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    Personal Details: Customer Information Record

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    Anonymous Pxq5M31
    This document contains a customer information record for personal banking that collects an individual's personal details, contact information, financial details, additional family information, and includes spaces for signatures and bank use. It collects names, addresses, date of birth, citizenship, tax identification number, contact numbers, email, occupation, employer, source of funds, account types, credit card application, mother's and father's names, dependents, and referrals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Personal Details: Customer Information Record

    Uploaded by

    Anonymous Pxq5M31
    35 views2 pages
    This document contains a customer information record for personal banking that collects an individual's personal details, contact information, financial details, additional family information, and includes spaces for signatures and bank use. It collects names, addresses, date of birth, citizenship, tax identification number, contact numbers, email, occupation, employer, source of funds, account types, credit card application, mother's and father's names, dependents, and referrals.

    Original Description:

    ajkadljafj aaj

    Original Title

    BBG CIR Personal 09-06-2017

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    This document contains a customer information record for personal banking that collects an individual's personal details, contact information, financial details, additional family information, and includes spaces for signatures and bank use. It collects names, addresses, date of birth, citizenship, tax identification number, contact numbers, email, occupation, employer, source of funds, account types, credit card application, mother's and father's names, dependents, and referrals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views2 pages

    Personal Details: Customer Information Record

    Uploaded by

    Anonymous Pxq5M31
    This document contains a customer information record for personal banking that collects an individual's personal details, contact information, financial details, additional family information, and includes spaces for signatures and bank use. It collects names, addresses, date of birth, citizenship, tax identification number, contact numbers, email, occupation, employer, source of funds, account types, credit card application, mother's and father's names, dependents, and referrals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Customer Information Record

    Personal

    Personal Details CIF No.

    Name

    Last Name First Name Middle Name

    Present Address Please insert


    1” x 1”
    No. Street Subdivision / District / Town photo here

    City / Province Country Zip Code

    Permanent Address (if applicable)

    No. Street Subdivision / District / Town City / Province Country Zip Code

    Date of Birth (mm/dd/yyyy) Place of Birth Civil Status Single Married


    Others______________________

    Gender Citizenship TIN SSS / GSIS No.


    Male Female

    Spouse (if applicable)

    Last Name First Name Middle Name

    Date of Birth (mm/dd/yyyy) Place of Birth Occupation No. of Dependents

    Contact Details
    Telephone No. Mobile No. E-mail Address

    Financial Details
    Source of Funds Employment Pension Occupation
    Business Others ___________________________

    Employment Status Employed Retired


    Self-employed Student Others _____________________________________________________

    Name of Employer (If Employed) Years with Employer

    Address

    Position / Rank Telephone No.

    Name of Business (If Self-Employed) Years in Business

    Address Telephone No.

    Existing Savings Time Account Home Loan Credit Card


    BDO Account(s)
    Current Personal Loan Auto Loan Others ______________________________________________________

    Other banks Savings Time Account Home Loan Credit Card


    account(s)
    Current Personal Loan Auto Loan Others ______________________________________________________

    Indicate name of bank(s) _________________________________________________________________________________________________________________________

    *If U.S. person, accomplish FATCA Information Sheet.


    By signing, I hereby certify that the information given in this application is true and correct to the best of my knowledge and I confirm that I have read the Terms and Conditions of the General and Special Provisions on
    Deposits and have fully understood and agreed to be governed by the provisions thereof, as well as the rules and regulations of the Bank, Bangko Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers
    Association of the Philippines and the Bureau of Internal Revenue with respect to taxes imposed on interest on deposits and bank commission/charges relative to the establishment of operations of the account/s
    opened.

    ___________________________________________________________________
    Signature over Printed Name / Date Signed
    Additional Information

    Mother’s Full Maiden Name

    Last Name First Name Middle Name

    Father’s Name

    Last Name First Name Middle Name

    Dependents
    Name Relationship Birthday

    Name Relationship Birthday

    Name Relationship Birthday

    Referral(s) if possible, kindly indicate name of relative you can refer to us


    Name Relationship Contact No. E-mail Address

    Name Relationship Contact No. E-mail Address

    Name Relationship Contact No. E-mail Address

    Credit Card
    By signing, I agree that this shall serve as my application for issuance of a BDO Credit Card and I undertake
    to submit documents as may be deemed necessary by BDO. I authorize BDO to conduct random verification
    with government agencies or third parties to establish authenticity of the information declared and/or
    documents submitted and hereby waive confidentiality of the rules and laws as applicable. I understand that
    the issuance of a BDO Credit Card shall be subject to credit evaluation and discretion of BDO. ________________________________________
    Signature over Printed Name / Date Signed

    For Bank’s Use Only


    ID Type ID Number Date Issued Place Issued Expiry Date

    Resident Code Resident RC N NLDS Verified


    Non-Resident H __________________________________________

    Referred by
    BDO Employee _______________________________________________________ Client __________________________________ Walk-in

    Signature verified by Date

    Approved by Date

    Courtesy Call / Business Visit


    Conducted by

    Name Signature

    Position Date

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