FORM 01
01 FORM CUSTOMER'S REFERENCE DATA CONFIRMATION
DATA REFERENCE CUSTOMER'S CONFIRMATION Bank guarantees the secrecy of information on the Customer/the Holder specified herein in accordance
in of on the the Bank herein Holder secrecy specified information guarantees accordance Customer/the Main
Main with the General Terms and Conditions and the procedures established by appicable laws
by the the and with and laws Terms General appicable Conditions established procedures PERSONAL DETAILS
DETAILS PERSONAL Mr
Mr Mrs
Mrs Ms
Ms Miss
Miss First Name
First Name N H A L
L H A N Middle Initial
Initial Middle Last Name
Last Name Y A L C 1 N
1 C L A Y N Nationality
Nationality T u R K 1 S H
1 T H K S R u City of Birth
of City Birth T A N B U L,
A B T U N L, Birth Date
Birth Date (mm dd yyyy)
dd (mm yyyy) D 4 / 3 / 2 D O T
/ / O D 3 D 4 2 T Social Security Number
Social Security Number b 2 b 2 2 3 7 4t 4
2 2 7 2 b 3 b 4 4t ADDRESSICONTACT DETAILS
DETAILS ADDRESSICONTACT FIXED ADDRESS
FIXED ADDRESS Country
Country S A
S A ZIP code
ZIP code 9 S 3 2 T
3 9 S 2 T State
State C A L T 0 R N ( A
( 0 T R N L A A C City S A N
A N S City J S E
S E J Street
Street 5 A R A T 0 G ST.
T 0 5 G A A R ST. House
House < 5 4 4
5 4 4 < Building
Building Apartment
Apartment Home Phone
Home Phone 4 O 8 6 5 O # 5 2 3
6 # 3 5 5 O 8 4 O 2 Mobile Phone
Mobile Phone 5 6 0 4 4+ 5 9 6 3 O
6 0 6 3 9 O 4 4+ 5 5 PRESENT ADDRESS
PRESENT ADDRESS Country
Country S A
A S ZIP code
ZIP code 9
9 S
S 2
2 T
T State
State C A L f R N A
f A L A R N C City
City A
A N
N 0 S E
0 S E Street
Street w L L A m S S T .
. A S L S T L m w House
House 5 4 < 5
4 5 5 < Building
Building Apartment
Apartment PROFESSIONAL DETAILS
DETAILS PROFESSIONAL Employed
Employed Self-employed
Self-employed Retred
Retred Other
Other Name of Employer or if
if or of Name Employer Self-Employed, Trading Name
Name Trading Self-Employed, A B B u S A
A A S B B u S O FTWARE F W A
A S F W O FTWARE H O us E
O E H us \ N C
\ N C Occupation
Occupation P 0 D U C
0 P U C D 5 u P P 0 RT
P P 0 5 u RT < P E C f p\ L 1 S T
f 1 L P C E < T S p\ Country
Country u S A
A u S ZIP code
ZIP code State
State C A L 1 F 0 R N 1 AA
1 1 C 0 F AA N L A R City
City S
S A
A N 0 S
0 S N Street
Street F R C M O N T
C O T N F R M L V D s
s V L D House
House Building
Building 4 722(
4 722( Apartment
Apartment Work Phone
Work Phone 5
5 O
O 2
2 2.
2. L
L 6
6 4
4 +
+ Mobile Phone
Phone Mobile Gross Annual Income, USD
USD Gross Annual Income, 1 O O D 0
D 0 O O 1 Employment Date
Date Employment (mm dd yyy)
dd (mm yyy) D b / a
/ D a b / 2 0 6
/ 6 0 2 IConfirm the Correctness of the Information above
of the the above IConfirm Information Correctness ndhallalesin
ndhallalesin Stamp
Stamp Document Date
Date Document 6
6 5
5 2
2 9
9 1
1 4
4 1
1 6 7 7 O 7 9
7 O 7 9 7 6 0 / 1 D / 20 07 F
1 / / D 0 F 20 07 (mm ddyyyy)
(mm ddyyyy) (Employer HR Officer Signature)
HR Officer (Employer Signature)