AML, IDENTIFICATION VERIFICATION FORM (IVF)

All the fields of this form must be filled up completely and accurately

Exchange House/ Agent Name: _____________________________________________

Transaction Number: ____________________________

Transaction(s) amount USD 9,000 and above (including fees) in one (1) day

Please submit clean and clear copy of Valid ID of the Sender with this IVF form
Senders full name: __________________________________________________
ID Type: __________________________ ID Number: ______________________
DD /______
ID Expiry Date: _____ MM / ______
YYYY MM / ______
DD / ______
Date of Birth: _____ YYYY

Nationality: ___________________________
Occupation: __________________________
Employer Name: _____________________________________________
Source of Funds*: ____________________________________________
* Please submit any one document (as the case may be): Latest Salary Slip, Bank Statement of last three months,
Loan Documents, Wire transfer receipt if payment is made online, Any other income/earning proof or statement.
Relationship with Receiver: _____________________ Purpose of Transaction: _____________________
Senders Tel No: _______________________________ or Mobile No: _____________________________
Receivers Tel No: ______________________________ or Mobile No: _____________________________

I do hereby confirm that all information provided above is true and correct, source of funds are legal and the
remittance is not sent for financing of any terrorist activity or money laundering.

_________________
Signature of Sender

I/we have examined the Photo ID of the Sender and certify that the sender information recorded above matches with
the information in the ID presented to me/us.

__________________
Signature of Cashier

Cashier Name: ____________________________

Note to the Cashier:

Please email this form duly signed by the sender as well as cashier to TRANSFAST compliance department at complianceA@transfat.com