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1. Form Title and Date: Clear identification of the document as an Authorization to Release Bank Information Form with date of execution
2. Account Holder Information: Complete details of the account holder including full name, address, contact information, and valid government-issued ID numbers
3. Bank Information: Details of the bank holding the information, including bank name, branch, and relevant account numbers
4. Authorized Recipient: Complete details of the person or entity authorized to receive the bank information
5. Scope of Authorization: Specific description of what information is authorized to be released (e.g., account balances, transaction history, etc.)
6. Purpose Statement: Clear statement of the purpose for which the information is being released
7. Duration of Authorization: Specific period for which the authorization is valid
8. Data Privacy Notice: Statement acknowledging Data Privacy Act rights and consenting to data processing
9. Authorization Statement: Formal statement of authorization with reference to relevant laws
10. Execution Block: Signature blocks for account holder, witnesses, and bank acknowledgment
1. Joint Account Holder Authorization: Additional authorization section when the account is jointly held
2. Corporate Authorization: Special authorization language and requirements when the account holder is a corporation, including board resolution references
3. Foreign Currency Account Specifications: Additional provisions when the authorization covers foreign currency accounts under R.A. 6426
4. Third Party Authorization: Additional provisions when authorizing a third party agent to receive information
5. Recurring Access Authorization: Special provisions for ongoing or recurring access to bank information
1. List of Specific Accounts: Detailed list of all account numbers and types covered by the authorization
2. Identification Documents: Copies of required identification documents for all parties
3. Corporate Documents: If applicable, board resolutions or corporate authorizations
4. Bank Specific Forms: Any additional bank-specific forms required for processing the authorization
Account Holder
Authorized Recipient
Authorization Period
Bank
Banking Day
Banking Information
Bank Records
Confidential Information
Consent
Data Privacy Act
Disclosure
Financial Records
Government-Issued Identification
Joint Account
Personal Information
Personal Data
Proprietary Information
Release
Representatives
Sensitive Personal Information
Specified Purpose
Term
Third Party
Transaction History
Valid ID
Scope of Disclosure
Data Privacy Consent
Duration
Confidentiality
Purpose of Disclosure
Revocation Rights
Indemnification
Bank's Rights and Obligations
Representations and Warranties
Governing Law
Authentication
Third Party Rights
Liability Limitation
Regulatory Compliance
Information Accuracy
Security Measures
Termination
Notice Requirements
Witness Provisions
Banking & Financial Services
Real Estate
Legal Services
Insurance
Audit & Accounting
Corporate Services
Investment Management
Tax Advisory
Property Development
Mortgage Services
Business Consulting
Government Services
Legal
Compliance
Risk Management
Customer Service
Operations
Credit Administration
Corporate Banking
Retail Banking
Wealth Management
Internal Audit
Document Control
Account Services
Bank Branch Manager
Compliance Officer
Legal Counsel
Account Manager
Financial Advisor
Audit Manager
Risk Officer
Corporate Secretary
Banking Operations Manager
Customer Service Representative
Relationship Manager
Credit Analyst
Financial Controller
Treasury Manager
Due Diligence Officer
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