following information may be supplied to banks and/or other financial institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally accepted professional standards relating to the maintenance of confidential information, and to take all appropriate precautions to protect the confidentiality of the information contained herein, This legal obligation shall remain in full force indefinitely without restriction. Corporate Full Name of Institution : Registration Number : Date of Registration : Domicile /Jurisdiction : Postal Address : Registration Address : Physical Address : (if different from Registration Address) Business Telephone Number : Business Facsimile Number : E-mail Address : Website : Corporate Officer 1 and Title : Corporate Officer 2 and Title : Business Trading Type / Description : Insert Client Letterhead Here Details of Signatory to Contract Corporate & Individual – First Name : Last Name : Date and Place of Birth : Nationality :
following information may be supplied to banks and/or other financial institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally accepted professional standards relating to the maintenance of confidential information, and to take all appropriate precautions to protect the confidentiality of the information contained herein, This legal obligation shall remain in full force indefinitely without restriction. Corporate Full Name of Institution : Registration Number : Date of Registration : Domicile /Jurisdiction : Postal Address : Registration Address : Physical Address : (if different from Registration Address) Business Telephone Number : Business Facsimile Number : E-mail Address : Website : Corporate Officer 1 and Title : Corporate Officer 2 and Title : Business Trading Type / Description : Insert Client Letterhead Here Details of Signatory to Contract – Corporate & Individual First Name : Last Name : Date and Place of Birth : Nationality :
SPF-Client-Compliance-Application-Blocked-Funds-MT760-PPP-v1.1.docx