To Send
Sender: Mildred Aquino Salgdao Receiver: Darren Leo D. Piloton MTCN: 609-775-9875
MY WUSM Number: 0 Destination Country: Philippines Date & Time: 2023-03-16 11:20:07 PHT
Register for my WUSM Membership Program Address: USSC SERVICE STORE CAVITE-
MY WU Points Earned:0 TIBANBAN GOVGEN DAVAO ORIENTAL Agent details : BACOOR CONRADO COMM’L
Subject to terms and conditions, please visit COMPLEX , BRGY . NIOG I.
www.westernunion.com/mywu/ph or Call 888-1200 BACOOR CITY, CAVITE 4102
Purpose of
Present Address: g Optional Services: g
UAE DUBAI Transaction:
Originating Country: PHILIPPINES
State & City:
ID Type: National Bureau of Investigation
Receiver Mobile Number: + (1) 336-327-5610 (US,Canada,Mexico):
(NBI) Clearance
Amount received: 240.25
ID Number: *******E99OC21942874 TOTAL: 13,221.08 PHP
Exchange Rate: 0.0018
Documentary Stamp: 0.00
IMPORTANT MESSAGE FOR YOU: Tax:
Discount:
Cash: 240.25
Cheque:
Cheque number:
Your land line or mobile number may be required to execute the money transfer, facilitate convenience activities or other requested services. Unless you inform Western Union
and described in the Terms and Conditions not to receive commercial communications. Western Union or its affiliates and business partners may send you commercial Account transfer:
communications by SMS/MMS regarding Western Union products and services. You agree any changes by the services provider as your side responsibility.
IMPORTANT NOTICE: The terms and conditions on which the srvice is provided are located at www.westernunion.com.ph and at the agent location. You are advised to read these terms
Account number:
and conditions especially those restricting liability and date protection before signing the form. In addition the transfer fee. Western Union (WU) and its agents also make money from the echange of currencies. Please see further important information
regarding currency exchange and legal restrictions that may delay the transaction set forth the terms and conditions. Protect yourself from the consumer fraud. Be careful when a stranger asks to send money. Do not divulge the details of this transfer to a
third party
By signing the form, I: 1 Expressly consent to the transfer of my personal date entered above to WU affiliates including to the US for the purpose of providing the money transfer service to me and undertaking the additional data processing activities
specified in the Data Protection section of the terms and conditions. 2.Expressly consent to the carrying out of profiling activities and marketing communications. I have the right to withdraw my consent at any time. 3 Confirm that the information I
have provided above are updated and correct and that I have read and accepted the terms and conditions of the service and the loyalty program if applicable.
Customer signature: Date: Agent Signature:
149784756
FOR CUSTOMER SERVICE CALL (02) 888-1200 OR 1-800-1-888-1200 (PLDT toll free) or 1-800-9-888-1200 (Globelines Toll free)
