FOREIGN ACCOUNT INFORMATION FORM FA.

025 R3

We are in the process of updating our vendors and clients data base, information, therefore, we
kindly request you to provide us with the following information:

1 Company Name: Protecno Srl Sucursal Colombia

2 Company Address: Calle 100 # 17ª-36 Oficina 214- Bogota, Colombia

3 Telephone : (+57) 601 9261057 Fax: ----------------------------------

4 Mobile Phone: (+57) 310 6367997 E-mail: a.ortega@protecnosrl-america.it

(+57 )312 3624527 c.castillo@protecnosrl-america.it

Important: The Account number should be necessarily under the company or

institution name.

6 Account Number: 5 7 1 7 3 1 3 7 5 9 4

7 Beneficiary Bank Name: Bancolombia Dirección General

8 Bank Address: Carrera 48 # 26 - 85 El Poblado

9 City/ Country: Medellín Colombia

10 ABA Code Number: -----------------------------------------

Swift Code Number: (Mandatory COLOCOBMXXX

11
for all Countries)

12 Account Name: Protecno Srl Sucursal Colombia

13 Intermediary Bank Name: -----------------------------------------

Swift Code Number: (Mandatory -----------------------------------------

14
for all Countries)

15 ABA Code Number: -----------------------------------------

16 Account Number: -----------------------------------------

17 Additional Information: La cuenta del banco es corriente.

Applicant

Signature:

Full Name: Andy Ortega Gonzalez

Position: Representante legal suplente.
Date: 21/07/2022

Vigente desde: 02.06.2022

Documento al que pertenece: PA.002 Registro y Evaluación de Proveedores