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The Patriot Act, which amends the Bank Secrecy Act (BSA), was adopted in response to the September 11, 2001 terrorist attacks. The Patriot Act is intended to strengthen U. S. measures to prevent, detect, and prosecute international money laundering and the financing of terrorism. These efforts include anti-money laundering (AML) tools that impact the banking, financial, and investment communities.

Palak Diam is in full compliance with the requirements of the AML program within the scope of the USA Patriot Act, BSA, and other regulatory requirements. As part of our program, we are providing you with certain information to assist you in your efforts in administering your own anti-money laundering program and to establish our identification.

The USA PATRIOT Act was passed by congress in the aftermath of September 11. The Act provides federal authorities greater authority to monitor and record communications, either for law enforcement and foreign intelligence purposes. Anti-money laundering tools are included in the act, providing the officials with regulatory power to better fight terrorism and prevent the illegal transfer of funds globally. Palak Diam, Inc. is in full compliance with the Anti-Money Laundering tools along with the other regulations as part of the Patriot Act. In accordance with the Patriot Act and our operating program, we kindly request that you provide to us assurances in writing that your business is fully in compliance with the Anti-Money Laundering Program within the scope of the U. S. Patriot Act, BSA, and other regulatory requirements.

Business Information :

Palak Diam, Inc.
550 South Hill Street
Suite 880
Los Angeles, CA 90013
Office: +1-213-228-0077
Resale #:

Banking Information :

Citibank, N.A.
Rockefeller Plaza Branch
1 Rockefeller Plaza
New York, NY 10020
United States of America
Office: +1-212-765-3315

Please fill out all of the accompanying identifying information requested on this form. We appreciate your cooperation in making the world a safer and better place.

* Company Name : * Company Tax ID No. :
* Trade Name : * Company Resale # :
* Director / Owner : * Bank Name :
* Address : * Bank Address :
* Phone :    
Is this company AML (Anti-Money Laundering) compliant pursuant to the USA PATRIOT ACT? YES NO

I confirm that the above details are true & correct, I confirm that I have provided/will provide all required documentation, I undertake to provide any changes to the aforesaid details, and I confirm that I have disclosed all relevant information.

* Name : * Signature :
* Title : * Date :