You are on page 1of 8

CLIENT INFORMATION SHEET

DATE: 11 OCTOBER 2022 - TRANSACTION CODE: (TBA)

In accordance with Articles 2 to 5 of the Due Diligence Convention and the Federal Banking Commission Circular of December 19 98, and under the US Patriot Act of 2002, as
amended in February 2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the 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 CLIENT INFORMATION


Full Name of Corporate Institution: PHUKET GROUND SERVICES CO., LTD.
Registration Number: 0835554001737
Date of Registration: 9 FEBRUARY 2011
Domicile / Jurisdiction: BANGKOK / BANGKOK THAILAND
Registration Address: 1687/1, Phahon 19 Building, 2nd Floor, Phahon Yothin Road, Chatuchak Bangkok Thailand.
Phuket Branch Address: 63/202 Moo 2, Koh Kaew Sub-District Phuket Town Phuket 83000, Thailand

DETAILS OF SIGNATORY TO CONTRACT – CORPORATE AND INDIVIDUAL

First Name: APHISAK


Last Name: PHETCHSAWAD
Date and Place of Birth: 03 MAY 1968 / BANGKOK THAILAND
Nationality: THAI
Passport Number AA5998639
Passport Nationality: THAI
Passport Issue Date: 03 FEB 2016
Passport Expiring Date: 02 FEB 2021
Title Within the Corporation/Company: PHUKET GROUND SERVICES CO., LTD.
Home Address 93/74 Rill Condo, Moo7, Lak Hok Subdistrict, Mueang District Pathum Thani, Thailand
DETAILS OF BANK ACCOUNT
Bank Name Bangkok Bank Public Company Limited
Bank Address Central Festival Eastville, Bangkok 10230, Thailand
Bank Swift Code BKKBTHBK
Account Name PHUKET GROUND SERVICES CO., LTD.
Account Number (Link Account) 404-8-14275-0
Account Signatory Name and Title MR. APHISAK PHETCHSAWAD
UNION PAY QR MERCHANT PAYMENT SERVICE

The undersigned hereby verifies and affirms that all of the information set forth on both of these pages is
true and correct.

Sincerely,
Signed on 11 October 2022
Bangkok Partnerships and Companies Registration Office
6E 2 . -( )/. Department of Business Development
Ministry of Commerce

CERTIFICATE
This is to certify that this company has been registered as a juristic person under the Civil and Commercial
Code, on 9 February B.E. 2554 (2011), with the Juristic Person Registration Number 0835554001737. The
particulars as shown in the Register of Juristic Person as of the date of issuance of this Certificate are as follows:
1. Name of the Company: PHUKET GROUND SERVICES COMPANY LIMITED
2. The Company has 1 director(s) named below:
1. Mr. Aphisak Phetchsawad
3. The Number or name(s) of director(s) authorized to enter signature(s) binding the company is/are as follows:
Mr. Aphisak Phetchsawad signs his name with the company’s common seal being affixed.
4. The registered capital is 5,000,000.00 Baht. (Five Million Baht Only)
5. Head office is located at No. 1687/1, Phahon 19 Building, 2nd Floor, Phahon Yothin Road, Chatuchak
Sub-district, Chatuchak District, Bangkok.

3 I E 8 1 2 (+ + ( ((

5 :B B4 E
Registrar

Caution : This Certified document printed from originated electronic file, all of this printed document is considered as a copy.

This Certificate is made in the form of electronic file. Users should always read notes at the end of Certificate carefully. 7 02 + . -( )/.
May verify the Certificate in the system via QR Code and website (www.dbd.go.th) within 90 days as from the issued date. 3 I 9B 0 ( (( / 9 .0 (0 - (
Bangkok Partnerships and Companies Registration Office
6E 2 . -( )/. Department of Business Development
Ministry of Commerce

CERTIFICATE
Notes to the Certificate No.2 . -( )/.
1. Upon hiring employees, the registered juristic person must contact the local/provincial
Social Security Office within 30 days to comply with the law on social security and the law on compensation.
2. This juristic person has failed to submit the financial statements for the Year B.E. 2563 (2020).
3. This Certificate certifies statements as registered by Partnership/Company for legal consequences only. Facts
should be sought for the consideration of status.
4. The Registrar may revoke the registration where substantial statements as registered appear incorrect or false.

This Certificate is made in the form of electronic file. Users should always read notes at the end of Certificate carefully. 7 02 + . -( )/.
May verify the Certificate in the system via QR Code and website (www.dbd.go.th) within 90 days as from the issued date. 3 I 9B 0 ( (( / 9 .0 (0 - ((
BANK BOOK

You might also like