CMPRS Form 3 User Designation Form

SEC form for user designation of capital market participants registry system

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That
I,
_______________________________________________,
being
the
duly
authorized/appointed representative of
(name of company)
hereby apply for
online application concerning Capital Market Participants (CMPs) covering
institutions and professionals, using the Capital Market Participants Registry System
(CMPRS).
That I undertake to abide by all the prescribed policies, implementing rules and
regulations and terms and conditions governing the use of the CMPRS.
That I hereby designate the following persons who shall be responsible for
online applications using the CMPRS and whose signatures are indicated opposite their
respective names:
Name of Authorized Filer/User

Signature

1.
2.
3.
That it is understood that any and all applications, attachments and supporting
documents filed using the CMPRS by the above-named individuals is deemed filed by
the company as stipulated in the Undertaking dated ______ and applicable Terms and
Conditions.
IN WITNESS WHEREOF, the parties have hereunto affixed their signatures on
the date and place stated.
Signature over Printed Name
___________________________________
Name of Authorized Representative

ACKNOWLEDGEMENT
Republic of the Philippines) S.S.
City of _________________________.
BEFORE ME, a Notary Public in and for ___________________, Philippines, this
________ day of __________________________ personally appeared:

Printed Name

Position

1.

Company
Representative

2.

Authorized Filer/User

3.

Authorized Filer/User

4.

Tax Identification
Number (TIN)

Authorized Filer/User

NOTARY PUBLIC
DOC. NO. _______;
PAGE NO. _______;
BOOK NO. _______;
SERIES OF _______.