Strictly no erasures.
1228281434
G/F Unit EC-05B East Tower Philippine Stock Exchange Centre Exchange Road, Ortigas Center, Pasig City 1605, Philippines Tel No. (632)687-5071; Fax No. (632)687-3738
Individual Account
Last Name Address
CUSTOMER ACCOUNT INFORMATION FORM
First Name
[Link]
TM
Villavicencio Tierra Alta, Taal, Batangas villavicenciomjay@[Link] 2/12/1992 Single
Jayson
Middle Name
Moreto
Email Address Birth Date
Telephone Number
N/A
Mobile Number Country Gender
09062819877 Philippines Male
Birth Place Nationality Username
Tierra Alta, Taal, Batangas Filipino
Civil Status TIN
jayson27
I confirm that the above information given is true and correct. Accord Capital Equities Corp. is hereby authorized to verify the same from whatever sources it may consider appropriate. Any misrepresentation made on the submitted documents is sufficient ground for legal action against me and the rejection of this application. Should this application be denied, Accord Capital Equities Corp. has no obligation on its part to furnish the reason for such rejection.
Jayson Moreto Villavicencio
Signature Over Printed Name
IMPORTANT REMINDERS: 1.) Please bring any identification cards: Primary ID (any one (1) of the ff:) Passport PRC SSS (new) Drivers License TIN (new) GSIS card (new) Secondary ID (any two (2) of the ff:) Senior Citizen Card Company ID Credit Card SSS/TIN (old) ATM Card Foreign Drivers License ACR (Alien Certificate Registration)
Date
2.) Payment modes available: Cash Check (please make it payable to Accord Capital)
For ACEC use only
Received and verified by
Do not write below this line
Salesman Approver
Signature Over Printed Name
Signature Over Printed Name
Processed by
Initial deposit verified by
Signature Over Printed Name
Authorized by
Signature Over Printed Name
Signature Over Printed Name
Date
2011 [Link] An online trading division of Accord Capital Equities Corp. All rights Reserved. Member: Philippine Stock Exchange
Strictly no erasures. Write application code here
G/F Unit EC-05B East Tower Philippine Stock Exchange Centre Exchange Road, Ortigas Center, Pasig City 1605, Philippines Tel No. (632)687-5071; Fax No. (632)687-3738
Individual Account
Residential Address Occupation Business Address Account Name
CUSTOMER ACCOUNT INFORMATION FORM
[Link]
TM
Employer
Business Telephone Number
Bank and Branch
Bank Account Number
Identification documents (any of the following with picture): Drivers License Passport TIN ID Others
Settlement Instructions
Registry of Certificates: In Street In Clients Name Note: All securities purchased by non-Metro Manila clients shall be registered in street name. Account Type: Investment Objective: Annual Income Cash Speculation Assets Yes No Discretionary Long-term Margin Growth Networth Preservation of Capital
Are you an officer of a public listed company? Do you have an account with another broker? If yes, state the name of the broker.
If yes, state the name of the company and your position. Yes No
For ACEC use only
Commission Rate: 0.25%
Do not write below this line
Received and verified by:
Salesman Approver:
Signature Over Printed Name
Signature Over Printed Name
Processed by:
Initial deposit verified by:
Signature Over Printed Name
Authorized by:
Signature Over Printed Name
Signature Over Printed Name
Date
2011 [Link] An online trading division of Accord Capital Equities Corp. All rights Reserved. Member: Philippine Stock Exchange
Accord Capital Equities Corporation
[Link]
Last Name
Write application code here
TM
Individual Account Jayson
First Name
Villavicencio Tierra Alta, Taal, Batangas
Address
Moreto
Middle Name
N/A
Telephone Number
09062819877
Mobile Number TIN Specimen Signature for Applicant (please sign twice)
1.) 1.)
2.) 2.)
Verified by:
Signature Over Printed Name
Date
2011 [Link] An online trading division of Accord Capital Equities Corp. All rights Reserved. Member: Philippine Stock Exchange
Certi cates will not be issued in your name unless your specimen signature card is on le with the transfer agent of the company. For your own protection and guidance of your transfer agents, please ll out this card and return to Accord Capital Equities Corp., g/f EC-058 Philippine Stock Exchange Center, Exchange Road, Ortigas Center, Pasig City.
Accord Capital Equities Corporation
[Link]
Last Name
Write application code here
TM
Individual Account Jayson
First Name
Villavicencio Tierra Alta, Taal, Batangas
Address
Moreto
Middle Name
N/A
Telephone Number
09062819877
Mobile Number TIN Specimen Signature for Applicant (please sign twice)
1.) 1.)
2.) 2.)
Verified by:
Signature Over Printed Name
Date
2011 [Link] An online trading division of Accord Capital Equities Corp. All rights Reserved. Member: Philippine Stock Exchange
Certi cates will not be issued in your name unless your specimen signature card is on le with the transfer agent of the company. For your own protection and guidance of your transfer agents, please ll out this card and return to Accord Capital Equities Corp., g/f EC-058 Philippine Stock Exchange Center, Exchange Road, Ortigas Center, Pasig City.
