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IREMIT USE ONLY Date (petsa): REMITTER INFORMATION FORM To be accomplished by All New Remitter Beneficial Owner (Remitter) - the natural person/s who ultimately owns or controls a customer and/or the person on whose beh
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Document Date: 2009-01-29 22:22:37


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Company

Name Occupation Address Director Shareholder Percentage / I-Remit Inc. / Remitter Beneficial / iRemit / Name / /

Country

Philippines / /

IndustryTerm

real estate / security infrastructure / accredited bank / e.g. insurance / /

Organization

Principal Officers Authority / Registered / Foreign Office / Continuing Authority / /

Position

yyyy ALIEN REGISTRATION CARD COMPANY ID DRIVER / Ownership Address Director / Teller / Processing Officer / Officer / Director Shareholder Percentage / Direct Supervisor / /

Technology

cellular telephone / /

SocialTag