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CERTIFICATION REQUEST SLIP

Date: 3/26/2024
To: Metropolitan Bank & Trust Company
Branch _AYALA AVE CENTER__
AMINODING. BENITO
___________________________________________________________________ (the “Client”) request for a Certification relative to:
(Name of Client)

Client’s bank deposits/placements with your Bank with the following details:
AMINODING B. BENITO
Name:____ _____________________________________________________________________________________________
Account/COS/COP No.: 0663909353280

With balance Without balance

Remittance/s received by your Bank for payment to the Client or credit to Client’s Metrobank
account as Beneficiary of the remittance/s with the following details:

Name of Remitter: _______________________________________________________________________________________


Date/s when Remittance/s was/were Received:_______________________________________________________________
Name of Client Beneficiary:_______________________________________________________________________________

In addition to the details specified above, the Client hereby authorizes the Bank to include in the Certification pertinent details
regarding the aforementioned remittance/s including but not limited to the following: Remitting Financial Institution, Amount of
Remittance (inclusive of charges), details of Client’s account where the remittance/s was/were credited (such as but not limited to
account name, no., type, branch), and Amount paid to Client or credited to Client’s account (net of charges).
SOUTH KOREA
Purpose: VISA Application with Embassy of ____________________________________________________________
Address: MCKINLEY TOWN CENTER, 122 UPPER MCKINLEY HL, FORT BONIFACIO, TAGUIG, 1634
METRO MANILA

Requirement of Securities and Exchange Commission for ________________________________________


Address: __________________________________________________________________________________

Others ____________________________________________________________________________________

To be posted in the Bank Certification Verification System (BCVS): Yes No

The Client undertakes to indemnify and hold the Bank free and harmless from any liability, loss or damage that the Bank may suffer,
and expenses it may incur, in connection with the issuance and use of the said Certification.

Further, the Client hereby (1) waives the provisions of the Republic Act No. 1405 (Law on Secrecy of Bank Deposits) Republic Act No.
6426 (Foreign Currency Deposit Act of the Philippines), Republic Act No. 8791 (The General Banking Law of 2000), and all other laws,
rules and regulations governing the confidentiality of accounts, funds or properties with Banks, now effective or may, after the
execution of this Certification Request Slip, become effective, (2) authorizes the Bank to disclose and/or submit any and all
information/records regarding Client’s bank deposits/placements and/or remittance/s received indicated above to the institution/s to
whom the Certificate is submitted in the event that the said institution/s seek/s confirmation of its contents, and (3) holds the Bank free
and harmless from any and all liabilities in connection with the said disclosure and/or submission.

In connection with the Certification on the Client’s bank deposits/placements which will be posted in the BCVS, the Client further
declares and certifies that:

• The Client knows, understands and consents to the terms and conditions, as well as the procedure and guidelines, governing the
use of the BCVS.

• The Client authorizes the Bank to post the Certification relative to Client’s bank deposits/placements in the BCVS and undertake to
free and exempt, hold harmless from, indemnify against, and reimburse or pay the Bank for any liability, loss or damage that it may
suffer, and expenses it may incur, in connection with the said Certification posted in the BCVS.

• The Client knows and understands that the Certification posted in the BCVS containing information relative to Client’s bank
deposits/placements may be accessed by the Embassy identified above, the designated System Operator of the BCVS, and other
entities/persons/offices who may have access to the BCVS under the terms and conditions, as well as the procedure and
guidelines, governing the use of the BCVS.

• In case of any investigation in connection with the Certification on Client’s bank deposits/placements posted in the BCVS, the
Client authorizes the Bank to disclose and/or submit any and all information/records relative to Client’s bank deposits/placements
to any person, entity, office, bureau, agency, court or tribunal conducting the investigation, and the Client holds the Bank free and
harmless from any and all liabilities in connection with the said disclosure.

AMINODING B. BENITO
______________________________
Client’s Printed Name and Signature

Verified by: Reviewed/Approved by:

MB-I-M-148-t/July ‘14
RECEIVED BY:

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