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    This document is a form for collecting information about a corporate customer's Ultimate Beneficial Owner (UBO). It requests for the UBO's name, date of birth, place of birth, gender, address, contact information, nationality, occupation, nature of work, source of funds, source of wealth, and volume of assets. The form notes that source of funds refers to the origin of monetary transactions or assets, while source of wealth refers to the resource from which the customer's overall wealth is derived.

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    This document is a form for collecting information about a corporate customer's Ultimate Beneficial Owner (UBO). It requests for the UBO's name, date of birth, place of birth, gender, address, contact information, nationality, occupation, nature of work, source of funds, source of wealth, and volume of assets. The form notes that source of funds refers to the origin of monetary transactions or assets, while source of wealth refers to the resource from which the customer's overall wealth is derived.

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    © All Rights Reserved
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    28 views1 page

    Ultimate Beneficial Owner

    Uploaded by

    Sorry
    This document is a form for collecting information about a corporate customer's Ultimate Beneficial Owner (UBO). It requests for the UBO's name, date of birth, place of birth, gender, address, contact information, nationality, occupation, nature of work, source of funds, source of wealth, and volume of assets. The form notes that source of funds refers to the origin of monetary transactions or assets, while source of wealth refers to the resource from which the customer's overall wealth is derived.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    FMDA-0629

    ULTIMATE BENEFICIAL OWNER (UBO)


    CUSTOMER INFORMATION
    CORPORATE NAME CIF NO. (For Bank Use Only)

    UBO NAME(Last Name, First Name, Middle Name) PERCENTAGE OF OWNERSHIP

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

    ADDRESS LINE 1 (House No./ Building Name/ Block and Lot No./ Street)

    ADDRESS LINE 2 (Barangay/ District/ Vilage/Town/ City/ Province)

    CONTACT NO. E-MAIL ADDRESS NATIONALITY

    OCCUPATION NATURE OF WORK

    SOURCE OF FUNDS* SOURCE OF WEALTH** VOLUME OF ASSETS

    *Source of Fund refers to the origin of the funds or other monetary instrument that is the subject of the transaction, or business or professional relationship between a covered person and
    its customer, such as cash on hand, safety deposit box with a covered person, and a particular bank or investment account.

    **Source of Wealth refers to the resource from which the customer’s wealth, including all monetary instruments and properties, came, comes, or will come from, such as employment,
    business, investment, foreign remittance, inheritance, donation, and winnings.

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