Client Profile Registration System

CPRS - Importer Profile Information

DATA ITEM INFORMATION

Scanned Photo / Mandatory

Please submit your photo or logo in JPEG Form.

Drug Manufacturer, Services, Retailer,
Nature of Business / Mandatory Wholesaler, Importer and Distributor
Business Name / Mandatory
Accepts the following special characters [. / ' - & ( )] ARAMAX SOLUTIONS INC.
First Name / Mandatory
Only for clients with business entity "Individual" or "Sole Proprietor-
ship"
Middle Name / Mandatory
Only for clients with business entity "Individual" or "Sole Proprietor-
ship"
Last Name / Mandatory
Only for clients with business entity "Individual" or "Sole Proprietor-
ship"
Country of Citizenship/ Mandatory Republic of the Philippines
Address
Unit 1702 17/F Annapolis Wilshire Plaza,
Address / Mandatory No. 11, Annapolis St., Greenhills,
Accepts the following special characters [. / , -]
City / Mandatory San Juan City
Accepts the following special characters [. / , -]
Zip Code / Mandatory 1502
Country / Mandatory Philippines
Contact Information
Phone / Mandatory
Minimum must be 7 characters 85268347
Alternate Phone / Optional
Minimum must be 7 characters
Mobile Phone/ Optional
Minimum must be 7 characters 0917 622 4194
Fax / Optional
Minimum must be 10 characters 85268347
Email/ Mandatory aramaxsolutions@gmail.com

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 1 /5
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System
URL/Website / Optional
Warehouse / Transit Shed Code/ Optional NONE
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 010-519-771-000
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
Informal Importers
Unique Reference Number

SEC Registration Number / Mandatory

This field becomes mandatory when the business entity is set to "Com-
pany", "Corporation" or "Partnership". CS202007057
Amount of Authorized Capital Stock/ Mandatory
This field becomes mandatory when the business entity is set to "Com-
pany", "Corporation" or "Partnership". Php 11,000,000.00
Amount of Paid up Capital/ Mandatory
This field becomes mandatory when the business entity is set to "Com-
pany", "Corporation" or "Partnership". Php 11,000,000.00
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 421-795-323-000

Code / Mandatory BR0000726893
Secondary Broker / Optional
TIN / Mandatory
Code / Mandatory
Plant Addresses/ Mandatory to indicate at least one (1) Plant Address

Address/ Mandatory Cyclotron Center, UG/F University of Per-

petual Help DALTA Medical Center (UP-
Accepts the following special characters [. / ' -]
HDMC), Alabang-Zapote Road, Pamplona
3
City / Mandatory Las Pinas City
Accepts the following special characters [. / ' -]

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 2 /5
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System
Zip Code / Mandatory 1740
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 Chanyup

Middle Name / Mandatory
Last Name / Mandatory Park
Country of Citizenship/ Mandatory Republic of South Korea
TIN / Mandatory 486-913-377-000
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.

Address
Address / Mandatory 602 Avida Verte Tower, Bonifacio Global
City
Accepts the following special characters [. / , -]
City / Mandatory Fort Bonifacio, Taguig City
Accepts the following special characters [. / , -]
Zip Code/ Mandatory 1635
Country/ Mandatory Philippines
Phone / Mandatory
Minimum must be 7 characters
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional 0917 729 1007
Minimum must be 7 characters
Fax / Optional
Minimum must be 10 characters
Email / Mandatory highmed77@gmail.com
Principal Officers/ Mandatory to indicate at least one (1) Principal Officer

First Name / Mandatory HYUNJIN

Middle Name / Mandatory
Last Name / Mandatory KO
Position / Mandatory General Manager
TIN / Mandatory 233-807-854-000

Photo / Mandatory
Please submit in JPEG Form.

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 3 /5
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System

Signature / Mandatory
Please submit in JPEG Form.

Address
Address / Mandatory
2298A, Skyway Twin Towers, Capt. Henry
Accepts the following special characters [. / , -] Javier Street,
City / Mandatory
Accepts the following special characters [. / , -] Pasig City
Zip Code / Mandatory 1600
Country / Mandatory Philippines
Phone / Mandatory
Minimum must be 7 characters 85268347
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters 09176224194
Fax / Optional
Minimum must be 10 characters
Email / Mandatory
Responsible Officers/ Mandatory to indicate at least one (1) Responsible Officer
First Name / Mandatory HYUNJIN
Middle Name / Mandatory
Last Name/ Mandatory KO
General Manager
Position/ Mandatory
TIN / Mandatory 233-807-854-000
Area of Responsibility / Mandatory
Photo / Mandatory
Please submit in JPEG Form.
Signature / Mandatory
Please submit in JPEG Form.

Address
Address / Mandatory
Accepts the following special characters [. / , -] 2298A, Skyway Twin Towers, Capt. Henry

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 4 /5
Authorized Company Officer CPRS Importer Form
 Client Profile Registration System

City / Mandatory
Accepts the following special characters [. / , -] Pasig City
Zip Code / Mandatory 1600
Country / Mandatory Philippines
Phone / Mandatory
Minimum must be 7 characters 85268347
Alternate Phone / Optional
Minimum must be 7 characters
Mobile / Optional
Minimum must be 7 characters 09176224194
Fax / Optional
Minimum must be 10 characters
Email/ Mandatory 4194joshua@gmail.com

Major Suppliers/ Mandatory to indicate at least one (1) Major Supplier

TIN / Mandatory
Name / Mandatory
HDX WILL CORPORATION
Address

Address / Mandatory 105-106, 201,203,204, 38 Os-

Accepts the following special characters [. / , -] ongsaengmyeong 4-30
City / Mandatory Osong-eup, Heungdeok-gu, Cheongju-si,
Accepts the following special characters [. / , -] Chuncheongbuk-do, Korea
Zip Code / Mandatory
Country / Mandatory KOREA
Phone / Mandatory +82 2 2003 8405
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

Kindly send your duly accomplished form via email at cprs@ekonek.com. Thank you.

E-KONEK HELPDESK HOTLINE NUMBER: (02) 8879-4699

This is to certify that all information in this page are true and correct.
Approved for CPRS registration by: ___________________________________ Page - 5 /5
Authorized Company Officer CPRS Importer Form