REPUBLIC OF THE PHILIPPINES M A S T E R C O P

DEPARTMENT OF FINANCE
BUREAU OF CUSTOMS

22 May 2014

CUSTOMS MEMORANDUM ORDER NO. I ) — 2 Q ) H

SUBJECT: REVISED GUIDELINES FOR REGISTRATION OF IMPORTERS AND

CUSTOMS BROKERS WITH THE BUREAU OF CUSTOMS (BOC) PURSUANT TO
DOF DEPARTMENT ORDER NO. 33-2014

1. Objectives

a. To implement DOF Department Order No. 33 - 2014;

b. To prescribe, revise and simplify rules for the accreditation of an importer

or customs broker;

c. To ensure the effective and proper enforcement of the Tariff and Customs
Code of the Philippines, as amended (TCCP) and all other relevant laws,
rules and regulations by ensuring that only legitimate entities are •
accredited as importers and customs brokers;

d. To guard the interest of the government against abuse of accreditation

privileges; and for other purposes.

2. Coverage

Unless otherwise provided, this Order shall apply to all importers and
customs brokers intending to or transacting with the Bureau of Customs, except:

a. Once-a-year importation;
b. Importation by parcel post or by informal entry;
c. Importation of the Philippine Government, its agencies and
instrumentalities;
d. Importation of personal effects, vehicles, motorcycles and household
goods of a balikbayan and his/ her family under R.A. No. 6768, as
amended, Overseas Contract Workers and other returning residents;
e. Importation of foreign embassies, consulates, legations, agencies of other
foreign governments and international organizations with diplomatic status
and recognized by the Philippine government (e.g. Asian Development
Bank, World Health Organization). This shall include importation of

South Harbor, Gate 3, Port Area, Manila 1099 • Tel. Nos.: 917-3200 (3201 to 3205) (CRM)
Website: www.customs.gov.ph • E-mail: info@customs.gov.ph (CRM)
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personal effects and household goods of foreign workers and consultants,

and officials and employees of foreign embassies, legations, consular
officers and other representatives of foreign governments;

Unless otherwise provided for as an exception above, the term "importer"

covered by these rules refers to any person who brings goods into the
Philippines, whether or not made in the course of his trade or business. It
includes non-exempt persons or entities who acquire tax-free imported goods
from exempt persons, entities or agencies.

3. Application for BIR-lmporter Clearance Certificate (BIR ICC) or

BIR-Broker Clearance Certificate (BIR BCC)

In compliance with DOF DO 33 - 2014 and BIR Revenue Memorandum

Order 10-2014, all importers and customs brokers shall first apply for
accreditation with the BIR for the issuance of their respective BIR ICC or BIR
BCC, as the case may be. Thereafter, upon securing the BIR ICC or BIR BCC,
importers and customs brokers shall file an application for accreditation with the
BOC-Account Management Office (BOC-AMO) as described in this CMO.

However, importers and customs brokers who have already complied in

full with the requirements of CMO 04 - 2014 are not covered by this CMO.

4. Deadlines for Compliance with the Requirements of this CMO

a. For All Importers

Nature of Application Documents To Deadline

Submit
1. New Applicants Documents listed in None
Section 5.C.I
2. I-CARE accreditation Documents listed in None
expired before March 1, 2014 Section 5.C.I
and not renewed
3. I-CARE accreditation was Documents listed in May 31, 2014
scheduled to expire sometime Section 5.C.I
between March 1, 2014 and
May 31, 2014 but
automatically extended to
May 31, 2014 pursuant to
OCOM Memo dated February
26,2014
4. Importers with I-CARE Documents listed in On or before date of
accreditation expiring Section 5.C.I expiration of existing
between June 1 - 30, 2014 I-CARE accreditation
(June 1 - 3 0 , 2014)
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MASTER COPY-

