CUSTOMER UPDATE FORM
1. PLACE AN “X” MARK ON THE BOX PROVIDED FOR THE INFORMATION
YOU WISH TO UPDATE. OTHERWISE EXISTING INFORMATION WILL
DATE NOT BE CHANGED.
M M DD YYYY 2. PLEASE PRINT ALL INFORMATION AND PROVIDE SPACE IF NEEDED.
3. PLEASE INFORM THE BANK FOR ANY CHANGES IMMEDIATELY.
Full Name
Last Name
First Name
Middle Name
For Bank Use Only
Date of Birth
M M DD YYYY
Customer ID No.
Present Address Permanent Address
Number/ Barangay/
Street Subdivision
City/ Province/
Municipality State
Country Zip Code Years of Residence
Contact Information
Telephone Mobile
Number Number
Country code Area code Country code Network code
E-Mail Address Other Social Media Account (e.g. Facebook, Twitter etc.)
Employer Information
Employer Name / Business Name Profession or Nature of Business / Position (if applicable)
Employer / Business Address
Number/ Barangay/
Street Subdivision
City/ Province/
Municipality State
Country Zip Code
Employer’s Contact Information
Telephone
Number E-Mail Address
Country code Area code
Source of Funds Allotment Information
Average Monthly Amount
Remitter’s Name Relationship
1)
2)
3)
Valid ID
Driver’s License Passport Others (pls. specify)
ID Number ID Expiry Date
M M DD YYYY
No Change in Customer Information
Customer's Agreement
By signing this form, I certify and affirm that the information given above and in related documents is true, accurate and complete. For this purpose, I authorize PNB to
verify the truthfulness, accuracy and completeness of said information.
I acknowledge to have read, understood, agreed and received the Terms and Conditions Governing the Opening and Maintenance of Accounts, including those on Data
Privacy which can be accessed in PNB’s website www.pnb.com.ph as well as other terms and conditions governing deposit products, services and/or facilities that I
availed or will avail in the future; and
Acknowledge that the terms and conditions referred to above may be amended from time to time.
Signature Over Printed Name Date
For Bank Use Only
Maintenance Processed By: CWS Validated & Signature Authenticated By: Maintenance Approved By:
Signature Over Printed Name / Date Signature Over Printed Name / Date Signature Over Printed Name / Date
Form No. NA018.2 Aug. ‘21