CLIENT INFORMATION SHEET
Personal Information of Principal Signatory :
First Name: ELLEN
Middle Name: LIM
Last Name: LO ONG
Gender: Female
Date of Birth: January 13, 1954
Citizenship: Filipino
Languages: English
Passport Number: P1674316B
Date of Issue: 17 Apr 2019
Date of Expiry: 16 Apr 2029
Issuing Authority: DFA Manila
Address: No 44 Kapiligan Sl. Araneta Village, Quezon City, Philippines
Bank Information
Bank Name: East West Bank
Street Address: The Beaufort, 5th Ave. cor. 23rd St. BGC, Philippines
Account Name: ELLEN LIM LO ONG
Account Number: 2000-62900406
SWIFT Code: EWBCPHMMXXX
Account Signatory (1): ELLEN LIM LO ONG
Account Signatory (2): N/A
Bank Officer # 1 Name: Elenor Del Mundo
Bank Officer # 2 Name: N/A
Telephone Number: N/A
E-mail: [email protected]
Card Information
Issue bank: East West Bank
Type: Visa Debit Card
Card Number: 4375 0701 1530 6989
Name on Card: Ellen L Loong
Expiration: 04/31
CVV: (To be provided)
DEBIT CARD (FRONT AND BANK)
PASSPORT