You are on page 1of 3

National Assurance & Advisory Services (NAAS),

Dubai UAE

CLIENT INFORMATION SUMMARY (CIS)

SIGNATORY NAME Qurbonov Shodi


NATIONALITY: TAJIKISTAN
PASSPORT NUMBER: A01808381
DATE OF ISSUE: 26/ 08.04.2019
DATE OF EXPIRATION: 07.04.2029
DATE OF BIRTH: 10.02.1973
PLACE OF BIRTH: TAJIKISTAN
CONTACT ADDRESS/HOME: 45 RASULOVA STREET, DUSHANBE, TAJIKISTAN.
CONTACT TELEPHONE NO.: (+992) 918778844
OCCUPATION: GENERAL DIRECTOR

BUSINESS NAME: LLC “MUHAMMAD MUSTAFO”


BUSINESS REGI. ADDRESS: 45 RASULOVA STREET, DUSHANBE, TAJIKISTAN
CO. REGISTRATION NO.: 0410009399
CO. REGISTRATION DATE: 21.06.2010
COMPANY SECRETORY: QURBONOV S.

BANK NAME: OJSC BANK ESKHATA


BANK ADDRESS: No135, Gagarin Str., Khujand, Republic of Tajikistan
ACCOUNT NAME: CHDMM MUHAMMAD MUSTAFO
ACCOUNT NO.: 20206840300020100187
SWIFT CODE: EJSATJ22
EMAIL ID: daler_int@mail.ru
BANK OFICER NAME: Glinyanaya Yulia Valentinovna
BANK PHONE NO.: (+992 3422) 66-999
DECLARATION: I, UNDERSIGNED Qurbonov Shodi SWEAR UNDER PENALTY OF PERJURY;
THE INFORMATION GIVEN ABOVE IS BOTH TRUE AND ACCURATE.
ON THIS Wednesday, March 29, 2023

_________________________________________
NAME  : Qurbonov Shodi
PASSPORT NO  : A01808381
COUNTRY OF ISSUE : Tajikistan
DATE OF ISSUE : 08.04.2019
National Assurance & Advisory Services (NAAS),
Dubai UAE

DATE OF EXPIRY : 07.04.2029

PASSPORT COPY OF SIGNATORY


National Assurance & Advisory Services (NAAS),
Dubai UAE

COMPANY INCORP. CERTIFICATE

You might also like