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Adobe Scan 15 Jun 2023 L
Adobe Scan 15 Jun 2023 L
Adobe Scan 15 Jun 2023 L
14h Floor Multirational Bank Corporation, 6805 Ayala Avenue, Makati City
FOR INDIVIDUAL FCA CORpORATE /SoLE PROPIERTORSHIP /PARTNERSHIP
CINershie Brttdte s TiN te t e t ntueer
pirie nFilipie 01 007-175-193-000
TiN te e u /555 or GSS Nurnber Piace of Brth SEC/OTI Degistraton urnber
CS200817632
Sourte of Furd sny Bss C e S Bnse SEC/ Buiress Eegistration Dste
11/10/2008
Gielatioship to Bereticiary Place of Registratior s the compsry regstered veth 95n
Makati City
TRANSACTION INFORMATION
Durpose of Demitarce /Punas Trarster Currercy
PHP USO Arers
Membership payment
Aenourt in Viords and Figures a e
Two Thousand Two Hundred Fifty Dollars Only S2,250.00
BENEFICIPNS INFORMATION
Gorotete iame a ae a same /Cornpary tiarme Beretciarys Account Nunber Contact faurnter
Young Entrepreneur's Organization of the Philippines Inc. 1315-4000-2025 +63 2 7750 9679
Cornpiete Adaress netc 'Sr/To/Ctyo SroncaZs Coe
Unit 1508 Atlanta Centre #31 Annapolis St. GreenhillsSan Juan, City
Benetciays Bark Nerme Berefcarys Bank Addres
Unionbank UnionBank 5th Ave. BGC Branch
FOR OUTWARD CROSS-BORDER REMITTANCE TRANSACTIONS ONLY
Geceiving Barik SFT Code/ational Routing Code / Fod Wire Shurrber Interrational Bank AccOunt Purnber loy acples t% Ercr Cours r e e pas of ee a Cat
UBPHPHMM
initerrredary Bark arneero Otner relerarnt irtorrration
Add Cornmision
fregstered vitn artrer tari
Pontage or Cable
Barn iarme
Barik Gefererce ti (BR
Docurnentary Starmps
cONSENT TO DISCLOsURE
PASSHOO K 296354B
Wie certytrat the irtoermation provded in this Farn are true 9curate ond complete Me turner veartant that.prior to subrnitting to the Bankary irntormation finctciuding
e r a irtamatcn dindreduds related to rrelusi ve ha tored al necearj outhotatiors ard consents as may be required by applcable contderntiaity ang
dsta ptijiavna ayeerrart to eratde the Bark to pres wehintorrnetite ard imderrernt rrylour emittance trarsactions
B/snrg hereni r y avslirg t Coitirung to aat d the pructs teries tuctities and charinels of the Bank or of ary rnernber of the BPI CrOuD of Cormpanies, Ike
jtoe trt all rrglsr intarafior firciudirg tre perora intarrratic of indrvitltals related to rhe/usi myour tvansactions business and credit relationships accounts ce
MNnt irtotrrtin a teAds icn are vath the Bank rrale avlatio to the Bank o Vhich are in the Bank's possession or updated frorn tirne to tirne, rmay be collectedl
tained yed stoed, onshidated peSsed ptotied tAchmared shared to and discloned by ond between the Bank and any rmernber of the BP1 GroupotCormrele
ther ucoeAs nd ugrs and theit tesectie uthonded tepteeritatives agents and servce provders for ary or all the purposes decnibed in the BPt Oata
Stuterrerit putdished t ung ad deerred ireaprated by teteterce in this oarr
The toregoing constutes rryloar esptess consent urier the aplcable barik secrecy corntdentiaity and data privacy laws of the Philippine% and other jurisdictions.
incivaing vnthout tiretatior the pronaos nA tho u05 (he Lau on Secrecyd Bark Deposts, RANo 6426 (The Foreign Currency Oe post Act) RA No 10175 (Data Prvacy
ACt oA 2612) RA No 8791 IGeneral Bariking Lan tedectiely tre Barik Seciecy and Prnay Lan')ard he agree to hold the Bank each mermber ofthe B1 Group of
Camparies ther su ardars na theit teet dects tices errgaoees, authozed representatrves agentt and servce prouders fret and harriesfrorn
ary andhereurider
rre/us atl iataites clairrs darragrs, uits coats ard enenes teatg tron in conrecticn vith the imglernentation ofthe purpes and authorites corterred by
-Dacusigned by
Vivex PitMtsa66
CUSTOMERS SICNATJPE CVER PRINIED NAME
DEBIT MEM0
: 15-J UN-23
DATE
: 001734-0183-56 ADVICE NO: 2017061523KCB70023
ACCOUNT NO
SOLUTIONS. INC.
ACCOUNT NAME : PSG GLOBAL
signature required.
qenerated/approved document, no
electronically
This is an 173DKCB7
001734-0183-56 DRMEMO
15J UN23 USD ************2.268.00 OF
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