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KYC Form: Person
KYC Form: Business
Application to Purchase Foreign Currency (FX Sold)
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Know Your Customer Forms
For Individual
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)
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Customer Type
Pawnshop
Remittance
Forex / Money Changer
Customer's Name
*
First
Middle
Last
Present Address
Complete Address
Permanent Address
Complete Address
Tel No/s
Email
*
Gender
Male
Female
Civil Status
Single
Married
Separated
Widowed
Nationality
Date of Birth
dd/mm/yyyy
Place of Birth
Height
in ft and inches e.g. 5ft 9in or 5ft 3in. Do not use quotation marks pls.
Weight
in lbs e.g. 180lbs
General Appearance
skin tone, build, facial hair, etc.
Occupation
Employer
Business Name
ID Type
SSS/GSIS
TIN
Driver's License
Other ID
Number
Expiry Date
mm/dd/yyyy
Source of Fund
Purpose of Fund
Name of Beneficiary
*
First
Last
Preferred Means of Communication
SMS
Post Mail
Phone Call
Email
Do not Contact Me
Date
dd/mm/yyyy
Message
Submit