CIS - Alberto Cortés Gonzalez - 2022

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 6

ALBERTO CORTÈS GONZÀLEZ

Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025


Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 1 de 6
CLIENT INFORMATION SHEET

In accordance with Articles Two (2) through Five (5) of the Due Diligence Convention and the Federal Banking Commission Circular of
December 1998, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the following information
may be supplied to banks and/or other financial institutions for the purpose of verification of identity and activities of the investing
Member, and the nature and origin of the funds which are to be utilized. All parties have an obligation to respect professional secrecy
and to take all appropriate precautions to protect the confidentiality of the information each holds in respect of the other's activities.
This legal obligation shall remain in full force and effect at ALL times. Directions: This document should be completed in full. If a line
item does not pertain, then insert the term: “N/A” (non-applicable).

Corporate Information

Full Name of Corporation : N/A

Location of Address: Registered Address (Corporation)

Full Name of Corporation : N/A

Location of Address: Mailing Address (Corporation)

Full Name of Corporation : N/A

Contact Information (Corporation)

Telephone Number : N/A

Languages / Translator

Languages : N/A
Does the Signatory speak English? : N/A
If No, Name of Translator : N/A
Tel Number : N/A
Email Address : N/A

Legal Advisor

Full Name : N/A

Bank Information (Corporate)

Bank Name (where funds are currently on deposit) : N/A

Client Account where Profits to be paid

Bank Name : N/A


ALBERTO CORTÈS GONZÀLEZ
Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025
Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 2 de 6

Personal Information of the Transactional Signatory Authorized by Corporation


(Please attach copy of the corporate resolution adopted by the Board of Directors appointing and authorizing said officer(s)
below to represent and legally bind the corporation)

First Name : ALBERTO


Middle Name : N/A
Last Name : CORTÈS GONZÀLEZ
Gender : Male
Date of Birth : 9 OCT 1959
Social Security Number : N/A
Country of Citizenship : Colombia
Languages : Spanish
Tel : (+57) 316 3321238
E-mail : alcorgo2001@gmail.com

Passport Information of Officers(s) of Corporation


*Please attach copy of photo and signature page of passport

Passport Number : AQ729781


Date of Issue : 24 MARZO 2015
Date of Expiry : 23 MARZO 2025
Issuing Authority : Bogotá, Calle 100 Colombia

Location of Address: Home-Legal Residence (Officer of Corporation)

Full Name of Officer : ALBERTO CORTES GONZÀLEZ


Street Address : Carrera 8 Nª 11 – 39 OFICINA: 304
City : Bogotá
State : Bogotá
Country : Colombia
Postal Code 111311

(You may duplicate the section above for each Director involved in transaction)

Investment

Funds available for this transaction : N/A


Type of currency : N/A
Origin of funds : N/A

Are these funds free and clear of all liens, encumbrances and third party interests:

1. I, ALBERTO CORTÈS GONZÀLEZ, hereby declare as the undersigned, having the full signatory power to transfer, assign,
pledge or reserve upon terms satisfactory to me, with full authority to execute all documents and agreements relating
to the same.
ALBERTO CORTÈS GONZÀLEZ
Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025
Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 3 de 6
2. I, ALBERTO CORTÈS GONZÀLEZ, hereby grant permission to contact all parties and institutions named within this
document, including the authorization to verify these disclosures.

3. I, ALBERTO CORTÈS GONZÀLEZ, hereby swear under penalty of perjury, that the information provided herein is
accurate and true as of this date: 23 October 2022.

4. I, ALBERTO CORTÈS GONZÀLEZ, above is accurate and true as of. 23 October 2022.

Signature:
Name / Title: ALBERTO CORTÈS GONZÀLEZ
Passport No.: AQ729781
Date of Issue: 24 MAR/MAR 2015
Date of Expiry: 23 MAR/MAR 2025
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.

EDT (Electronic Document Transmissions)


“Accepted and agreed without change (Electronic signature is valid and accepted as hand signature”
EDT (Electronic Document Transmissions) shall be deemed valid and enforceable in respect of any provisions of this Contract. As applicable, this agreement shall be:
1. Incorporate U.S. Public Law 106-229, ‘‘Electronic Signatures in Global and National Commerce Act’’ or such other applicable law conforming to the UNCITRAL
Model Law on Electronic Signatures (2001) and
2. ELECTRONIC COMMERCE AGREEMENT (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic Business
(UN/CEFACT).
3 EDT documents shall be subject to European Community Directive No. 95/46/EEC, as applicable. Either Party may request hard copy of any document that has
been previously transmitted by electronic means provided however, that any such request shall in no manner delay the parties from performing their respective
obligations and duties under EDT instruments.
ALBERTO CORTÈS GONZÀLEZ
Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025
Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 4 de 6
COPY PASSPORT
ALBERTO CORTÈS GONZÀLEZ
Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025
Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 5 de 6

COPY ID / C. C.
ALBERTO CORTÈS GONZÀLEZ
Passport No: AQ729781 of Colombia Date Expiry: 23th March 2025
Carrera 8 No 11 – 39/Oficina 304/Centro, Bogotá - Colombia Postal Code: 111311
Telephone Mobile: (+57) 316 7358264 E-mail: alcorgo2001@gmail.com

Pág. 6 de 6

COPY RECEIPT OF PUBLIC SERVICES

 Known as CIS, the (Client Information Sheet) is the document that identifies the investor with all its data.
 This document will be essential to be able to present the transaction in the office of the trader and thus initiate a
process of "Due Diligence" - DD.

 - THE END DOCUMENT ----------

You might also like