PAKISTAN CURRENCY EXCHANGE CO PVT LTD

We understand our

customer needs

Know your Customer (KYC)/Due Diligence

Form
(Please fill this form in capital letters)

(To be filled by officials)

Branch Name: ____________________

Date __________________

Transaction Type: _____________________

Loyalty card holder Yes/No_______

Type of Customer (tick option)

| Regular|

|New customer|

|Referral|

Identity details
(To be filled by customer)
This form is meant and adopted to obtain information/documents to establish the identity of customer, as required
by laws of SBP for Money Exchanges/ transfers/remittance.
Customer Name (Mr/Mrs/Ms) _________________

CNIC Number _|__|__|__|__|__|__|__|__|__|__|__|__|__|

Fathers /Guardian Name ___________________

Passport No

Permanent Address________________________________

Landline/Mobile ________________________

___________________________________________________

Occupation/Business details _____________________

Business Address ___________________________________ Tel. (off) _______________

Nationality ____________________

Date of Birth _____________

Email _________________________

Sources of Funds
Please specify source of your funds
Salary income

Business Income

Family Business

Inheritance

Home remittance

other _________________

Purpose of Transaction:
Personal

Student fee

Family maintenance

Family support

Medical/treatment

Other_______________

Business/Trade relate ________________________

Transactions per day/month/Year

No of Txns _________________

Amount (Rs.) __________________

Risk profile
Political exposed Person

High profile person

Other (please specify) _____________

Clients risk category
Low

Moderate

High

Verification held by officer:

Satisfactory

Unsatisfactory

Additional Remarks: (If any)

_____________________________________________________

Customers Verification medium:

Face to Face interview

Telephonic

HO to branch (interview)

____________________________
Verifier signature
If require --List of documents to be attached for individuals:
1- CNIC copy/Passport/Alien registration card are acceptable.
2- Occupation details ( in case of Enhanced -DD).
3- Letter of explanation

Letter/Email