5. I-CARE accreditation will Documents listed in June 30, 2014

expire from July 1, 2014 Section 5.C.I
onwards (all other importers
not covered by above items 1
-4)

b. For All Customs Brokers

Nature of Application Documents To Deadline

Submit
1. New Applicants Documents listed in As submitted
Section 5.C.II
2. I-CARE accreditation Documents listed in As submitted
expired and not renewed Section 5.c. 11
3. I-CARE accreditation Documents listed in May 31, 2014
expired or will expire on or Section 5.c. 11
before May 31, 2014 but
automatically renewed
pursuant to OCOM Memo
dated February 26, 2014
4. I-CARE accreditation Documents listed in On or before date of
expiring between June 1 - 30, Section 5.C.II expiration of I-CARE
2014 existing accreditation
(June 1 - 3 0 , 2014)
5. I-CARE accreditation will Documents listed in June 30, 2014
expire from July 1, 2014 Section 5.C.II
onwards (all customs brokers
not covered by above items 1
-4)

Failure to comply with the foregoing requirements on or before the

scheduled deadlines shall result to the cancellation of existing accreditation of
importers and customs brokers, without prejudice to the re-filing of the same
upon compliance with the requirements.

5. Procedure for Accreditation

a. Apply for BOC-Client Profile Registration System (CPRS)

All importers and customs brokers are required to apply for registration
under the BOC Client Profile Registration System (CPRS). After the application .
is "STORED" in the system, the applicant shall then print the CPRS profile which
shall form part of the application.

b. Payment of Processing Fee

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All importers and customs brokers shall pay a processing fee equivalent to
One Thousand Philippine Pesos (PhP1,000.00) upon submission of its
application. Thereafter, a Bureau of Customs Official Receipt (BCOR) shall be
issued upon payment of said processing fee.

c. Submission of Documentary Requirements

All importers and customs brokers shall submit original copies or certified
true copies of documentary requirements provided below.

The original copies may be required for presentation by the BOC- AMO for
purposes of comparison in case of doubt as to the authenticity of the certified
true copies.

For importers (List A)

a. Application Form (Appendix 1-A and 1-B) with Sworn

Undertaking to accept notice by electronic mail and to strictly
abide with existing rules and regulations on the Statement of
Full Description of Imported Articles covered by entry
declarations;

b. Depending on whether the applicant is a first time applicant or

not:

i. For applicants not accredited by BOC at the time of

application:

- Original or certified true copy of BIR Importer

Clearance Certificate (ICC)

ii. For applicants accredited by BOC at the time of

application, either of the following:

- Original or certified true copy of BIR Importer

Clearance Certificate (ICC);
- Official receipt and follow-up stub issued by the BIR
upon application by the Importer for the BIR-ICC.

c. Official Receipt evidencing payment of processing fee

d. List of Expected Imports, including, if possible, clear

description in both technical and tariff terms, estimated
volume and values for the incoming 12 months.
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e. Corporate Secretary Certificate or Special Power of Attorney

for Designated Signatories (with sample original signatures)
in the import entries;

f. Two (2) valid government-issued I.D. with picture (e.g.

passport, driver's license, SSS, GSIS I.D, PRC card, UMID,
IBP card) of the applicant and responsible officers (i.e
President, CEO, Vice President, Managing Partner, and
responsible officers declared in the CPRS)

g. In case of corporations or partnerships or cooperatives, the

applicant's original copy of NBI clearance issued within the
last three (3) months prior to the date of application for
accreditation; in case of sole proprietors or individuals,
original copy of NBI clearance issued within the last three (3)
months prior to the date of application for accreditation.

h. Printed CPRS profile of the importer and updated email

notification of "STORED" CPRS profile

i. For corporations or partnerships or cooperatives, General

Information Sheet (GIS) and company profile (with pictures
of office premises and warehouse/storage facility); company
or trade profile in case of sole proprietors and individuals
(with picture of office premises and warehouse/storage
facility, if applicable)

j. Personal profile (Appendix 2) of the applicant and

responsible officers

k. Previous Certificate of Accreditation, if any.

