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1. I, «MARIA JADIME GUZMAN BARRAGAN», hereby declare as the undersigned, having the full signatory
power to transfer, assign, pledge or reserve upon terms satisfactory to me, with full authority to execute
all documents and agreements relating to the same.
2. I, MARIA JADIME GUZMAN BARRAGAN»», hereby grant permission to contact all parties and institutions
named within this document, including the authorization to verify these disclosures.
3. I, « MARIA JADIME GUZMAN BARRAGAN» » , hereby swear under penalty of perjury, that the
information provided herein is accurate and true as oíthjs date: 5 March 2019.
4. I, « MARIA JADIME GUZMAN BARRAGAN» » above is accurate and true as of 5 March 2019.
Signature: t5>
;EAÍ.0FCOÍVIPANY
Name/Title MAR|^ JADIME GUZMAN BARRAGAN
Passport Number AU974383
Date of Issue JULIO 11 / 2018
Date of Expiry JULIO 10 / 2028
Country of Issuance COLOMBIA