Vous êtes sur la page 1sur 3

it,

'
*'" n
i_/
rll
t
I
o
Republic of the Phiiip,pines Ilead Oltrce:
Department of Finance P. O. Box 3589 Manila

INSI.'RANC E C OMIVIISSION FN(No.522-l+34


107 1 United Nations Avenue Tel. Nos. i23-B4{,ltoTO
Manila E-mail : oic@i-manila.com.ph

I
I

Circular Letter No. 14-2004


it

To All Insurance Companies and Intermediaries

Subject Know Your Customer (KYC) Forms

In accordance with the Anti-Money Laundering Act of 2001, as amended, and [C


Circular Letter No. 4-2004, the attached KYC Forms are hereby prescribed to record the
minimum information on clients/assureds required under the law.

Allinsurance companies and intermediaries shall see to it that no insurance policy


l- shall be issued without the appropriate KYC form d-uly filled up.
ln
I
t
For strict compliance.

:
.//.,
EDUARDO T. MALINIS
" Officer-ln-Charge
I

July 13,2004 : ffiEz " JUL

!
'(rt
n
$
f.i o

E
rl
z
D] (D F 73 EU r=t
o a oa
h=. EJ !r, =
D' (D u2
a .)
tD o o E'!ij
o
tr
a
l, |u dE'
=a tDaI
g (l
FU i oD) v= E
te
o 3 o Fl
(D
EE EU 4 r.! De
t5
a E .) .) D'l;i=
tD F tr0 IXc> ls
.) (D
=vt! I'r
z N
(D
rl
to
!9
O l\\
Fl
o =E
g,a Dl
.J
S. lo
!:g Fl.+
rD=
A' o
i AJ
E
lo
o
i-" o l5
,15
a
I
I
o
a. o
o
Fl
O
'l
o
o (Dr
:.N

'+
IE
l.r
o o i ? t
-H
Fl. ,,i.
a o
!D o ",,? tX
=
I
9
o (D o
a
rl la,
oq
t, F
D'
rl
!9 (D
tr
rn o ?
t.J E
E \o =.
oe
o\
()
Fl.
o
Ft
(, (D

?,
o
D] lt?
!) r> F
5' !9 av

H
(D
vh

I o o
F
!9
tal

a Fl Ej
t! o
z z o
z
o
z
!, o
r!

H
? o

z a z !9z
gz z
a
ro F)
ZFJ
Ai l-( OEiFr
!e tD
rl Os'E
,'l
'o
*
a
rl
o (D Fl
oA
\\
(D
(,
o EEa
G
a (D

oa
D' -
I

t, ID
=-B
f
(D G-9
hrA
ooe
I
Yr. o
(!
E o (h

i.,
L'l ,
g\\
'ri
o-a
rr (,
Cn

Fl
za
tDa_

l.
E'
rJ
f)iA) o o o 3A(D
Zrlrr
PL
.)
ID
rl
o o
F-
O Fl
O
t) o=u
I o I
ici
,:.
O(e(D o
O
o ?ii
a ..[r 'a$l-

o ;-.o
!)
or
ErL

);
EJ

w a+ i.
,.
o J
te U)
=
o
ts
tD (D (D
a
lt)
F
D'
E
A
o
Et
-.1.
E
0e

o
F}

E
'?
It
F
v

E lei
O ir,
tD (D'1

FJ
o
o

(D

z a
G
X

Vous aimerez peut-être aussi