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Special sub-account Registry
Bank Secrecy revelation proxy form for the special deposit sub-account
lBasic circular No 166)
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Internal Reference Number
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Name
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Mother's name
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Date of Birth
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Place
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I, the undersigned,
In accordance with BDL basic circular No. 1 66 dated 21212024, I hereby waive the
banking secrecy on my "special subaccount" held at the aforesaid bank solely in favor of the Banque du Liban and the Bankins Control Commission.
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