CIS - KYC Corp. Standard - 2019

[INSERT APPLICANT LETTERHEAD IN HEADER SPACE]
DOCUMENTATION ENCLOSED
*** CORPORATE ENTRY ***
DATE: March 7, 2019

TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
■ UNDERSTANDING THE RULES OF THE ROAD

■ AFFIDAVIT REQUESTING INFORMATION
■ CLIENT INFORMATION SHEET
■ CORPORATE RESOLUTION
■ LETTER OF EXCLUSIVITY
■ LETTER OF INTENT
■ LETTER OF CEASE & DESIST CONFIRMATION
■ SOURCE OF FUNDS AFFIDAVIT
■ LETTER OF NON-SOLICITATION & REQUEST
■ AUTHORIZATION TO VERIFY FUNDS
■ CONFIRMATION OF BANK OFFICER
■ PASSPORT(S)
■ PROOF OF FUNDS
ATTACHMENTS (IF NEEDED)

■ LETTER OF LIAISON AND COMMUNICATIONS AUTHORITY
E-mail, facsimile copies or photocopies of documents or agreements pertaining to this

subject are declared and regarded as valid and equal to the original, provided they are
represented by proper signatories. Originals may be required upon request.
APPLICANT INITIALS ___________ PAGE 1 OF 30

UNDERSTANDING THE RULES OF THE ROAD
None of the customary standards and practices that apply to normal, conventional business,
investing and finance applies to private funding programs. It is a "privilege" to be invited to
participate in a Private Placement Transaction Program, not a "right." The trading administrators
and managers have a virtually endless supply of financially qualified applicants. All things
considered, the trading administrators and their banks will favor the applicant who provides the
best paperwork. An applicant should never underestimate what the trading entities knowledge
about him. Failure to provide full disclosure will disqualify the disingenuous. Clients must first
prove that they are qualified, not the other way around. Until the client is accepted by
Compliance, the Traders, and Trading Banks, no placement can occur. The U.S. Patriot Act has
introduced obligatory compliance procedures. Face‐to‐face interviews with compliance officers
and program management are occasionally required, but generally not necessary. Any arrogant
or demanding personality will guaranteed to be rejected. Only the principal owner of funds is
required as signatory. Corporations must empower an Officer or Director as sole, exclusive
signatory by using a Corporate Resolution. Not only do the funds have to be on deposit in an
acceptable bank; they must also be in an acceptable jurisdiction. It is felony fraud to submit
documents or financial instruments that are forged, altered or counterfeit. Such documents are
promptly referred to the appropriate law enforcement agencies for immediate criminal
prosecution. The practices, procedures and rules are determined by the U.S. Federal Regulatory
Authorities, Western European Central Banks program management, licensed traders and
trading banks. It is their decision whom to accept and whom to reject. Contract terms, yield,
schedules, etc., are made to fit their needs and schedules – and not the caprices or demands of
the investors. This marketplace is highly regulated and strictly confidential, and absolute
confidentiality by the investor is a key element of every contract. A client who breaks
confidentiality will precipitate instant cancellation. Finally, submission of the application
documents to more than one management group at a time is termed "shopping". If an investor
"shops" he can expect that this fact shall be quickly disseminated and known among the program
management groups who maintain close communication – and will then be accepted by none
and rejected by all.
I, (NAME), have read and accepted the above as of this date: March 7, 2019
Signature: ________________________________
Name:
Passport Number:
Country of Issuance:


AFFIDAVIT REQUESTING INFORMATION
DATE: March 7, 2019

INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the undersigned, on my own behalf, do hereby affirm that I have requested specific
information about Private Placement Opportunities and or the Participation in Investment
Programs. The confidential information presented, received, and learned is not for the
solicitation of funds, nor is it an offering of any kind, but is for my general knowledge. I confirm
that I have requested the information of my own free will and choice, and further confirm that
no party has solicited me in any way. I hereby agree to keep all information received from you
strictly confidential, private, and proprietary, and that I will not disclose it to any other third party.
I, (NAME), further affirm that any funds or assets I decide to place are done so at my own specific
initiative, risk, and authorization with full consideration and without duress. I further affirm that
the information received is intended solely for my PRIVATE & CONFIDENTIAL USE ONLY. I am a
sophisticated investor by all definitions of that classification known to me; I make my own
investment decisions, and have legally acquired assets available. I, hereby reaffirm, under penalty
of perjury that I have requested information from you and your organization and that you have
not solicited me in any manner.
I, (NAME), understand that the contemplated transaction is strictly one of Private Placement and
is in no way relying upon existing regulations in relation to the United States Securities Act of
1933 as amended, or related regulations, and does not involve the buy and sell of securities. I
further declare that I am not a licensed securities broker or government employee and
understand that neither are you or your organization. I mutually agree that this Private
Placement Transaction is exempt from the securities act.
I, (NAME), understand and agree that the ICC NON-DISCLOSURE and NON-CIRCUMVENTION rules
apply to this affidavit and business relationship, and hereby agree to the current application
standards of the International Chamber of Commerce, Paris, France which rules are made a part
hereof by this reference.
I, (NAME), under penalty of perjury, with full corporate and individual responsibility, hereby
irrevocably, confirm that neither myself, nor anyone else associated with my organization, my