II. For customs brokers (List B)

a. Application Form (Appendix 3), which includes the following:

- three (3) sample original signature

- Sworn Undertaking to accept notice by electronic mails

and to strictly abide with existing rules and regulations on
the Statement of Full Description of Imported Articles
covered by entry declarations

- Sworn undertaking that the customs broker has actual

knowledge of the contents of the declaration and attests
to its truthfulness
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b. Depending on whether the applicant is a first time applicant

or not:

i. For applicants not accredited by BOC at the time of

application:

Original or certified true copy of BIR Broker Clearance

Certificate (BCC)

ii. For applicants accredited by BOC at the time of application,

either of the following:

- Original or certified true copy of BIR Broker Clearance

Certificate (BCC);
- Official receipt and follow-up stub issued by the BIR
upon application by the Importer for the BIR-BCC.

c. Official Receipt evidencing payment of processing fee

d. Valid PRC I.D.

e. List of clients with complete address and contact details (not

applicable for customs brokers applying for accreditation the
first time)

f. List of authorized representatives with personal details,

photos and specimen signature.

g. Printed CPRS profile and updated email notification of

"STORED" CPRS profile

d. Where to submit the documents:

i. Within Metro Manila: to BOC-AMO

ii. Outside of Metro Manila: the application, together with the supporting
documents, may be coursed through the Office of the District Collector
concerned, who shall then indorse said application to BOC-AMO.

e. Approval/Denial of Application

As far as practicable, all applications for accreditation shall be acted upon

not later than fifteen (15) working days upon receipt of said application, together
with the documentary requirements. The period of fifteen (15) days will not run if
any document required herein is lacking. All notices shall be sent through email.
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6. Validity of Accreditation

a. If the importer submits a BIR-ICC, or a customs broker submits a BIR-

BCC, in fulfillment of the requirements in Section 5.C.I or Section 5.C.II,
then the importer's or customs broker's accreditation shall be valid for the
same duration as that of its BIR-ICC or BIR-BCC.

b. If the importer submits proof of application for BIR-ICC, or a customs

broker submits proof of application for BIR-BCC, in fulfillment of the
requirements in Section 5.C.I or Section 5.c.II, then the BOC accreditation
shall be temporary. This temporary BOC accreditation shall expire on the
following dates:

i. If the BIR formally denies the application for a BIR-ICC or BIR-BCC,

the temporary BOC accreditation shall expire 30 days after the date
either the BIR or the BOC notifies the importer or customs broker that
its application for BIR-ICC or BIR-BCC has been denied, whichever
comes earlier. Upon expiration of the temporary BOC accreditation,
the importer or customs broker shall no longer be accredited to
transact with the BOC.

ii. If the BIR issues the BIR-ICC or BIR-BCC, the BOC accreditation shall
remain valid for the same duration as that of its BIR-ICC or BIR-BCC.

iii. If the BIR issues a provisional BIR-ICC or BIR-BCC, the temporary

BOC accreditation shall expire 30 days after the expiration of the
provisional BIR-ICC or BIR-BCC. If after issuing a provisional BIR-ICC
or BIR-BCC, the BIR subsequently issues a BIR-ICC or BIR-BCC
before the expiry of the provisional BIR-ICC or BIR-BCC, the importer
or customs brokers' accreditation shall be valid for the same duration
as that of its BIR-ICC or BIR-BCC.

c. If the importer or customs broker submits proof of application for BIR-ICC

or BIR-BCC, either the BIR or BOC will inform the importer or customs
broker of the outcome of that application. Such notification will be done by
e-mail to the e-mail address stated in the application form. It is the
responsibility of the importer or customs broker to provide an accurate e-
mail address and regularly check it to receive updates on the status of its
applications with the BIR or BOC.

7. Reportorial Requirements after Approval of Accreditation

a. Any change in the information provided to the BOC-AMO in any of the

documents in Section 5.C.I or Section 5.C.II must be reported to the BOC-
AMO within 30 days from the occurrence of said change. Such change
include, but are not limited to, the following:
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MASTER COP

i. Change of telephone number, e-mail address, and physical address,

i.e. office address and/or warehouse address;

ii. Change of business name;

iii. Change of ownership, Corporate Directors and Officers / Partners/

Cooperative Directors and Officers;

iv. Amendment/s to Articles of Incorporation/ Partnership / Cooperation

and By-Laws, as approved by the appropriate government agencies;

v. Dissolution or closure / stoppage of business;

vi. Change in the Signatories;

vii. Mergers/Insolvencies; and

viii. Change in the list of importables

b. In case of change of any circumstance of the importer or customs broker,

the same should be communicated to the AMO, through the submission of
the following, to wit:

i. Affidavit of Change of Circumstance with supporting documents (i.e.

