DNFBPs - Institutional SEPT '2022
DNFBPs - Institutional SEPT '2022
DNFBPs - Institutional SEPT '2022
YES NO
1. Are you a jewelry dealer, dealer in precious metals, or dealer in precious stones?
2. Are you a Company Service Provider (CSP)1, which as a business, provides any of the
following services to third parties?
a. Acting as a formation agent of juridical persons;
b. Acting as (or arranging for another person to act as) a director or corporate secretary of a
company, a partner of a partnership, or a similar position in relation to other juridical persons;
c. Providing a registered office, business address or accommodation, correspondence or
administrative address for a company, a partnership or any other legal person or
arrangement;
d. Acting as (or arranging for another person to act as) a nominee shareholder for another
person;
3. Are you a person (e.g., law firm and accounting firm), who provides any of the following
services?
a. Managing of client money, securities or other assets;
b. Managing of bank, savings or securities accounts;
c. Organizing of contributions for the creation, operation or management of companies;
d. Creating, operating or managing juridical persons or arrangements, and buying and selling
business entities.
4. Are you engaged in the casino business (includes internet-based casino and ship-based casino)?
5. Are you a Real Estate Developer?
6. Are you an Offshore Gaming Operator (OGO) or Offshore Gaming Operator Service Provider
(OGO-SP) supervised, accredited or regulated by the Philippine Amusement and Gaming
Corporation (PAGCOR) or any Appropriate Government Agency (AGA)?
I hereby certify that I have read and understood this declaration; the answers provided are accurate, and true to the
best of my knowledge, and I shall immediately notify the Bank in writing of any changes thereto.
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(Signature Over Printed Name*/Date)
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(Signature Over Printed Name*/Date)
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(Signature Over Printed Name*/Date)
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(Signature Over Printed Name*/Date)
*Signatory should be the authorized signatory/ies of the corporate/juridical entity client based on the Secretary’s Certificate/Board Resolution submitted
1
Company Service Provider” (CSP) refers to a person engaged in the business of providing above services (Items 2.a-d)
for customers who need to perform or offer a service or activity, but are not capable of doing or do not want to do so directly
due to financial or operational reasons, or business judgment.