Bountree-S.A.Consultancy Corporation: Client Information Sheet
Bountree-S.A.Consultancy Corporation: Client Information Sheet
Bountree-S.A.Consultancy Corporation: Client Information Sheet
CONSULTANCY CORPORATION
Level 24, BGC Corporate Center, 30th Street Corner 11th Avenue, Bonifacio Global City, Philippines
Business Number: (+63)9654437888/ (63) 790-0150 Fax: (632) 790-0200
E-mail Address: bountreecompanies@gmail.com/www.bountree.org
I UNDERSTAND THAT THE FOLLOWING PRIVATE AND CONFIDENTIAL INFORMATION IS NEEDED FOR THE PURPOSE OF PROVIDING
NECESSARY BACKGROUND INFORMATION REQUIRED BY THE CONTRACTING TRUST BANK. IN ORDER TO COMPLETE ITS DUE
DILIGENCE DOSSIER RELATIVE TO THIS TRANSACTION AS PUBLISHED IN ARTICLE 2 OF THE DECEMBER 1991 CIRCULAR TO THE
DUE DILIGENCE CONVENTION OF THE FEDERAL BANKING COMMISION AND OTHER LEGISLATION CONCERNING THE PREVENTION
OF THE MONEY LAUNDERING, I HEREBY AUTHORIZE YOU TO VERIFY THIS INFORMATION PREPARED BY ME.
CLIENT NAME :
NATIONALITY :
PASSPORT NUMBER :
ISSUED (PLACE\DATE) :
EXPIRATION :
PLACE OF BIRTH :
HOME ADDRESS :
CELL- PHONE NUMBER :
Bank Address Panorama Tower, 34th Street corner Lane A, Bonifacio Global City, Taguig
City, Philippines
Account Name
Bank Name
Bank Address
Account No.
SWIFT Code
BANK OFFICER
NAME/POSITION
Bank Telephone
Fax Number
Cellphone Number
I HEREBY ATTEST THAT THE ABOVE INFORMATION ARE TRUE AND CORRECT.
DR.HITLER G. APOSTOL
Director
COMPANY REGISTRATION
PASSPORT COPY OF SIGNATORY