MRS.

CLAUDIA MARCELA TOBON

Passport No: AV000000 of COLOMBIA Date Expiry: 30 MAY/MAY 2027
Address: PARQUE RESIDENCIAL CEDRO VERDE, CARRERA 9ª N 20 SUR–340, MEDELLIN ANTIOQUIA,
COLOMBIA Postal Code: 050021
Telephone Mobile: -(+57)3201234567, E-mail: claumarcetobon@gmail.com

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.

DETAILS OF SIGNATORY – INDIVIDUAL

First Name : CLAUDIA

Middle Name : MARCELA
Last Name : TOBON
Gender : FEMALE
Date of Birth : 20 MAY/MAY DE 1985
Social Security Number : N/A
Country of Citizenship : COLOMBIA
Languages : ESPAÑOL
Phone : (+57)3201234567
E-mail : claumarcetobon@gmail.com

PASSPORT INFORMATION

Passport Number : AV000000

Date of Issue : 30 MAY/MAY 2017
Date of Expiry : 30 MAY/MAY 2027
Issuing Authority : G. ANTIOQUIA
Do you speak English? : N/A
 MRS. CLAUDIA MARCELA TOBON
Passport No: AV000000 of COLOMBIA Date Expiry: 30 MAY/MAY 2027
Address: PARQUE RESIDENCIAL CEDRO VERDE, CARRERA 9ª N 20 SUR–340, MEDELLIN ANTIOQUIA,
COLOMBIA Postal Code: 050021
Telephone Mobile: -(+57)3201234567, E-mail: claumarcetobon@gmail.com

I, CLAUDIA MARCELA TOBON, hereby declare with full personal and corporate
responsibility under penalty of perjury that the information given above is accurate and
true, as of this date:

Signature: Fingerprint:
RIGHT INDEX
Name / Title : CLAUDIA MARCELA TOBON
Passport Number : AV000000
Date of Issue : 30 MAY/MAY 2017
Date of Expiry : 30 MAY/MAY 2027
Issuing Authority : G. ANTIOQUIA
Country of Issuance : COLOMBIA

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. §§ 1367, 2510-2521, 2701-2710, 3121-3126. Also, see:
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 old 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.
 MRS. CLAUDIA MARCELA TOBON
Passport No: AV000000 of COLOMBIA Date Expiry: 30 MAY/MAY 2027
Address: PARQUE RESIDENCIAL CEDRO VERDE, CARRERA 9ª N 20 SUR–340, MEDELLIN ANTIOQUIA,
COLOMBIA Postal Code: 050021
Telephone Mobile: -(+57)3201234567, E-mail: claumarcetobon@gmail.com

COLOR COPY OF PASSPORT

PRIVATE & CONFIDENTIAL – NOT FOR CIRCULATION

This document (and any enclosures or attachments) is intended only for the parties named on this agreement,
or their Bank´s and contains confidential and legally privileged info
13 March 2024.
END OF DOCUMENT