CUSTOMER INFORMATION FILE

PERSONAL INFORMATION
Name
Last NameGiven NameMiddle Name Nick Name
Present Home Address
No. StreetDistrictCityProvinceZIP Code / Home Telephone No/s
Permanent Home Address
No. StreetDistrictCityProvinceZIP Code / Home Telephone No/s
Date of Birth
Month Day Year / Place of Birth / E-mail Address / Mobile Phone No
Gender
Male Female / Nationality
Filipino ______/ Civil Status
Single Married Widowed Separated / Mother’s Maiden Name
Religion / Highest Educational Attainment
High School Undergraduate College Post Graduate Others ______
WORK INFORMATION (For sole-proprietorship, kindly fill up a separate customer information file for your business)
Employment Status
Employed Self-employed
Retired Others ______/ Employer Name
Work Address
Floor Department BuildingStreet City ProvinceZIP Code / Work Telephone No/s
Fax No/s / E-mail Address / Job/Title Position / TIN
Yrs in Work / SSS/GSIS / Nature of Business / Gross Monthly Income
SPOUSE INFORMATION (If Applicable)
Name
Last NameGiven NameMiddle Name Nick Name
Employment Status
Employed Self-employed
Retired Others ______/ Employer/Business Name
Work/Business Address
Floor DepartmentBuilding No. Street City/ProvinceIP Code / Work Telephone No/s
Mobile Phone No / E-mail Address / Job/Title Position / TIN
SSS/GSIS / Yrs in work / No of Dependents / Date of Birth
Month Day Year / Place of Birth / Gross Monthly Income
OTHER INFORMATION
Bank Statement Disposition
 Mail to my  Present  Permanent  Office address
 Pick up; If unclaimed after 30 days,
 Mail to my  Present  Permanent  Office
 Please dispose of appropriately
 Fax via Tellerphone / Do you know anybody from China Bank?  Yes  No
If Yes, what is your relationship?
 Parent  Brother/Sister Relative
 Friend  Others ______
Name of the Person ______

I hereby certify that the above information are true, correct, accurate and complete. I understand that any false statement/information/invalid documents herein may be a ground for disapproval or immediate closure by the Bank of my account/s. Ie hereby agree to be governed by the terms and conditions set forth by the Bank as well as the Bangko Sentral ng Pilipinas and the Bankers Association of the Philippines relative to the opening and operation of my accounts(s)/investment(s).

______

Client’s Signature Date

For Bank’s Use Only
ID/s Presented
 (A) Driver’s License  (D) School/Company ID  Birth Certificate PRC ID Credit Card with photo
 (B) Passport  NBI Clearance  Marriage Contract Postal ID  ACR: No ______
Introduced by/Date / Interviewed by/Date / Approved by/Date