REGISTRATION/MODIFICATION OF SUPPLIER

1 – Personal Information

Last Name:De Souza, Nunes Oliveira Nogueira

First Name: José Olando
Address: Rua São Paulo, 671 – São Caetano
Zip Code: 45607-358 City: Itabuna State:Bahia
Latitude and longitude GPS coordinate( video):
Land Line: 55(73) 991796472 Cell Phone: 55(73) 999504002 E-mail:
orlando.technicalwriter@gmail.com
Date of Birth: 12 / 14 / 1970 . Place of Birth: Rio de
Janeiro
Nationality: Brazilian Marital Status: Married SSN:
658149325-20
Passport Number: CX 666840 Expiration date: 07/20
/ 2013
Passport from another country: Country: Nº: Expiration Date: / / .
Visa: Country: Issue Date: / / . Expiration Date: / / .

2 – Bank Account Details

We recommend you to ask you the account officer of the bank where your account is located for instructions
to receive international payments.

Account Holder’s information

Routing N° (only Account
Bank’s name Bank’s address SWIFT for accounts in USA) Number

525 Federal Street 402110496286

First Century Bank Bluefield, WV–Bluefield, 61120084 5
USA
Orlando Nogueira de Souza Currency of the beneficiary account
USD
Other information: Checking

Intermediary Bank’s details

Intermediary Bank Intermediary Bank’s Routing N° (only
SWIFT ABA
Details address for accounts in USA)

Nubank none 99770614-9

Other information: Checking, Agncia 0001
3 - Labor / Comercial Relationships
Name & Surname Labor / Comercial Company Period Phone Number Email
Relationship
Cebrac 04/09/2017 55(73)9193- arnaldocoelho
08/13/2019 4765 @gmail.com
Arnaldo Coelho Manager

4 – Family Information

Family First and Last Names Birth Date Studies Level

Partner Rosana Silva Scher 06/01/73 Secondary

Child 1

5 – Studies

Education Level:

Here you must mark with a cross the state of each study level reached:

Ciso Centro Educacional Finished sim Unfinished

Andreas Brunner Finished yes In progress Unfinished

Penn Foster College Finished yes In progress: Start of career Unfinished

Middle of career
Last subjects

UERJ Finished yes In progress: Start career Unfinished

Middle of career
Last subjects

Postgrad University of the People Finished In progress yes

Unfinished

Master Finished In progress Unfinished

PhD Finished In progress Unfinished

High School Studies
Title: Scientific
School: Andreas Brunner Graduation Date: 02 /01 / 1997
Country: Brazil State: RJ

Undergraduate Studies
Title: Computer and Software Technician
School: Penn Foster Career School Graduation Date: 12 /04 /2008
Country: USA State: Pennsylvania
First Year: 2000 Last Year: 2008
College Studies

Title: UERJ
School: Philosophy and Classical Studies Graduation Date: 09 /15 /2015
Country: Brazil State: RJ
First Year: 2001 Last Year: 2015

Postgrad / Master / PhD

Title: Computer Science

School: University of the People Graduation Date: / /
Country: USA State: California
First Year: 2020 Last Year: in Progress

6 – Other Studies
Subject/Theme Description Period

Computer Network Linux System Admnistrator 1999-2001

7 – General Information

Emergency Contact:
Name: Rosana Silva Scher Relationship: Wife

Phone: 55(73) 999504902

I declare that the address and personal details are correct and should be taken as valid for all legal
purposes, undertaking to report any changes that may occur in the future.
Place and date: ...June 15, 2021...........................................................................

To be completed
DOCUMENTS TO BE DELIVERED
by BairesDev

Copy of personal ID
Copy of Passport
Copy of US VISA

Supplier’s signature