STT CUSTNAME SNAME NATIO NATURE ADDRESS

No. Full name* Short name* customer title* Nationality* City/Province Address type* Address 1*
 PHONE EMAIL

Address 2 Home phone* Mobile phone* Fax no Website Email Mail code* Tax no Industry
 SUBNTR SEX DOB IDTYPE LICENSE

Sector Sub Industry Sex* Birth date/Incorporation date* ID card type* ID/Incorporation no*
 LICPLACE CUSTTYPE LICDATE DPTTYPE

Issued location Customer type* Issue date* Expiry date Opened date* Residency sts Relationship*
Customer grade Credit card reg* Rist Level* Occupation Key authorized sinatories Contact person
Marital status* Operation mode On behalf of Home no Street Village District Country Remark
Title catcode*