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FATCA SELF-DECLARATION FORM - INDIVIDUALS - …

Ver 2NE06 FRM0501 FATCA SELF-DECLARATION form - INDIVIDUALS - DateDDMMYYYY CIF Number Customer Name (as in the passport)( ) For the purposes of the Foreign Account Tax Compliance Act ( FATCA ) all INDIVIDUALS opening bank accounts must certify as to whether they are or non note that as part of our account onboarding procedures, we will review other documentation provided by you or documentation which is publicly available and may seek further information from you on the FATCA classification you have selected below.

I understand that Emirates NBD may be required to make disclosures in relation to the information contained herein to appropriate government authorities and/or other regulatory authorities locally/internationally, and vide this document. I irrevocably permit Emirates NBD to make such disclosures to any such authorities without ...

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