Covered Person Registration

Covered Person Information

e.g Name of Business / Real Estate Broker’s Name
e.g. 15 Maharlika St. Unicorn Subdivision / 143 Matatag Building
e.g. Brgy. Roxas
e.g. Manila City
e.g. Metro Manila
e.g. 1234

Contact Details

Name of President/CEO/Owner/Managing Partner/Real Estate Broker
e.g. Mr./Ms./Atty./Engr.
e.g. Juan
e.g. Cruz
e.g. Dela Cruz
e.g. President/CEO/Owner/Managing Partner/Real Estate Broker
e.g. juandelacruz@email.com
e.g. 0212345678 / 09091234567

Compliance Officer Information

e.g. Mr./Ms./Atty./Engr.
e.g. Juana
e.g. Martinez
e.g. Dela Cruz
e.g. Chief Compliance Officer/ Compliance Officer/Owner, etc.
Email address of the Compliance Officer must be different from the email address of the alternate officers, if any
e.g. 0212345678 / 09091234567
Accepted file names: AOI.pdf or AOI.jpg
Only 1 PDF/Image file will be accepted.
Accepted file names: AOP.pdf or AOP.jpg
Only 1 PDF/Image file will be accepted.
Accepted file names: DTICertificate.pdf or DTICertificate.jpg
Only 1 PDF/Image file will be accepted.
Accepted file names: COAppointment.pdf or COAppointment.jpg
Only 1 PDF/Image file will be accepted.
Accepted file names: SecCert.pdf or SecCert.jpg
Only 1 PDF/Image file will be accepted.
Accepted file names: PRCID.pdf/PRCID.jpg or IBPID.pdf/IBPID.jpg
Only 1 PDF/Image file will be accepted.
Primary Alternate Officer
e.g. Mr./Ms./Atty./Engr.
e.g. Juana
e.g. Martinez
e.g. Dela Cruz
e.g. Primary Alternate Officer/Alternate 2, etc.
Email address of the Compliance Officer must be different from the email address of the alternate officers, if any
e.g. 0212345678 / 09091234567

Reference Number: {RefNum}

Covered Person Information

Nature of Business:
Covered Person (CP) Name:
Mailing Address:
Zip Code:
Name of President/CEO/Owner:
Title:
First Name:
Middle Name:
Last Name:
Position:
Email Address:
Telephone Number:

Compliance Officer Information

Title:
First Name:
Middle Name:
Last Name:
Position:
Email Address:
Telephone Number:

Alternate Officer/s

Primary Alternate Officer/s
Title:
First Name:
Middle Name:
Last Name:
Position:
Email Address:
Telephone Number: