Señor

Páginas: 2 (346 palabras) Publicado: 11 de marzo de 2013
CLIENT INFORMATION SHEET (C.I.S.)

In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of December 1998, and under the US PatriotAct of 2002, as amended in February 2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the following information may be supplied to banks and/or other financialinstitutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement byall parties to whom this information is provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally acceptedprofessional standards relating to the maintenance of confidential information, and to take all appropriate precautions to protect the confidentiality of the information contained herein, This legal obligationshall remain in full force indefinitely without restriction.


|1) |Buyer Full Name |: |
||Business Address |: |
| |Business Registration No. |:|
| |Telephone |: |
| |Facsimile|: |
| |E-Mail Address |:|
| | | |
|2) |Buyer Signatory Full Name...
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