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UCPB Connect Username:: Cif No
UCPB Connect Username:: Cif No
CIF No.
D。t。: C>千句佃フ
恥「Se山 国Aし心心
Bysigning beIow, l hereby certify and attestto the factthat a旧nformation represented and given by me a「etrue and
COrreCt. i sha= promptiy communicate tothe Bank any changes in the foregoing information
. 1 he「eby authorize the Bankto verify and investigate any and a旧nformation given by me, aSthe Bank may deem
app「OPriate.
看further certify that i have read and understood the UCPB Connect Te「ms and Conditions and hereby accept them.
Q利巧/妙
P「inted N Date
Activated / Enrol