20/4/2018 Remesas

Print   Close

PERSONAL INFORMATION
Name: Carlos Cuevas Guerrero
Mobile: 56950021952  Phone: 56950021952  Email: carlos@sinbad.cl 
Address: Ejercito 688, of 403
Country: Chile  Province: Region Metropolitana de Santiago  City: Santiago 
Locality: Santiago  Zip code: 8370292
Date of birth: 12/21/1981  Country of birth: Chile 
Passport number: 15029293k  Country of issue: Chile  Expiration date: 12/21/2021
ECONOMIC INFORMATION
Profession: Teacher  Monthly income: Until 5000 quota. University
BENEFICIARY(S)
1. Name: YOAN SANTIAGO TARDIO SANCHEZ, Identity number: 82081717828, Money reason:
Traveller deposit.
AUTHORIZATION TO OPERATE THROUGH TELEMATIC MEANS
In compliance with the legislation governing the companies involved in the money remittances activity and
currency exchange, and more specifically Order EHA/2619/2006, from July 28, in its article 2.Identification
of customers, is necessary to register a password through a website to operate telematic means. In this way
Titanes authorizes the customer to operate through telematics means, using a password previously
registered on the website.
SWORN STATEMENT
Under oath and voluntarily declaring that the information set forth in this statement is accurate and
complete, I make the following Sworn Statement of Funding Source to AIS REMESAS, for the purpose of
enforcing the applicable rules and legal regulations against fraud, corruption, money laundering and other
illegal activities. I declare the money I give to AIS REMESAS in any of its reception forms comes from a
lawful source.
Likewise, I declare that all information provided herein is true and correct. I hereby hold harmless from
liability aisremesascuba.com for any wrong, false or inaccurate information supplied by me through this
form.
 
Date: 20/4/2018 Signature:_______________________

https://www.aisremesascuba.com/Users/printSafeRegister.aspx 1/1