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Bountree-S.A.Consultancy Corporation: Client Information Sheet

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BOUNTREE-S.A.

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

CLIENT INFORMATION SHEET

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 :

BUSINESS NAME : BOUNTREE-S.A.CONSULTANCY CORPORATION


BUSINESS ADDRESS : Level 24, BGC Corporate Center, 30th Street Corner 11th Avenue, Bonifacio Global City, Taguig City,
Philippines
BUSINESS TELEPHONE NUMBER : (63) 790-0150
FAX NUMBER: : (632) 790-0200
E-MAIL ADDRESS :
NATURE OF BUSINESS : CONSULTING/BUSINESS DEVELOPMENT
POSITION/TITLE : DIRECTOR

BANK COORDINATES (CORPORATE ACCOUNT)

Account Name BOUNTREE-S.A.CONSULTANCY CORPORATION

Bank Name SECURITY BANK CORPORATION (FORT PANORAMA BRANCH )

Bank Address Panorama Tower, 34th Street corner Lane A, Bonifacio Global City, Taguig
City, Philippines

Account No. 000-0021371-255 (US DOLLAR)

SWIFT Code SETCPHMM

Bank e-mail address marie.guerrero@securitybank.com.ph

Bank Telephone +63(2)772-2674

Fax Number +63(2)772-2169

Cellphone Number +63(917)816-8278


BANK COORDINATES (PERSONAL ACCOUNT)

Account Name

Bank Name

Bank Address

Account No.

SWIFT Code

BANK OFFICER
NAME/POSITION

Bank e-mail address

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

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