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Remittance Application Form - pnb.com.ph

A Remittance Subsidiary of the Philippine National Bank Remittance Application FORM Remitter s Information Complete Name: Date: Complete Address: Postal Code: Tel. No/s: E-mail Address Birth Date (mm/dd/yy) Identification Driver s License Passport Citizenship Permanent Card Others_____ ID No: Expiry Date (mm/dd/yy) Issuing Authority: Occupation: Employer Name/Address: : Recipient s Information Check box if recipient is same as the remitter. If different, pls. indicate details below. Complete Name: Relationship to Sender: Complete Address: Tel. No/s: Mobile No: Remittance Instruction (check one that applies) Credit to PNB Account or GFMC (indicate acct. no or GFMC no.)

A Remittance Subsidiary of the Philippine National Bank REMITTANCE APPLICATION FORM Remitter’s Information Complete Name: Date: Complete Address:

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