mayor's permit, DTI registration, general information sheet, amended
articles of incorporation etc.)
ii. Letter-request for amendment/cancellation of CPRS

After receipt of the foregoing documents and if found proper, AMO shall
cancel the CPRS registration of the importer/customs broker. Thereafter,
the concerned importer/customs broker shall relodge its CPRS, with the
corresponding changes. After receipt of the CPRS of the importer/customs
broker by AMO, the latter shall then reactivate the CPRS of the former.

c. Annual submissions

All importers and customs brokers shall submit yearly within fifteen
(15) days, to be counted from the date of approval of BOC accreditation,
the following documents, to wit:

I. For All Importers

a. Updated General Information Sheet and company profile; the

company or trade profile in case of sole proprietors or
individuals
O M O U-aOIM MASTER COPY'

b. Mayors Permit and Proof, of lawful occupancy of office

c. Updated List of Expected Imports, including, if possible, clear

description in both technical and tariff terms including estimated
volume and values for the incoming 12 months.

d. Original or certified true copy of renewed BIR-ICC (to be

submitted every 3 years)

II. For All Customs Brokers

a. Updated Professional Profile

b. Valid PRC I.D.

c. Updated list of clients with complete address and contact details

d. List of authorized representatives with personal details, photos

and specimen signature

e. Original or certified true copy of renewed BIR-BCC (to be

submitted every 3 years)

8. Suspension or Cancellation of Accreditation

If at any time during the validity of a BOC accreditation, any of the

following occurs, to wit:

a. the BOC-AMO discovers any inaccuracy in any of the documents

submitted in the application process with the BOC;
b. the accredited importer or customs broker does not comply with any
requirement after approval of accreditation as outlined in Section 7;
c. the BOC discovers any violation of law or regulation by the accredited
importer or customs broker;

the BOC may suspend or cancel the accreditation of the erring importer or
customs broker, without prejudice to the right of the importer or customs broker
to appeal such suspension or cancellation, or to re-apply for accreditation.

9. Passwords

Passwords or codes in whatever form given to the applicant as a

consequence of the accreditation shall be personal only to the accredited
importer or customs broker. Any use, misuse or unauthorized use of this
password shall be the sole responsibility of the importer or customs broker.

10. Information sharing between BOC and BIR

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a. The BOC-AMO shall regularly provide the BIR-Accounts Receivable

Monitoring Division (BIR-ARMD) with the following information:

i. List of importers and customs brokers that were able to secure a BIR-
ICC and/or BIR-BCC but were nevertheless disqualified from
accreditation under these rules.

ii. List of importers and customs brokers whose accreditations were

suspended or cancelled by the BOC.

b. The BIR-ARMD shall likewise provide the BOC-AMO with the list of
importers and customs brokers who have been issued either provisional or
full BIR-ICCs and BIR-BCCs.

11. Risk Management within BOC

The BOC-AMO shall provide internal guidelines for the risk profiling of
importers and customs brokers (high/medium/low risk). The risk profile of
importers shall form as basis for membership under the Super Green Lane
program or its equivalent. High risk importers and customs brokers shall be
subjected to strict standards for processing entries with BOC. The BOC-AMO
shall likewise conduct monitoring of activities of importers and customs brokers
which shall aide in the risk profiling of importers and customs brokers.

12. Repealing Clause

Any order, rule or regulation contrary or inconsistent with this order or any
of its provision are hereby repealed or amended accordingly.

HAY 2 3 20H
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MASTER COPJjj,
APPENDIX 1-A

APPLICATION FOR ACCREDITATION & REGISTRATION

(CORPORATION-PARTNERSHIP- COOPERATIVE)

(Date)

Intelligence Group (XG)

Account Management Office (AMO)

I, of legal age,
with postal address at after
having been duly sworn in accordance with law, hereby depose and say that:

1. I am the of
duly authorized to file this
application for accreditation and registration with the Bureau of
Customs, as evidenced by the written authority from the company.

