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    SBOL Enrollment Customer Information Form

    Uploaded by

    Luigi Lucero
    This document is a customer information form for individual accounts at Security Bank. It collects personal details such as name, date of birth, address, contact information, employment details, existing bank accounts, and preferred banking services. By signing, the customer agrees to Security Bank's terms and conditions, and consents to sharing their information within the Security Bank group for cross-selling and compliance purposes. Photo identification is required to be submitted with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    SBOL Enrollment Customer Information Form

    Uploaded by

    Luigi Lucero
    354 views1 page
    This document is a customer information form for individual accounts at Security Bank. It collects personal details such as name, date of birth, address, contact information, employment details, existing bank accounts, and preferred banking services. By signing, the customer agrees to Security Bank's terms and conditions, and consents to sharing their information within the Security Bank group for cross-selling and compliance purposes. Photo identification is required to be submitted with the completed form.

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    SBOL-Enrollment-Customer-Information-Form

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    This document is a customer information form for individual accounts at Security Bank. It collects personal details such as name, date of birth, address, contact information, employment details, existing bank accounts, and preferred banking services. By signing, the customer agrees to Security Bank's terms and conditions, and consents to sharing their information within the Security Bank group for cross-selling and compliance purposes. Photo identification is required to be submitted with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    354 views1 page

    SBOL Enrollment Customer Information Form

    Uploaded by

    Luigi Lucero
    This document is a customer information form for individual accounts at Security Bank. It collects personal details such as name, date of birth, address, contact information, employment details, existing bank accounts, and preferred banking services. By signing, the customer agrees to Security Bank's terms and conditions, and consents to sharing their information within the Security Bank group for cross-selling and compliance purposes. Photo identification is required to be submitted with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    CUSTOMER INFORMATION FORM (CIF)

    FOR INDIVIDUAL

    CUSTOMER INFORMATION
    ACCOUNT NUMBER Please update mobile number and/or e-mail address of my SB Online Account SBOL REF. NO.

    SB Online User ID

    NAME

    (Last Name) (First Name) (Middle Name) (Suffix)

    DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH GENDER


    Male Female
    NATIONALITY Citizen With Standing Instruction to transfer With SPA issued to a person with U.S.
    funds to account maintained in the US? Address; or "in care of" or "hold mail" address?
    Resident
    Yes No Yes No
    Non-Resident
    PRESENT HOME ADDRESS

    (Floor / Number, Street, Barangay / Subdivision / Municipality, City / Province, Postal Code)
    PERMANENT HOME ADDRESS (For U.S. ,Japanese or Foreign National, address in foreign country is mandatory) PHONE NO. U.S. TIN

    (Floor / Number, Street, Barangay / Subdivision / Municipality, City / Province, Postal Code)
    TIN / SSS / GSIS #, if any PRIMARY PHONE NO. (LANDLINE) MOBILE NO. E-MAIL ADDRESS

    NAME OF EMPLOYER OCCUPATION / POSITION YEARS IN WORK

    NATURE OF WORK OR EMPLOYMENT SOURCE OF FUNDS


    Agriculture Education Manufacturing Professional Practice Business Remittance Inheritance
    Brokerage Financial Institution Medical Service Others Salary Interest Income from Investment Pension
    Insurance Marine Others
    Construction Commission Sale of Investment/Property

    ACCOUNT/S MAINTAINED WITH OTHER BANKS COMPANY/IES WITH RELATED INTEREST FEATURES/SERVICES TO BE AVAILED SECURITY BANK
    PRODUCT APPLICATION
    NAME OF BANK ACCOUNT TYPE (e.g. as Director, Officer, Stockholder, etc.) Fund Transfer Facilities Remittance
    Credit Card
    1. 1. Check Protector Others
    Home Loan
    2. 2. Maximizer
    Auto Loan
    3. Scheduler
    3. Personal Loan
    Please use separate sheet if necessary. Please use separate sheet if necessary. MobileBanker / TeleBanker Small Business Loan

    DEPOSITOR’S AGREEMENT

    By signing this form, I hereby certify that the information I provided is true and accurate to the best of my knowledge and that the documents submitted are authentic. I shall notify
    SBC in writing of any change in the information supplied in this form. I have read, understood and agreed to be bound by the terms and conditions governing all products, services
    or facilities rendered /to be rendered by Security Bank Corporation (SBC) including the Bank’s applicable service and maintenance fees. I further acknowledge that said terms,
    conditions and amount of applicable fees were provided to me and/or are available for my viewing at the Bank’s website @www.securitybank.com which I commit to visit from time
    to time. All accounts opened under my name shall be recognized in the Account Details Form (ADF) or Signing Instruction Form (SIF) which shall be used by the Bank as basis for
    my banking transactions. Subject to remain in effect for five (5) years after account closure, I hereby give consent for SBC to share and process any information relating to my
    account/s to any member of the SBC Group (SBC and its affiliates and subsidiaries reported as part of SBC’s conglomerate map/group structure as defined under BSP Circular
    749) and Bancassurance companies or their authorized Service Providers and representatives, for purposes of cross-selling products and services, profiling and credit evaluation/
    reference checks, audit and account balance confirmation and allow them to contact us for this purpose (i.e. by e-mail, telephone, text, etc.), or in case of audit where our account
    is chosen as a sample for account balance confirmation.

    I hereby grant full permission to the SBC group to access all information relating to my accounts, and to make the corresponding required reports in compliance with Foreign Tax
    Compliance Act (FATCA) due diligence rule, other inter-governmental agreements and other applicable laws, rules and regulations as may be passed from time to time.

    No, I do not agree to have my account/s used for purposes of cross-selling products and services, profiling and credit evaluation/reference checks, audit and account
    balance confirmation.

    Signature Over Printed Name / Date

    Note: Please send this form together with 2 valid photo-bearing IDs (for payroll account, 1 government ID and
    1 company ID).

    BR-1301-0320-IND (PRINTABLE)

    This form is a proprietary product of Security Bank Corporation intended for its sole use. Any unauthorized review, alteration, amendment, use, disclosure, distribution, importation, removal, alteration,
    substitution, modification, storage, uploading, downloading, communication, making available to the public, or broadcasting of this material without the consent and knowledge of Security Bank Corporation
    is prohibited and is punishable by a fine and/or imprisonment under Republic Act No. 8792, otherwise known as the Electronic Commerce Act.

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