• Author / Uploaded
• Daniel Toro

Citation preview

Daniel Fernando Toro Agudelo

CLIENT INFORMATION SHEET FOR PAYMASTER SERVICES Date: July 11/2017 In accordance with Articles 2 and 5 of the due diligence and federal banking commission circular of December 1999, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the following information may be supplied to banks and to financial institutions for purposes of verification of identity and activities of the investing member, and the nature and origin of the funds which are to be utilized. Client Full Name

DANIEL FERNANDO TORO AGUDELO

Nationality

COLOMBIANO

Passport Number

AQ 837919

Issued By

GOBERNACION DEL VALLE, COLOMBIA

Issue Date

16 DE ABRIL DE 2015

Expiration Date

15 DE ABRIL DE 2025

Date of Birth

26 DE ENERO DE 1988

Place of Birth

SANTIAGO DE CALI

Address

CALLE 11 57-42 B/ SANTA ANITA

E mail

[email protected]

Skype

DANIEL_TORO_126

Business Telephone

+57 313 572 8568

CLASSIFIED AND CONFIDENTIAL Initial:

Page 1 of 5

Daniel Fernando Toro Agudelo

BANKING COORDINATES Origin Of Funds Are Funds Free and Clear

YES

Brief Corporate Activity Facilitator and/or Intermediary for transactions between groups and/or Buyers and Sellers of: Gold, Coltán, Coal Commodities/Banking Instruments/Bonds/Currency Exchange

Facilitator Business Advisory

BANK NAME

DAVIVIENDA

SWIFT CODE

CAFECOBB

A/C NUMBER

Ahorros

BANK ACCOUNT NAME

DANIEL FERNANDO TORO AGUDELO

018070075249

I hereby swear under penalty of perjury that the information given above is accurate and true. Any information, work or service conducted hereunder is that of a private placement transaction that is exempt from the Securities Act and not intended for the general public but for Private Use Only.

CLASSIFIED AND CONFIDENTIAL Initial:

Page 2 of 5

Daniel Fernando Toro Agudelo

COPY OF BENEFICIARY NATIONAL IDENTIFICATION

CLASSIFIED AND CONFIDENTIAL Initial:

Page 3 of 5

Daniel Fernando Toro Agudelo

COPY OF BENEFICIARY PASSPORT.

CLASSIFIED AND CONFIDENTIAL Initial:

Page 4 of 5

Daniel Fernando Toro Agudelo

CLASSIFIED AND CONFIDENTIAL Initial:

Page 5 of 5