2. I hereby present the following information for accreditation with the

Bureau of Customs;

2.1. Name of the Firm

a. Head Office Address

Year/s of Stay in the premises:

Nature of occupation: ( )owned ( )Ieased ( )shared
()others

b. Warehouse Address

Year/s of stay in the premises:

Nature of occupation: ()owned ()leased ()shared
()others

c. Branch Office
d. Year/s of Stay in the premises:.
Nature of occupation: ()owned ()leased ()shared
( )others

e. Telephone Number/s _
f. Facsimile Number/s
g. Email Address*
h. Number of employees
i. Nature of company
j. TIN No.

* Mandatory Field since Notice of Denial/Approval will be send

via Email*
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• • ' M A S T E R C O P

2.2. List of Officers/ Directors (Please attach PERSONAL PROFILE or

RESUME)

3. I hereby attached herewith the following documents:

() BCOR evidencing payment of application fee

() BIR Importer Clearance Certificate (BIR-ICC)
() Corporate Secretary Certificate for designated signatories (with
sample original signatures) in the import entries.
() Original copy of NBI Clearance issued within three (3) months
prior to the date of application of responsible officers and
majority stockholders.
() Two (2) valid government issued I.D., with picture of applicant
() Printed CPRS profile of applicant
() Latest General Information Sheet
() Personal Profile of responsible officers and majority stockholders
() Company profile with pictures of (office and warehouse) premises
() License/permit/accreditation from concerned agency, when
applicable, i.e., food (LTO & CPR), rice (NFA), sugar (SRA), etc.
() Indorsement from the Collector, if applicable.

4. List of Importable Items with clear description in technical and tariff

terms, estimated volumes and values for the next twelve (12) months
(Use separate sheet if necessary).

Commodity Tariff Technical Volume Value

(General Terms) Head ing Descri pti on
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MASTER COPJjj,

REPUBLIC OF THE PHILIPPINES )

) S.S.

SWORN UNDERTAKING

I hereby certify under oath that ail the above information are true and
correct; all documents submitted in support of this application are true copies of
the original, subject to verification; any misrepresentation and/or manifestation
of fraud in this application shall be a ground for the disapproval of my
application, and blacklisting of our firm and the undersigned as the applicant.

As specified in Section 2.2 of CMO No. 4-2014, I hereby undertake to (a)

to receive notice by e-mail; (b) to strictly abide with existing rules and
regulations on the Statement of Full Description of Imported Articles covered by
entry declaration; (c) to notify the BOC-AMO of any changes in the information
contained in the application for accreditation; and (d) to obtain knowledge of the
contents of a declaration, and to attest to the veracity thereof;

I fully understand that failure to comply with the undertaking will result in
the cancellation and revocation of the accreditation as importer, without
prejudice to the imposition of any other criminal sanction for violation of the
Tariff and Customs Code of the Philippines, and other customs laws and
regulations.

AFFIX 2x2 picture of

Incorporator/ Applicant Very truly yours,
Latest photo, should
Not be more than 3
Month old)
APPLICANTS NAME & SIGNATURE

SUBSCRIBED AND SWORN to before me this day of

in Manila, Philippines, affiant exhibiting to me
his/her issued at on

NOTARY PUBLIC

Doc No.
Page No.
Book No.
Series of
 MASTER COPJjj,
APPENDIX i - 8

APPLICATION FOR ACCREDITATION & REGISTRATION

(SOLE PROPRIETOR)

(Date)

Intelligence Group (IG)

Account Management Office (AMO)

I, , of legal age,
with postal address at after
having been duly sworn in accordance with law, hereby depose and say that:

1. I am the OWNER/PROPRIETOR of

2. I hereby present the following information for accreditation with the

Bureau of Customs;

2.1. Name of the Firm

a. Head Office Address

Year/s of Stay in the premises:

Nature of occupation: ()owned ()ieased ()shared
()others

b. Warehouse Address

Year/s of Stay in the premises:

Nature of occupation: ()owned ()leased ()shared
()others

c. Branch Office
d. Year/s of Stay in the premises:.
Nature of occupation: ()owned ()leased ()shared
()others

e. Telephone Number/s _
f. Facsimile Number/s
g. Email Address*
h. Number of employees
i. Nature of Company _
j. TIN No.

