Know Your Customer

Corporate

Republic Act 9160 or the Anti-Money Laundering Act (AMLA): Non-bank institutions like Pawnshops, Money Changers, and Money Remittances are considered covered institutions, and are required to get information from their customers through KYC (Know Your Customer) including sources and purposes of funds. For inquiries: 02-8504617 or 02-8094251 or Sun 0933-8574802 or Smart 09189275571 (Look for Lea or Zenaida)

Name of Business

Registered Name with SEC/DTI

Trade Name

Business Trade Name if any

Ownership / Structure

Corporation
Partnership
Sole Prop

SEC / DTI Registration No

Date of Registration

mm/dd/yy

BSP Registration

Applicable to Covered Institution

AMLC Registration

Applicable to Covered Institution

Address

Complete Address

TIN #

Business Email *

Tel No/s

Fax No

Source of Fund

Purpose of Fund

Name of Company's Authorized Representative *

First

Middle

Last

Position Held

Contact No

Representative's Email *

ID Type

Number

Expiry Date

mm/dd/yyyy

Date

mm/dd/yyyy