C.I.

S
(Client Information Sheet)

RECEIVER COMPANY DETAILS:

1 COMPANY NAME: DELIKH MOHAMMED ABDELGHAFO
2 COMPANY REG. NO.: 031136865109
3 COMPANY REG. ADDRESS: AVENIDA RAMON Y CAJAL 33

4 COMPANY OFFICE ADDRESS: AVENIDA RAMON Y CAJAL 33

5 REPRESENTED BY: DELIKH MOHAMMED ABDELGHAFO

6 TITLE: ADMINISTRADOR

7 PASSPORT NO.: 306306979

8 PLACE OF ISSUE: ALICANTE

9 DATE OF ISSUE: 03/03/2020

10 DATE OF EXPIRY: 02/03/2030

11 DATE OF BIRTH: 11/10/1991

12 NATIONALITY: ALGERIA

13 COMPANY TEL. NO.: +34641977464

14 COMPANY FAX. NO.: 00000000

15 MOBILE NO.: +34641977464

16 COMPANY WEBSITE ADDRESS:

17 COMPANY E-MAIL: Mohammeddelik@gmail.com

18 COMPANY OFFICER E-MAIL: Mohammeddellik@gmail.com

Page 1 of 2
RECEIVER BANK DETAILS:

1 BANK NAME: CAJAMAR

2 BANK ADDRESS: AV FEDERICO GARCIA LORC, ARROYO DE LA MIEL 29631 MALAGA

3 BANK SWIFT OR BIC CODE: CCRIES2AXXX

4 BANK BRANCH CODE: 0528
5 ACCOUNT NAME: MOHAMMED ABDELGHAFO DELIKH
6 ACCOUNT NUMBER: ES2730580781242720035094
7 IBAN NUMBER: ES2730580781242720035094
8 COMMON ACCOUNT NUMBER:
9 BANK OFFICER NAME: FERNANDO PALMA PEREZ
10 BANK OFFICER E-MAIL:
11 BANK OFFICER TEL. NO.: 952443690
12 BANK OFFICER FAX. NO.: 851902111
13 BANK OFFICER MOBILE NO.: 952443690
14 CURRENCY: EURO

I, MOHAMMED ABDELGHAFO DELIKH, hereby swear under penalty of perjury, that the information provided herein is
accurate and true as of this date: 15 MAYO 2023

For and on behalf of M O H A M M E D A B D E L G H A F O D E L I K .

Signed by