* Mandatory Field since Notice of Denial/Approval wili he send

via Email*
c/*?. p. ,s MASTER COP

3. I hereby attached the following documents:

() BCOR evidencing payment of application fee

() BIR Importer Clearance Certificate (BIR-ICC)
() Special Power of Attorney (SPA) for designated signatories (with
sample original signatures) in the import entries.
() Original copy of NBI Clearance of applicant issued within three (3)
months prior to date of application.
() Bank statement for the last three (3) months prior to the date of
application, when applicable.
() Two (2) valid government issued I.D., with picture of applicant
() Printed CPRS profile of applicant
() Personal Profile of Applicant
() Company profile with pictures of (office and warehouse) premises
() License/permit/accreditation from concerned agency, when
applicable, i.e., food (LTO&CPR), rice (NFA), sugar (SRA), etc.
() Indorsement from the Collector, if applicable

4. List of Importable Items with clear description in technical and tariff

terms, estimated volumes and values for the next twelve (12) months
(Use separate sheet if necessary).

Commodity Tariff Technical Volume Value

(Genera! Terms) Heading Description
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MASTER COPJjj,
REPUBLIC OF THE PHILIPPINES )
) S.S.

SWORN UNDERTAKING

I hereby certify under oath that all the above information are true and correct;
all documents submitted in support of this application are true copies of the original,
subject to verification; any misrepresentation and/or manifestation of fraud in this
application shall be a ground for the disapproval of my application, and blacklisting of
our firm and the undersigned as the applicant.

As specified in Section 2.2 of CMO No. 4-2014, I hereby undertake to (a) to

receive notice by e-mail; (b) to strictly abide with existing rules and regulations on the
Statement of Full Description of Imported Articles covered by entry declarations; (c) to
notify the BOC-AMO of any changes in the information contained in the application for
accreditation; and (d) to obtain knowledge of the contents of a declaration, and to
attest to the veracity thereof;

I fully understand that failure to comply with the undertaking will result in the
cancellation and revocation of the accreditation as importer, without prejudice to the
imposition of any other criminal sanction for violation of the Tariff and Customs Code of
the Philippines, and other customs laws and regulations.

AFFIX 2x2 picture of

Proprietor/ Applicant Very truly yours,
Latest photo, w/c should
Not be more than 3
Month old)
APPLICANTS NAME & SIGNATURE

SUBSCRIBED AND SWORN to before me this day of

in Manila, Philippines, affiant exhibiting to me his/her
issued at on .

NOTARY PUBLIC

Doc No.
Page No.
Book No.
Series of
 M A S T E R COPJjj,
APPENDIX 2

COMPLETE NAME: COMPANY POSITION:

DATE OF BIRTH: SEX: CIVIL STATUS: CITIZENSHIP:

RESIDENCE ADDRESS:

EMAIL ADDRESS: TIN:

ACADEMIC BACKGROUND:

Education Name of Institution Dates of Attendance Degree Received

(Write in full) (Write in Full)

Primary

Secondary

College

Vocational/
Trade Course
Graduate
Studies

EMPLOYMENT HISTORY

INCLUSIVE DATES NAME OF COMPANY POSITION/TITLE

Affix 2x2 latest photo (not

more than 3 months old)
Date Accomplished

Printed Name & Signature

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MASTER COPJjj,
APPENDIX 3
PHOTO
Republic of the Philippines
Department of Finance 2X2
(paste securely)
BUREAU OF CUSTOMS
(Latest photo, not
INTELLIGENCE GROUP more than 3 mos.
Old)
ACCOUNT MANAGEMENT OFFICE (AMO)

