CLIENT INFORMATION SHEET

In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of
December 1998, and under the US Patriot Act of 2002, as amended in February 2003 concerning the prevention of money
laundering and 305 of the Swiss Criminal Code, the following information may be supplied to banks and/or other financial
institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of
the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided
that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally
accepted professional standards relating to the maintenance of confidential information, and to take all appropriate
precautions to protect the confidentiality of the information contained herein. This legal obligation shall remain in full force
indefinitely without restriction.
BANK INFORMATIONS 1

NAME ACCOUNTS HOLDER MR. CLAUDIO HENRIQUE BRAGANHOLI

PASSPORT NO. FO925586
DATE OF ISSUE 11 DEC 2015
DATE OF EXPIRY 10 DEC 2025
COUNTRY OF ISSUE: BRAZIL
BANK NAME HSBC BANK PLC
BANK ADDRESS HSBC House, Esplanade, St. Helier, Jersey, JE1 1HS
BRANCH ST HELIER. JERSEY C.I.
CITY / ZIP St. Helier / JE4 8NR

ACCOUNT NAME CLAUDIO HENRIQUE BRAGANHOLI

ACCOUNT NO. GBP 00720195
SWIFT MIDLGB22
BANK CODE 404924
IBAN Num. GBP GB29MIDL40492400720195

ACCOUNT NO. USD (DOLLAR) 00653688

ACCOUNT NAME (USD DOLLAR) MOSAIC HOLDINGS / CLAUDIO HENRIQUE BRAGANHOLI
IBAN Num. USD (DOLLAR) GB54MIDL40492400653688
SWIFT MIDLJESH
ACCOUNT NO. EUR (EUROS) 00653689
ACCOUNT NAME (EUROS) MOSAIC HOLDING / CLAUDIO HENRIQUE BRAGANHOLI
IBAN Num. EUR (EUROS) GB27MIDL40492400653689
SWIFT MIDLJESH
BANK OFFICER Joseph M L Cassidy
☎ (+44) 01534 616133 (EXT: 8016) | ✉
E-MAIL / PHONE
joseph.m.cassidy@hsbc.com
REFERENCE (IMPORTANT) INVESTMENT ON REAL ESTATE

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PASSPORT COPY