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Client Information Profile - Individuals
Name
Current Physical Address
Address in the US (If you have one)
Date of Birth
Telephone number
Email
Mother’s Maiden name
Country of birth
Social Security Number (If you have one)
Citizenship
Do you have a US Visa
Yes
No
Occupation
How long have you been in that line of business?
Employer’s name
Employer’s Address
Initial Deposit
Amount of money per month: Coming in
Going out
Total number of transactions per month: Coming in
Going out
Additional Information
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