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Smit 2024 COMPANY'S CIS

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(Investor Name)

Address – Zip – City – Country


Tel. +xxxxxxxxxx Fax +xxxxxxxx Email: xxxxxxxx@gmail.com

Client Information Summary of Company


xxxxxxxxxxxxxxx : June 30, 2024

In accordance with Articles two (2) through five (5) of the Due Diligence Convention
and the Federal Banking Commission Circular of December 1998, concerning the
prevention of money laundering, and Article 305 of the Swiss Criminal Code, the
following information may be supplied to banks and/or other financial institutions for the
purpose of verification of identity and activities of the Principal, and the nature and origin
of the funds that are to be utilized.

All parties have an obligation for professional discretion and to take all appropriate
precautions to protect the confidentiality of the information each holds in respect of the
others’ activities. This legal obligation shall remain in full force and effect at all times.

Company Information
Company Name :
Address :
City :
ZIP Code :
Country :

Company Registration Number :


Date Company established :
Registered Company Address :
Registered City :
Registered Zip Code :
Registered Country :
Type of business activity :

Person of reference :
Charge in the company :
Telephone Number : +
Fax Number : +
E-mail Address : +
Skype ID :

Signature ________________ Page 1 of 5


(Investor Name)
Address – Zip – City – Country
Tel. +xxxxxxxxxx Fax +xxxxxxxx Email: xxxxxxxx@gmail.com

Person of reference Individual Information


Name :
Title or Position in the company :
Address :
City :
Zip Code :
Country :
Telephone Number : +
Mobile Number : +
Fax Number : +
E-Mail Address :
Place of Birth :
Date of Birth :
Passport Number :
Country Issuing Passport :
Date of Issued :
Date of Expiration :
Skype ID :

Bank Details
Name of Bank : TBA
Address : TBA
City : TBA
Zip Code : TBA
Country : TBA
Name of Bank Officer 1 : TBA
Code Number Bank Office 1 : TBA
Email address Bank Office 1 : TBA
Name of Bank Officer 2 : TBA
Code Number Bank Office 2 : TBA
Email address Bank Office 2 : TBA
Account Name : TBA
Account Number (prefer IBAN number) : TBA
SWIFT Code – BIC Bank Number : TBA
Telephone Number : TBA
Fax Number : TBA
E-mail Address of Bank Officer : TBA
Name of Account Signatory 1 : TBA
Name of Account Signatory 2 : TBA

Signature ________________ Page 2 of 5


(Investor Name)
Address – Zip – City – Country
Tel. +xxxxxxxxxx Fax +xxxxxxxx Email: xxxxxxxx@gmail.com
Date Account established : TBA
Lawyer
Lawyer Name of Firm :
Lawyer Name :
Address :
City :
Zip Code :
Country :
Firm Telephone number : +
Auditor/Accountant Telephone number : +
Mobil Phone Number : +
Fax Number : +
Auditor/Accountant E-mail Address :

All Statements made herein are under penalty of perjury and with my full responsibility so stated
on this day the June 30, 2024:

On behalf of and for (Company Name)

Signature
Name :
Passport No. : Country :
Date of Issue : Date of Expiry :

Electronic signature is valid and accepted as hand signature


# EDT (Electronic document transmissions) shall be deemed valid and enforceable in respect of any
provisions of this Contract. As applicable, this agreement shall be:
 Incorporate U.S. Public Law 106-229, ”Electronic Signatures in Global and National Commerce
Act” or such other applicable law conforming to the UNCITRAL Model Law on Electronic
Signatures (2001) and;
 ELECTRONIC COMMERCE AGREEMENT (ECE/TRADE/257, Geneva, May 2000) adopted by the
United Nations Centre for Trade Facilitation and Electronic Business (UN/CEFACT);
 EDT documents shall be subject to European Community Directive No. 95/46/EEC, as applicable.
Either Party may request hard copy of any document that has been previously transmitted by Electronic
means provided however, that any such request shall in no manner delay the parties from performing
their respective obligations and duties under EDT instruments.

Signature ________________ Page 3 of 5


(Investor Name)
Address – Zip – City – Country
Tel. +xxxxxxxxxx Fax +xxxxxxxx Email: xxxxxxxx@gmail.com

Annex to Passport Copy

Signature ________________ Page 4 of 5


(Investor Name)
Address – Zip – City – Country
Tel. +xxxxxxxxxx Fax +xxxxxxxx Email: xxxxxxxx@gmail.com

Copy Certificate of Incorporation

Signature ________________ Page 5 of 5

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