ART DEPOSIT Storytelling Pieces "*" indicates required fields Step 1 of 7 14% Email* Information Collection AgreementLovekat Jewelry Shop is a legal business entity in the Philippines and a registered Covered Business under The Philippines’ Financial Intelligence Unit, AMLC (Anti-Money Laundering Council). In accordance with Section 7(7) of Republic Act No. 9160, otherwise known as the “Anti-Money Laundering Act of 2001”, as amended (AMLA), the following rules and regulations, (involving our clients), are hereby promulgated. “Rule 18 - Customer Due Diligence Section 3.4” In compliance, Lovekat Jewelry Shop needs to secure the following additional information from its client/s for purposes of record keeping and AMLC reporting only: Name Date and place of birth Present and Permanent address Contact number Nationality Proof of Identification (Government issued ID) Nature of work (Name of employer / Nature of Self-employment/business) Rest assured that this pre-requisite is supported, aligned, and will be implemented under RA 10173, the Philippines’ Data Privacy Act of 2012.Information Collection Agreement* I agree I disagree Bride's Information SheetFull Name*(Last name, First name, Middle name)Date of Birth* DD slash MM slash YYYY Complete Present Address*House #/Building, Street Address, City, Region, Country, Country codeComplete Permanent Address*House #/Building, Street Address, City, Region, Country, Country code (please indicate if same as present address)Mobile Number*Sample Format: country code + mobile number (+639171585683)Email Address* Instagram Username*Nationality* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of Employer / Company / Business*Company Address*House #/Building, Street Address, City, Region, Country, Country code (please indicate if same as present address)Preferred Messaging Platform* Viber Whatsapp Telegram Email Other Other Preferred Messaging Platform* Groom's Information SheetFull Name*(Last name, First name, Middle name)Date of Birth* DD slash MM slash YYYY Complete Present Address*House #/Building, Street Address, City, Region, Country, Country codeComplete Permanent Address*House #/Building, Street Address, City, Region, Country, Country code (please indicate if same as present address)Mobile Number*Sample Format: country code + mobile number (+639171585683)Email Address* Instagram Username*Nationality* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of Employer / Company / Business*Company Address*House #/Building, Street Address, City, Region, Country, Country code (please indicate if same as present address)Preferred Messaging Platform* Viber Whatsapp Telegram Email Other Other Preferred Messaging Platform* ID of Bride and GroomGovernment Issued IDs* Upload File Send via Email Bride's Government Issued ID*Accepted file types: jpg, png, pdf, Max. file size: 2 MB. Groom's Government Issued ID*Accepted file types: jpg, png, pdf, Max. file size: 2 MB. Wedding DetailsWedding Date* DD slash MM slash YYYY Pick-up Date* DD slash MM slash YYYY Wedding Location*Bride's Ring Size*33.544.555.566.577.588.599.51010.51111.51212.513I'd like to have my ring size measured (schedule a meet up)I'd like to use LKJ printable ring sizer (to be sent via e-mail)Groom's Ring Size*33.544.555.566.577.588.599.51010.51111.51212.513I'd like to have my ring size measured (schedule a meet up)I'd like to use LKJ printable ring sizer (to be sent via e-mail) How did you learn about Love, Kat and Jay JewelryHow did you learn about us?* Instagram sponsored post Instagram search Facebook sponsored post Facebook search Post from family/friend Bride & Breakfast Search engine (Google, Yahoo, etc.) Referred by a friend Referred by family Events: Wedding or Jewelry Fair Other Other source about LKJ*Were you already looking for a custom jewelry supplier when you found us?* Yes No To our Co-creator/sUpon submitting this form, you are permitting Love, Kat and Jay Jewelry to see your basic contact information. Rest assured that we strictly abide by the provisions, rules, and regulations of Republic Act 10173 or the Data Privacy Act of 2012. Furthermore, please send us an advice via our Viber/Whatsapp/Messenger group chat once accomplished. Should you have any concerns or questions, you may reach us through the following: +639171585683 cocreator@lovekatandjay.com Thank you so much!
