Client Profile Registration System


                                                                  CPRS - Broker Profile Information
                          DATA ITEM                                              INFORMATION

Scanned Photo / Mandatory
Please submit your photo in JPEG Form.
Nature of Business / Mandatory
Business Entity / Mandatory

Business Name
Accepts the following special characters [. / ' - & ( )]


   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 / Mandatory

Business 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
   Fax / Optional
    Minimum must be 10 characters
   Mobile Phone / Optional
    Minimum must be 7 characters
   Email / Mandatory
This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________           Page - 1 / 3
                                                 Authorized Company Officer           CPRS Broker Form Ver 3
URL/Website / Optional
TIN / Mandatory
Social Security Number / Mandatory
Passport Number / Optional
Driver's License / Optional
PRC ID No. / Mandatory


Primary VASP CCN No. / Mandatory                                              VA0000000051

Secondary VASP CCN No. / Optional
SEC Registration Number / Mandatory
This field becomes mandatory when the business entity is set to
"Partnership".


Related domestic & foreign companies / Optional

   Related company 1
   Related company 2
   Related company 3

Major Clients/ Mandatory to indicate at least one (1) Major Client

   Name / Mandatory
    Accepts the following special characters [. / ' - & ( )]

   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
   Fax / Optional
    Minimum must be 10 characters
   Email / Mandatory
   URL/Website / Optional
Send duly accomplished form and BIR Form 2303 via email to cprs@ekonek.com.

Subject: Broker CPRS | <COMPANY NAME>




This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________        Page - 2 / 3
                                                 Authorized Company Officer        CPRS Broker Form Ver 3
Contact E-Konek Helpdesk at 02-459-2133 or 1800-108-EKONEK (356635) for assistance.




This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________       Page - 3 / 3
                                          Authorized Company Officer              CPRS Broker Form Ver 3

CPRS for brokers

  • 1.
    Client Profile RegistrationSystem CPRS - Broker Profile Information DATA ITEM INFORMATION Scanned Photo / Mandatory Please submit your photo in JPEG Form. Nature of Business / Mandatory Business Entity / Mandatory Business Name Accepts the following special characters [. / ' - & ( )] 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 / Mandatory Business 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 Fax / Optional Minimum must be 10 characters Mobile Phone / Optional Minimum must be 7 characters Email / Mandatory This is to certify that all information in this page are true and correct. Approved for CPRS registration by: ___________________________________ Page - 1 / 3 Authorized Company Officer CPRS Broker Form Ver 3
  • 2.
    URL/Website / Optional TIN/ Mandatory Social Security Number / Mandatory Passport Number / Optional Driver's License / Optional PRC ID No. / Mandatory Primary VASP CCN No. / Mandatory VA0000000051 Secondary VASP CCN No. / Optional SEC Registration Number / Mandatory This field becomes mandatory when the business entity is set to "Partnership". Related domestic & foreign companies / Optional Related company 1 Related company 2 Related company 3 Major Clients/ Mandatory to indicate at least one (1) Major Client Name / Mandatory Accepts the following special characters [. / ' - & ( )] 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 Fax / Optional Minimum must be 10 characters Email / Mandatory URL/Website / Optional Send duly accomplished form and BIR Form 2303 via email to cprs@ekonek.com. Subject: Broker CPRS | <COMPANY NAME> This is to certify that all information in this page are true and correct. Approved for CPRS registration by: ___________________________________ Page - 2 / 3 Authorized Company Officer CPRS Broker Form Ver 3
  • 3.
    Contact E-Konek Helpdeskat 02-459-2133 or 1800-108-EKONEK (356635) for assistance. This is to certify that all information in this page are true and correct. Approved for CPRS registration by: ___________________________________ Page - 3 / 3 Authorized Company Officer CPRS Broker Form Ver 3