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)

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

Civil Status

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

Number

Expiry Date

mm/dd/yyyy

Source of Fund

Purpose of Fund

Name of Beneficiary *

First

Last

Date

dd/mm/yyyy

Name