INDEPENDENT FINANCIAL SUIVELLANCE AGENCY BUREAU VERIFICATION PROTOCOL DEPARTMENT COMMON WEALTH SECRETARAIT BUILDING LONDON.UNITED KINGDOM
DIRECT ACCESS TEL :44-7031-946590.FAX:-704-0110353.DIRECT E-mail ACCESS: Our Ref.:FISABRG/CWN/0567/XXL Your Ref.:....................
Date:27:6:05
FUN DS OWN ER SH IP D ECLA RAT IO N FORM (FO DF5) RECONFIRM FULL NAMES: RECONFIRM ADDRESS: RECONFIRM COMPANY NAME/ADDRESS: RECONFIRM DIRECT TELEPHONE/FAX NUMBERS: RECONFIRM BANK/DETAILS (optional): RECONFIRM FUNDS TOTAL: RECONFIRM HOLDING FINANCIAL ORGANISATION: RECONFIRM FUNDS RELEASE SERIAL NUMBER: RECONFIRM FUNDS SECURITY CODE NUMBER: Send attached First Page of International Passport/Drivers license for Mandatory Verification. The above provided information is a Declaration of my true Particulars in relation to the issuance of the International Statutory Funds Release Yellow Detail (I.S.F.R.Y.D). All Governmental/International Financial Agencies should treat this information as same.
…………………………………………………………………… BENEFICIARY SIGNATURE/DATE/STAMP *OFFICIAL NOTIFICATION* NOTE THAT ALL INFORMATION PROVIDED ABOVE ARE PROTECTED BY THE COMMON WEALTH FINANCIAL INTELLIGENECE PROTECTION CONTROL RIGHTS ACTS AND USED FOR NO OTHER PURPOSE BUT AUTHENTIFICATION OF CLAIMS TO OWNERSHIP RIGHTS OF FUNDS BELONGING TO FUNDS BENEFICIARIES