Professional Documents
Culture Documents
CUSTOMER INFORMATION
ACCOUNT NAME ACCOUNT NO.
For T/T Beneficiary's Account No. or International Bank Account BANK NAME
No. (IBAN) for EURO
ADDRESS
Authorized Representative's Signature over Printed Name Customer's Signature Over Printed Name
NOTARIZATION FOR AMOUNT IN EXCESS OF US$60,000.00
Republic of the Philippines)
) S.S.
Subscribed and sworn to before me in on , affiant who is personally known to me to be the same person who executed the
foregoing instrument, exhibited to me his/her Community Tax Certificate No. issued at on ; and/or who was identified by me
though competent evidence of identity to be the same person who executed the foregoing instrument, exhibited to me his/her Government-issued ID No. issued at
on acknowledged to me that the same is his/her free and voluntary act and deed.
Notary Public
My Commission Expires on
Doc. No. Commission Serial No.
;
Place of Commission
Page No. ; Office Address
Book No. ; Roll No. IBP No.
PTR No. Place Date
Series of ;
FOR BANK USE ONLY
PROCESSING BR/ CODE MC/DD/TT NO. DATE RECEIVED PROCESSED BY NOTED BY SIG VERIFIED BY
CBG-NAF # 08-03