ACCOUNT_JOB_COMPANY

ACCOUNT_JOB_ADDRESS_SINGLE_LINE

CLIENT IDENTITY AND ULTIMATE BENEFICIARY

Account No.:ACCOUNT

I HEREBY DECLARE THE FOLLOWING TO BE TRUE AND ACCURATE IN RELATION TO MY ACCOUNT:

(a)     Identity of the person(s) or Entity ultimately responsible for originating instructions in relation to Transaction to be conducted through the Account:

For use by *Individual/Joint Account or Corporate Account*

Name	*I.D. No./  Passport No./ Certificate of Incorporation No. / Business Registration	Occupation / Business	Address	*Tel. No.

Note: please cross out any unused spaces above 

 

For use by Entity  

Name of Entity: _________________________________________________________________________ B.R. No.: _________________________________________________________________________ Certificate of Incorporation No.: _________________________________________________________________________ Place of Incorporation: ___________________________________________________________________________ Office Tel. No.: _____________________  Office Fax No.: _________________________ Registered /Business Office: __________________________________________________________________________ Name of Manager: ____________________________________________________________________________ I.D. /Passport No.: ________________________________________________________________________ Address: ____________________________________________________________________________ Tel. No.: __________________________ Facsimile No.: __________________________

 

Account No.:ACCOUNT

(b)        Identity of the ultimate beneficiary(ies):

          Name of Person(s) or Entity who stand(s) to gain the commercial or economic benefit and/or to bear the commercial or economic risk of transactions in the Account (If the same as (a) above, please state “as above”):

For use by *Individual/Joint Account or Corporate Account*

........................................