corporation, or the individual investor are working for any Agencies of any Government. I further
state under penalty of perjury that I am not involved in any Government entrapment operation.
I, (NAME), under penalty of perjury, with full corporate and individual responsibility, hereby
irrevocably, confirm that neither myself, nor anyone else associated with my organization or
corporation have been convicted of a felony, either within the United States or anywhere in the
world where that crime would be considered equal to a US felony. To the best of my knowledge
I am not nor are any of my associates within my organization or corporation considered to be
terrorists or on any watch list with the United States Department of Homeland Security.
I, (NAME), agree that all email and facsimile transmitted documents shall be treated as original
documents. I further agree that in all cases where plural might apply where singular tense is used
it is so applied.
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is
accurate and true as of this date: March 7, 2019
For and on behalf of (NAME OF COMPANY)
Signature: __________________________________ SEAL OF COMPANY

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:

CLIENT INFORMATION SHEET
Directions: This document must be completed in full. If a line item does not pertain then insert
the term: “N/A” (non-applicable).
Corporate Information
Full Name of Corporation:

Date of Incorporation:
Incorporated in (City/State/Country):
Registration Number:
Board of Directors (Name & Title):
Officers (Name & Title):
Shareholders (List all shareholders owning more than 5 % of all outstanding shares of
Corporation):
Location of Address: Registered Address (Corporation)

Street Address:
City:
State:
Country:
Postal Code:
Location of Address: Mailing Address (Corporation)

Street Address:
City:
State:
Country:
Postal Code:
Contact Information (Corporation)
Telephone Number:
Fax Number:
Mobile Number:
Email Address:

Financial Information (Corporation)
Annual Income of Corporation:

Liquid Assets of Corporation:
Net Worth of Corporation:
Investment Experience (in years) of Corporation:
Languages / Translator
Languages:
Does the Signatory speak English?:
If No, Name of Translator:
Tel Number:
Email Address:
Legal Advisor
Full Name:
Company:
Address:
City:
State:
Country:
Postal Code:
Telephone Number:
Fax Number:
Email Address:
Bank Information (Corporate)

* Please attach copy of account statement from bank
Bank Name (where funds are currently on deposit):

Street Address:
City:
State:
Country:
Postal Code:
Account Name:

Account Number:
Sort Code ABA No.:
SWIFT Code:
Account Signatory (1):
Account Signatory (2):
Bank Officer # 1 Name:

Bank Officer # 2 Name:
Telephone Number:
Fax Number:
Client Account where Profits to be paid
Bank Name:
Street Address:
City:
State:
Country:
Postal Code:
Account Name:
Account Number:
Sort Code ABA No.:
SWIFT Code:
Bank Officer Name:

Telephone Number:
Fax Number:
Personal Information of Officer(s) of Corporation / Passport Information

(Please attach copy of corporate resolutions adopted by the Board of Directors appointing and
authorizing said officer(s) to represent and legally bind the corporation)
* Duplicate the section below for each Director.
First Name:
Middle Name:
Last Name:
Gender:
Date of Birth:
Social Security Number:

Country of Citizenship:
Languages:
Passport Information of Officers(s) of Corporation

*Please attach copy of photo and signature page of passport
Passport Number:
Date of Issue:
Date of Expiry:
Issuing Authority:
Location of Address: Home-Legal Residence (Officer(s) of Corporation)

(Please attach copy of utility bill)
Full Name of Officer:

Street Address:
City:
State:
Country:
Postal Code:
(Below, duplicate the section above for each Director)
Investment
Funds available for this transaction:
Type of currency:
Origin of funds:
Are these funds free and clear of all liens, encumbrances and third party interests:


Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:

CORPORATE RESOLUTION
All of the directors of (COMPANY NAME) below listed were in attendance, in person or by
telephone conference. General discussion was then held concerning the issue, and all aspects of
the same, were fully explained in detail to the satisfaction of the board members.
DIRECTOR Name/Title:
Passport No.:
Passport No.:
Passport No.:
SECRETARY Name/Title:
Passport No.:
The Board of Directors of (COMPANY NAME) an International Business Company incorporated

on (DATE) in (LOCATION) in (COUNTRY), with Registered Offices at (ADDRESS) in a meeting held
on this the (Day) Day of (MONTH), (YEAR), adopted the following resolutions.
RESOLUTION 1:
It is resolved that the Board of Directors of (COMPANY NAME) hereby authorizes: (NAME) holder
of Passport Number (NUMBER) issued on (DATE).
As our Managing Member, as the (President-CEO etc) who assigned authority, on our behalf stay
and name, to instruct, negotiate, arrange, monitor, execute, manage and sign any and all
agreements and/or necessary contracts with third parties pertinent to all financial transactions
with bank instruments (securities/derivatives)
RESOLUTION 2:
It is resolved that at this meeting of the Board of Directors that our Managing Member and in
fact (NAME) acts for (COMPANY NAME) with regards to the afore said financial investment.

RESOLUTION 3:
It is resolved that (NAME) is hereby authorized to act as our Financial Director for afore said
purpose.
RESOLUTION 4:
It is resolved the Board of Directors of (COMPANY NAME) hereby authorized (NAME) to assume
all authority, powers, duties, signatory rights and responsibilities on our behalf.
RESOLUTION 5:
It is resolved that (NAME) is hereby authorized to open a personal, corporate, trading, trust
and/or custodial account in any bank, domestic or foreign and to sign such resolutions as may be
required by such bank to accomplish the objective(s) as stated herein and to give irrevocable
instructions to said bank(s) on our behalf.

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Signature: __________________________________
Name / Title: SECRETARY
Company:
Passport Number:
Date of Issue:
Date of Expiry:


LETTER OF EXCLUSIVITY
DATE: March 7, 2019

Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), authorized signatory of the Account No
(ACCOUNT NUMBER) at (NAME OF THE BANK), located at (ADDRESS OF BANK), the undersigned,
(hereinafter referred to as the “INVESTOR”), hereby with full, personal and legal responsibility
under penalty of perjury of law, represent, warrant and attest that:
I, the undersigned, have full legal title, rights, interest, control and authority to commit and invest
these funds and have chosen to do so of their own free will and sole decision without any
solicitation or influence from the trade administrators.
I, the undersigned, principal party involved in this transaction do not have any other party
working with or authorized to work with these funds allocated for above-mentioned reference
code, nor have any other parties been authorized to invest these funds, nor have other funds
from myself or the corporation been placed with other parties for a similar investment. Further I
attest that I have sent Cease & Desist Notices to any other intermediaries or trade groups that
have had access to our paperwork in the past.
I, the undersigned, herewith grant Program Manager, full exclusive right as our sole agent for 3
Months and 1 Day (Three Months and One Day) and/or the period of the contract whichever is
later including any proceeds of the investment if re-invested, from the above date, to enter these
funds for me, or the Corporation into the best available investment
I, the undersigned, understand, and I am fully aware that this transaction will be registered with
a major world bank and/or the Federal Reserve and the submitted private and confidential
paperwork will be forwarded for the sole purpose of establishing necessary dossier due diligence
and clearance for this transaction.
I, the undersigned understand and acknowledge that the Program Manger (hereinafter referred
to as the “Trade Coordinator”) will initially base the placement of this transaction on the face
value representations and documentation presented, and that any misrepresentation may be

considered criminal bank fraud. I, the undersigned hereby indemnify the Trade Coordinator
against any misrepresentations.
Facsimiles or electronically transmitted documents are deemed as legally binding as delivered

originals.

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:

LETTER OF INTENT
DATE: March 7, 2019

Dear Sir,
I, (NAME), the undersigned, hereby confirm under penalty of perjury, my full commitment and
agreement to participate in an investment opportunity, subject to my acceptance of the terms,
conditions and procedures that shall be outlined in the Private Placement Program.
Furthermore, I hereby warrant and represent that I have available for placement into the
proposed investment, the sum of (SPELL AMOUNT) United States Dollars ($_____,000,000.00
USD) of clean, clear funds, free of any levy, liens or encumbrances and of non-criminal origin, and
herewith attach documentary evidence of same. I hereby warrant and represent that the Rule
of Full-disclosure has established these funds were legally obtained from non-criminal business
or actions. I further confirm that I am the beneficial owner of these cash funds, that I have full
signatory authority and control thereof, and that such funds are available for immediate
placement at my sole discretion.
I confirm and acknowledge, with full responsibility, that neither your company nor anyone
working on your behalf has solicited me; that the documents that I shall receive shall not be
deemed to be a solicitation of funds in connection with an investment program; and, that I am
approaching you voluntarily for the purpose of securing participation in a bona fide Secure
Private Placement Program.
I am prepared to instruct my bank to act upon the funds as required pursuant to the specifics of
this program. In the case of Blocked Funds, it is my understanding the funds will be blocked and
or reserved) in the account and they will remain, at all times, non-callable.
I hereby request information from you covering the terms, condition and procedures of a secured
investment and look forward to commencing the transaction, upon my acceptance of the
agreement.
Email, facsimile copies or photocopies of documents or agreements pertaining to this subject are
declared and regarded as valid and equal to the original, provided they are represented by proper
signatories. Originals may be obtained upon request.


Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:

LETTER OF CEASE & DESIST CONFIRMATION
DATE: March 7, 2019

Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), duly authorized and full legally
representative director for and on behalf of (NAME OF COMPANY), give notice to have Cease
and Desist and any/other group previous group approached in the past regarding our/my files
I, (NAME), make a clear statement and confirm under risk and penalty of perjury not to have any
other entities, associations, financial institutions, affiliates, intermediaries, groups or others with
my /our permission nor any specific authorization to handle nor process any one of my /our
documents as from March 7, 2019
And that; All previous entities, associations, financial institutions, affiliates, intermediaries,
groups or others have been notified of such by the correspondent official Cease and Desist Letter
communication. This exclusive authority and engagement shall continue fully effective until
cancelled in writing by me.

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:

SOURCE OF FUNDS AFFIDAVIT
DATE: March 7, 2019

Dear Sir,
representative director for and on behalf of (NAME OF COMPANY), do solemnly swear/attest
the following statements to be true.
I, (NAME), declare under penalty of perjury and with full personal and legal responsibility under
the International Court of Law that I legally hold the sum of (SPELL AMOUNT) United States
Dollars ($_____,000,000.00 USD) and it is deposited in Account No (ACCOUNT NUMBER) at
(NAME OF THE BANK), located at (ADDRESS OF BANK).
I further declare these funds are current and valid currency lawfully obtained and constitute
clean, cleared funds of legitimate, non-criminal, commercial origin. There are no liens,
contractual obligations or encumbrances of any kind against these funds.
I have full and complete, legal ownership of, and the unrestricted right and authority to pledge
or otherwise utilize these funds. The funds are ready for transfer or release upon my instruction.
These funds are authentic and verifiable. I am not aware of any matter which could or might
cause the non-validation of these funds and I hereby indemnify the Program Manager and/or
assignees, intermediaries, or other parties involved, against any claims, demands, civil and/or
criminal in nature, and liabilities, damages, or expenses including without limitation any
attorney’s fees which may arise, whether in whole or in part, caused by reason of reliance upon
this sworn declaration.
E-mail, facsimile copies or photocopies of documents or agreements pertaining to this subject

are declared and regarded as valid and equal to the original, provided they are represented by
proper signatories. Originals may be obtained upon request.


Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
(THIS DOCUMENT MUST BE NOTARIZED)
NOTARY:

LETTER OF NON-SOLICITATION & REQUEST
DATE: March 7, 2019

Dear Sir,
I, (NAME), the undersigned, hereby confirm that I have requested of you and your organization
specific confidential information and documentation on behalf of ourselves. I hereby declare that
I am fully aware of the information received from you is in direct response to my request, and is
not in any way considered or intended to be a solicitation of funds of any sort, or any type of
offering, and is intended for our general knowledge only. I hereby affirm under penalty of perjury
that you have not solicited in any way. I understand that the contemplated transaction is strictly
one of private placement, and is in no way relying on or related to the United States Securities
Act of 1933, as amended or related regulations, and does not involve the sale of securities. That
affiant makes this affidavit knowing that the recipients will rely on the contents hereof, and
agrees to indemnify and hold-harmless all recipients and all other parties -- including
intermediaries -- against any and all claims resulting from any applicant misrepresentation of a
material fact or any loss of asset value or any act (legal or not) of a bank or other financial
institution, governing authority or agency, the Federal Reserve or an official or other insider of
any such entity. Further, I hereby declare we are not licensed brokers or government employees,
and understand that neither are you or your organization. We mutually agree that this private
placement transaction is exempt from the Securities Act, and not intended for the general public,
and all materials are for private use only.

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:


AUTHORIZATION TO VERIFY FUNDS
DATE: March 7, 2019

RE: Authorization to Verify
Know all men, by these that I, (NAME), at the address shown above, give you clear notice that
you have my direct permission and full authority to do all matters necessary to confirm, verify,
and authenticate my beneficially owned cash funds and/or application asset(s) and its associated
good standing account status, in an amount of (SPELL AMOUNT) United States Dollars
($_____,000,000.00 USD) on a bank to bank basis. The below stated beneficially owned account
is of good, clean, and cleared cash funds obtained via legal means, and is currently available at
the bank coordinates below:
Cash Amount: ($_____,000,000.00 USD)

Bank Name: (NAME OF THE BANK),
Bank Address: (ADDRESS OF BANK)
Account Name: (ACCOUNT NAME)
Account Number: (ACCOUNT NUMBER)
Account Signatory: (ACCOUNT SIGNATORY)
Bank Officer & Title (1): (BANK OFFICER / TITLE)
BANK MAIN SWITCHBOARD TELEPHONE: (BANK MAIN SWITCHBOARD TELEPHONE)
BANK EXTENSION OF CONFIRMING OFFICER: (BANK EXTENSION OF CONFIRMING OFFICER)
BRANCH BANK TELEPHONE NUMBER: (BRANCH BANK TELEPHONE NUMBER)
BANK OFFICER DIRECT BANK TELEPHONE: (BANK OFFICER DIRECT BANK TELEPHONE)
BANK OFFICER BANK FAX NUMBER: (BANK OFFICER BANK FAX NUMBER)
BANK OFFICER BANK EMAIL ADDRESS: (BANK OFFICER BANK EMAIL ADDRESS)
COPY OF THIS AUTHORIZATION WILL BE LODGED AND PRESENTED TO MY BANK OFFICER.
In witness hereof I, (NAME), hereby swear under penalty of perjury, that the information
provided herein is accurate and true as of this date: March 7, 2019


Name / Title:
Company:
Passport Number:
C.C.: (NAME OF BANK AND BANK OFFICER)

LETTER OF CONFIRMATION OF BANK OFFICER
DATE: March 7, 2019

Dear Sir,
representative director for and on behalf of (NAME OF COMPANY), do solemnly swear/attest
with full legal responsibility, that the following named person is my actual and personal bank
officer at (NAME OF THE BANK), located at (ADDRESS OF BANK), who will be available to
cooperate with the trader for blocking of the following referenced bank account:
Name Bank Officer & Title (1): (BANK OFFICER / TITLE)

BANK MAIN SWITCHBOARD TELEPHONE: (BANK MAIN SWITCHBOARD TELEPHONE)
BANK EXTENSION OF CONFIRMING OFFICER: (BANK EXTENSION OF CONFIRMING OFFICER)
BRANCH BANK TELEPHONE NUMBER: (BRANCH BANK TELEPHONE NUMBER)
BANK OFFICER DIRECT BANK TELEPHONE: (BANK OFFICER DIRECT BANK TELEPHONE)
BANK OFFICER BANK FAX NUMBER: (BANK OFFICER BANK FAX NUMBER)
BANK OFFICER BANK EMAIL ADDRESS: (BANK OFFICER BANK EMAIL ADDRESS)
Account Number: (ACCOUNT NUMBER)
I, (NAME), hereby swear under penalty of perjury, that I AM THE SIGNATORY of the account, that
the funds belong to me, and the information provided herein is accurate and true as of this date:
March 7, 2019

Name / Title:
Company:
Passport Number:
Date of Issue:

Date of Expiry:
PASSPORT
PROVIDE COLOR COPY ENLARGED (140%) TO THIS SIZE (8½ X 11 INCHES). PICTURE MUST BE CLEAR
AND NOT DARK. ENLARGE & LIGHTEN (USING PHOTO SETTING). COLOR SCAN THE PASSPORT INTO
YOUR COMPUTER AT A HIGH RESOLUTION IN THE JPEG FORMAT AND INSERT.


PROOF OF FUNDS
CURRENT BANK STATEMENT
CURRENT BANK STATEMENT OR RECENT FIVE (5) DAYS TEAR SHEET IS THE REQUESTED
ACCEPTABLE PROOF OF FUNDS. BCL, BANK LETTERS SIGNED BY BANK OFFICER(S), CERTIFICATE OF
ACCOUNT OR CONFIRMATION OF FUNDS MAY BE INCLUDED AS SUPPLEMENTAL BANKING.
KINDLY INCLUDE UN‐SANITIZED CURRENT BANK STATEMENT OR TEAR SHEET WITH YOUR
SUBMISSION. TRANSMIT HIGH-QUALITY, COLOR SCANS OF REAL DOCUMENTS. THANK YOU.

LETTER OF LIAISON AND COMMUNICATIONS AUTHORITY
DATE: March 7, 2019

Dear Sir,
representative director for and on behalf of (NAME OF COMPANY), hereby authorize
(TRANSLATOR NAME), bearing (COUNTRY) Passport No. (NUMBER) having the below contact
details, to act as my official liaison in such matters to carry out the duty and responsibility as
primary contact to coordinate communication and receive copy of all written and telephonic
communication regarding the above transaction as I do not speak English and he is my official
translator. Copy of corresponding passport has been included.
Name of Translator: (TRANSLATOR NAME)

Telephone Number: (TRANSLATOR TELEPHONE NUMBER)
Email Address: (TRANSLATOR EMAIL)
Address: (TRANSLATOR ADDRESS)
I, (NAME), hereby swear under penalty of perjury that the information provided herein is

Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:


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[INSERT APPLICANT LETTERHEAD IN HEADER SPACE]

*** CORPORATE ENTRY ***

DATE: March 7, 2019

■ UNDERSTANDING THE RULES OF THE ROAD

ATTACHMENTS (IF NEEDED)

E-mail, facsimile copies or photocopies of documents or agreements pertaining to this

APPLICANT INITIALS ___________ PAGE 1 OF 30

UNDERSTANDING THE RULES OF THE ROAD

APPLICANT INITIALS ___________ PAGE 2 OF 30

APPLICANT INITIALS ___________ PAGE 3 OF 30

AFFIDAVIT REQUESTING INFORMATION

DATE: March 7, 2019

INVESTOR TRANSACTION CODE:

APPLICANT INITIALS ___________ PAGE 4 OF 30

For and on behalf of (NAME OF COMPANY)

Signature: __________________________________ SEAL OF COMPANY

APPLICANT INITIALS ___________ PAGE 5 OF 30

CLIENT INFORMATION SHEET

Full Name of Corporation:

Location of Address: Registered Address (Corporation)

Full Name of Corporation:

Location of Address: Mailing Address (Corporation)

Full Name of Corporation:

Contact Information (Corporation)

APPLICANT INITIALS ___________ PAGE 6 OF 30

Financial Information (Corporation)

Annual Income of Corporation:

Bank Information (Corporate)

Bank Name (where funds are currently on deposit):

APPLICANT INITIALS ___________ PAGE 7 OF 30

Bank Officer # 1 Name:

Client Account where Profits to be paid

Bank Officer Name:

Personal Information of Officer(s) of Corporation / Passport Information

APPLICANT INITIALS ___________ PAGE 8 OF 30

Passport Information of Officers(s) of Corporation

Location of Address: Home-Legal Residence (Officer(s) of Corporation)

Full Name of Officer:

(Below, duplicate the section above for each Director)

Funds available for this transaction:

APPLICANT INITIALS ___________ PAGE 9 OF 30

For and on behalf of (NAME OF COMPANY)

Signature: __________________________________ SEAL OF COMPANY

APPLICANT INITIALS ___________ PAGE 10 OF 30

INVESTOR TRANSACTION CODE:

The Board of Directors of (COMPANY NAME) an International Business Company incorporated

APPLICANT INITIALS ___________ PAGE 11 OF 30

For and on behalf of (NAME OF COMPANY)

Signature: __________________________________ SEAL OF COMPANY

APPLICANT INITIALS ___________ PAGE 12 OF 30

APPLICANT INITIALS ___________ PAGE 13 OF 30

DATE: March 7, 2019

INVESTOR TRANSACTION CODE:

APPLICANT INITIALS ___________ PAGE 14 OF 30

Facsimiles or electronically transmitted documents are deemed as legally binding as delivered

For and on behalf of (NAME OF COMPANY)

Signature: __________________________________ SEAL OF COMPANY

APPLICANT INITIALS ___________ PAGE 15 OF 30

* CORPORATE ENTRY *