Account Number:
I, , the undersigned (also, known as ‘The Client’), do solemnly and sincerely declare
that I am a resident of ( Country), and that the address provided below is
the main location for the receipt of all official and governmental documentation pertaining to my residence
(compulsory documentation: utility bills, bank/financial statements, and the likes).
CLIENT CONTACT DETAILS
Client’s Name
Client’s Address
Client’s Email
Signature Date
THIRD PARTY DECLARATION
I, ,the undersigned (also known as “Third Party”), do solemnly and sincerely
declare that the address stated above is the official postal address belonging to
(Client’s Name), and that this address is the main location for receipt of all official and governmental
documentation pertaining to his/her residence.
Third party official name and title
Client’s Name
Third party signature: Signature Date
In case, you require additional information or assistance, feel free to contact our customer support at
compliance@binarybook.com
Yours Truly,
THIRD PARTY DECLARATION
The information contained in this email is intended for the person