Implementation Guidance Ep 200 Ig 2 - Anti-Money Laundering And Countering The Financing Of Terrorism - Institute Of Singapore Chartered Accountants Page 9

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EP 200 IG 2
CLIENT INFORMATION FORM
(INDIVIDUAL)
2
Declaration by Client or Person Acting on Behalf of Client
I declare that the information provided in this form is true and correct. I am aware that I may be subject to
prosecution and criminal sanctions under written law if I am found to have made any false statement
which I know to be false or which I do not believe to be true, or if I have intentionally suppressed any
material fact.
Signature:
Name of client / person
acting on behalf of client:
Relationship with client if
signed by a person acting on
behalf:
Date:
2
The person may be an agent (individual or entity) appointed by the client to act on his behalf.
9

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