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CLIENT INFORMATION SHEET MR. JUAN FRANCISCO VALERIANO RAMOS

CLIENT INFORMATION SHEET


HOLDER NAME JUAN FRANCISCO VALERIANO RAMOS
HOLDER ADDRESS 10520 NW 78th STREET APT. # 308 DORAL 33178
CITIZENSHIP ESPAÑA
PASSPORT NUMBER XDC604693
PLACE OF ISSUE (COUNTRY) ESPAÑA
PASSPORT ISSUE DATE 24/JANUARY/2017
PASSPORT EXPIRATION DATE 23/JANUARY/2027
GENDER MALE
DATE OF BIRTH 06/JUNY/1962
AMERICAN EXPRESS NUMBER 3751 500675 79243
AMERICAN EXPRESS EXPIRY DATE 12/26
AMERICAN EXPRESS CVV 223
S.S.N NUMBER 595-723-987
MOTHER´S MAIDEN NAME JUANA RAMOS GASPAR
MAILING ADRESS 10520 NW 78th STREET APT. # 308 DORAL 33178
BANK NAME AMERICAN EXPRESS NATIONAL BANK
ACCOUNT TITTLE JUAN VALERIANO
ACCOUNT NUMBER 62201 6623 7261
ROUTING NUMBER 124071889
BRANCH BANK ADDRESS 4315 SOUTH 2700 WEST SALT LAKE CITY, UT 84184 USA
BENEFICIARY NAME JUAN VALERIANO
FURTHER CREDIT AMERICAN EXPRESS
BANK/AMERICAN EXPRESS CENTURION 3751 500675 79243
CARD
WITH NO CEILING FOR TRANSFERS USD $ 10,000,000.00 / USD $ 100,000,000.00

In accordance with articles Two (2) through Five of the Due Diligence Convention and the
Federal Banking Commission Circular od December of 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 investment Member, and the nature and origin
of the funds which are to be utilized. ALL parties have an obligation to respect professional
secrecy and to take all appropriate precautions to protect the confidentiality of the
information each holds in respect of the other´s activities. This legal obligation shall remain
in full force and effect at ALL times.

Directions: This document should be completed in full. If a line item does not pertain, then
insert the TERM: “N/A” (NON-APPLICABLE).

CIS JUAN FRANCISCO VALERIANO RAMOS PAG. 1


(“C. I. S.”)
CLIENT INFORMATION SHEET MR. JUAN FRANCISCO VALERIANO RAMOS
1. I, MR. JUAN FRANCISCO VALERIANO RAMOS, 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, MR. JUAN FRANCISCO VALERIANO RAMOS, hereby grant permission to contact all
parties and institutions named within this document, including the authorization to verify
these disclosures.

3. I, Mr. JUAN FRANCISCO VALERIANO RAMOS, hereby swear under penalty of perjury,
that the information provided herein is accurate and true.

PRIVATE AND CONFIDENTIAL INFORMATION.

This communication may contain information that is legally privileged, confidential or


exempt from disclosure. The information transmitted is intended only for the person(s) or
entity to which it is addressed. Any review, retransmission, dissemination or other use of,
or taking of any action in reliance upon, this information by persons or entities other than
the intended recipient(s) is strictly prohibited. If you received this message in error, please
contact the sender and delete the materials from any computer. This electronic
communication is covered by the Electronic Communications Privacy Act. of 1986,
Codified at 18 U.S.C. SS 1367, 2510-2521, 2701-2710, 3121-3126. Also,
http://www.ftc.gov/privacy/glbact/glbsub1.htm - Gramm-Leach- Bliley Act 15
USC, Subchapter I, Sec. 6801-6809.

INFORMATION SELLER AND BUYER ICC WARNING (ICC Commercial Crime


Services).

This is a very important message to anyone involved in the commodities industry on the
new measures with respect to the Buyers and Sellers conducting ol d and other
commodities transactions. If an ICPO, LOI, RWA or BCL is issued and the documents are
not real, the Buyer will be able to inform the FBI, ICC and INTERPOL. In addition, after
an FCO is sent to the Buyer, there should be a formal answer to the Seller from the Buyer.
If there’s no response from the Buyer in a timely manner, the buying company will be
reported to the FBI, ICC and INTERPOL.

If this action is repeated by the sellers, they will also be reported because of abuse of the
NCND, LOI, ICPO and RWA OR BCL, for this is a federal offense. It is important to
transmit this to all clients that work with providers that are members of the ICC, FBI and
other international organizations, from this point forward, the international codes will be
strictly enforced to exclude all intruders that send out false information. Those who submit
false NCND/IMFPA, LOI, ICPO, RWA or BCL OR FCO, as well as FALSE PROOF OF
PRODUCT (POP), WILL BE CHARGED WITH A CRIME. This went into effect November
15, 2008 after a meeting was held between the Federal Reserve, European Central Bank,
Interpol, Federal Bureau of Investigation and Central Intelligence Agency.

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(“C. I. S.”)
CLIENT INFORMATION SHEET MR. JUAN FRANCISCO VALERIANO RAMOS

COPY AND PASSPORT JUAN VALERIANO

CIS JUAN FRANCISCO VALERIANO RAMOS PAG. 3


(“C. I. S.”)
CLIENT INFORMATION SHEET MR. JUAN FRANCISCO VALERIANO RAMOS

COPY AMERICAN EXPRESS CENTURION CARD

CIS JUAN FRANCISCO VALERIANO RAMOS PAG. 4

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