APPLICATION FOR ACCREDITATION

AS CUSTOMS BROKERS

1. APPLICANTS NAME TIN

Date of Birth Place of Birth

Sex Civil Status Age Nickname

Customs Broker Certificate No. PRC No. Valid up to

2. Residence Address:
Tel. No(s)
3. Office Business Address:
Tel. No(s) Fax No.

Email Add: Contact Person

Tel. No. Business Name (if any)_
4. Financial Status as of Net Worth PHP
Total Resources PHP
5. Profile of Practice as Customs Broker for the past five (5) years:

Inclusive Dates Name of Company Port (s) Concerned

6. Academic Background:
Education Name of Institution Dates of Attendance Degree Received
Primary
Secondary
College
Post-Graduate

7. Basis for issuance of Customs Broker Certificate: ( ) Passed Exam ( ) Pursuant

to RA 1937

8. Attachments to support application paper

( ) BCOR evidencing payment of application fee
/ \ nm /•>. . n « /-»}__ _ _ /ntn
^ ) dik uustuniS DroKcr ueardnCe ^ertiriCdte ^dik-du^;
C/HO n-aom p-^ MASTER C O P ^
( ) Valid PRC ID
( ) List of clients with complete address and contact details
() List of authorized representatives with personal details, photos and specimen
signature
() Printed CPRS Application Profile and updated email notification of "STORED" CPRS
profile

9. Do you have any pending (a) criminal case? ( ) YES ( ) No / (b) Administrative
case? ( ) YES ( ) No
If "Yes" state details of the offense

10. Have you ever been convicted of any crime or violation of law or regulation by any
court or tribunal?
( ) Yes ( ) No. If "Yes", give details of the offense/violation, name and branch of the
court/tribunal, date of promulgation of decision, etc.

11. Have you ever been administratively sanctioned or meted any penalty by the Bureau of
Customs or professional Regulation Commission for any violation of law or regulation
resulting in the suspension or revocation of your Customs Brokers License/ Certificate of
Accreditation issued by a Collector of Customs/ the Commissioner of Customs or your
Customs Broker Certificate/ Professional Identification card issued by the Professional
regulation Commission? ( ) Yes ( ) No. If "Yes" state complete details.

12. Have you ever been barred from transacting customs business and/or entering the
customs premises or zones? ( ) YES ( ) No. If "Yes" give details.

If the barring order was not perpetual, has the order been already lifted ( ) Yes ( ) No,
If "Yes", give details of the order and date of lifting.

13. Have you retired, forced to resign or dropped from employment in the public or
private sector? ( ) Yes ( ) No. If "Yes", state the circumstances/details.

14. Are you related by consanguinity or affinity to any present official or employee of
Bureau of Customs?
( ) Yes ( ) No. If "Yes", state their name(s), degree of relationship, and present
position and assignment.

Character References: (Not related to you by consanguinity or affinity.)

Name Degree Residence/ Address TeL Mo.

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MASTER COPJjj,
REPUBLIC OF THE PHILIPPINES )

) S.S.

SWORN UNDERTAKING

I hereby certify under oath that all the above information are true and correct;
all documents submitted in support of this application are true copies of the original,
subject to verification; any misrepresentation and/or manifestation of fraud in this
application shall be a ground for the disapproval of my application, and blacklisting of
our firm and the undersigned as the applicant

As specified in Section 2.2 of CMO No. 4-2014, I hereby undertake to (a) to

receive notice by e-mail; (b) to strictly abide with existing rules and regulations on the
Statement of Full Description of Imported Articles covered by entry declarations; (c) to
notify the BOC-AMO of any changes in the information contained in the application for
accreditation; and (d) to obtain knowledge of the contents of a declaration, and to
attest to the veracity thereof;

I fully understand that failure to comply with the undertaking will result in the
cancellation and revocation of the accreditation as customs broker, without prejudice to
the imposition of any other criminal sanction for violation of the Tariff and Customs
Code of the Philippines, and other customs laws and regulations.

Date Accomplished Name & Signature of Applicant

Right Thumbmark

SPECIMEN SIGNATURE:

SUBSCRIBED AND SWORN to before me this day of

, 20 at j affiant exhibiting
to me his/her valid government I.D. issued on
at .

Notary Public
Doc No. _
Page No.
Book No.
Series of

(Use separate sheet> if necessary, for details required in provisions 10 to 15)

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