amount of Authorized Capital Stock / Mandatory This field becomes mandatory when the business entity is set to "Com pany", "Corporation" or "Partnership".
Forty Million (P40,000,000.00) pesos
Amount of Paid up Capital / Mandatory This field becomes mandatory when the business entity is set to "Com pany", "Corporation" or "Partnership".
Ten Million (P10,000,000.00) pesos
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
City / Mandatory Zip Code / Mandatory
Quezon, City 1128
Country / Mandatory
Philippines
Accepts the following special characters [. / ' -]
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
Fe Marie Sagud Manzano Filipino 265-999-243-000
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
#37 D Tacloban St. Pael Subdivision Culiat Quezon, City 1128 Philippines (02) 990-2482
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
[email protected]
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
Liezl Kalaw Cruz Director 217-271-041-000
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
#13 Margarita St. San Antonio Homes Tandand Sora Quezon, City 1116 Philippines (02) 928-6123
Alternate Phone / Optional Minimum must be 7 characters
Mobile / Optional Minimum must be 7 characters
Fax / Optional Minimum must be 10 characters
Email / Mandatory
[email protected]
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
Admin & Purchasing
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
#37D Tacloban St. Pael Subdivision Culiat Quezon, City 1128 Philippines (02) 990-2482
Alternate Phone / Optional Minimum must be 7 characters
Mobile / Optional Minimum must be 7 characters
Fax / Optional Minimum must be 10 characters
Email/ Mandatory
[email protected]
Major Suppliers / Mandatory to indicate at least one (1) Major Supplier
TIN / Mandatory
004-480-523-000 Steel Asia Manufacturing Corporation
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
2nd Flr Bldg 2 Bonifacio High St. Fort Bonifacio Global, City 1634 Philippines (02) 856-6888
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
[email protected]. 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