• I/We hereby declare that we are not insolvent nor placed under receivership and do not have any litigation case pending or threatened against us for any debt due.
• I/We further declare that the information given in this “Know Your Customer” form is true and correct and I/we have not withheld any material facts or information from you. I/We further authorize you to verify the information given from any source and in such manner as you shall deem fit.
• I/We represent and warrant that my/our funds do not originate from, nor will they be routed through, an account maintained at a foreign shell bank (refers to a foreign bank without physical presence in any country).
• I/We warrant that all copies of documents submitted to PG Asia Investment Bank Ltd (“the Bank”) are true copies and belong to the Bank absolutely.
• I/We agree to promptly provide any information or representations deemed necessary by the Bank for verification, in its sole discretion, to comply with its anti-money laundering regulations and related responsibilities from time to time.
• I/We acknowledge that in the event of delay or failure to produce any information or representations required by the Bank for verification purposes, the Bank may take the necessary actions as in its sole discretion deem necessary.
• I/We undertake to keep the Bank informed of any changes in my/our particulars given in this form.
• I/We confirm that the Bank may at any time and without liability to me/us, disclose any information relating to me/us or any of my/our accounts which I /we may have with the Bank, to any third party as it may deem fit at its absolute discretion if compelled by law, there is a duty to the public to disclose, interest of the Bank require disclosure and disclosure is made with customer’s express or implied consent. DECLARATION KYC Form V3 2019 Licensed Labuan Investment Bank (Registration No. LL08568 Licence No.120111BI)
• The Bank is hereby irrevocably and unconditionally authorized to disclose any information or particulars given by me/us herein to any person(s) in or out of Malaysia and for such purpose(s) as the Bank deems fit, proper or necessary at any time.
• By Agreeing below, I/ We confirm that I/ We am/ are authorised to sign the “Know Your Customer” form for and on behalf of the applicant.
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