VALDEMAR AUGUSTO DA SILVA

CLIENT INFORMATION SHEET

FOR PAYMASTER SERVICES
DATE: July 5, 2018

In accordance with Articles 2 and 5 of the due diligence and federal banking
commission circular of December 1999, concerning the prevention of money
laundering, and Article 305 of the Swiss Criminal Code, the following information may
be supplied to banks and to financial institutions for purposes of verification of
identity and activities of the investing member, and the nature and origin of the funds
which are to be utilized.

Client Full Name

VALDEMAR AUGUSTO DA SILVA
Nationality
BRASILEIRO
Passport Number
FJ785542
Issued By
BRASZIL
Issue Date
19.03.2014
Expiration Date
18.03.2019
Social Security Number (MEDICARE NO:) if
any N/ A
LICENCES HELD(IF ANY)
N/ A
Phone no
+ 55- 11 9 8465 9886
E mail address
augustodasilvav@gmail.com
Skype address

Date of Birth
24.12.1959
Place of Birth
Mato Grosso do Sul BR

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
CLASSIFIED AND CONFIDENTIAL

Initial: Page 1 of 6
 VALDEMAR AUGUSTO DA SILVA
Company Name
N/ A
Registered Office
N/ A
Registered Number
N/ A
Business Telephone
N/ A
Mailing Address
N/ A
Email Address
N/ A

Attorney ( if you have one)

N/ A
Address
N/ A
Telephone
N/ A
Fax
N/ A
Mobile
N/ A
Email Address
N/ A

Origin Of Funds re this activity BONUS OPERATION

Are Funds Free and Clear
Brief Corporate Activity

Facilitator and/or Intermediary for INTERMEDIARY

transactions between groups and/or Buyers
and Sellers of:

Commodities/Banking
Instruments/Bonds/Currency Exchange

I hereby swear under penalty of perjury that the information given above is accurate and true.

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
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 VALDEMAR AUGUSTO DA SILVA
Any information, work or service conducted hereunder is that of a private placement
transaction that is exempt from the Securities Act and not intended for the general public but
for Private Use Only.

Eu juro que, sob pena de perjúrio, as informações dadas acima são precisas e
verdadeiras.

Qualquer informação, trabalho ou serviço aqui realizado é o de uma transação de

colocação privada que é isenta da Lei de Valores Mobiliários e não é destinada ao
público em geral, mas apenas para uso privado.

___________________________________________
SIGNATURE AND SEAL: (electronic signature or original)

Signatory:

Title: Individual

Passport: FM 785542

Country: Brazil

DATE: July 05 2018

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
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 VALDEMAR AUGUSTO DA SILVA
BANKING COORDINATES FOR
INDIVIDUAL ( THE BANKING INFO IS FOR RECORD PURPOSES ONLY)
BANK NAME: BANCO CAIXA ECONOMICA FEDERAL

BANK ADDRESS: SAO CAETANO DO SUL SP CENTRO

SWIFT CODE: CEFXBRSP

BANK OFFICER: WILIAN JOSE

BANK PHONE No: + 55-11- 3598 6000

BANK FAX No: + 55- 11-35986000

A/C NUMBER: AGENCIA 0347 CONTA 021827-7

BANK ACCOUNT NAME: VALDEMAR AUGUSTO DA SILVA

EMAIL: augustodasilvav@gmail.com

SIGNATURE

Re following, please provide a copy

of a photo id… either passport or
driver licence

COPY OF BENEFICIARY
DRIVERS LICENCE

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
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 VALDEMAR AUGUSTO DA SILVA

COPY OF BENEFICIARY
PASSPORT.

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
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 VALDEMAR AUGUSTO DA SILVA
BUSINESS
Please provide description of the
business activity. Where you are
working through the company as
listed above

PROOF OF RESIDENTIAL
ADDRESS (Note that P.O.BOX is not
acceptable)
To validate the home addresses of
all parties, please provide at least
ONE COPY of the following:
(a) Original and recent
bank statement from a
recognized bank
(b) Original and recent
credit card statement
(c) Letter from your
employer (on headed paper)
confirming your permanent
address
(d) Utility bill

TELEPHONE +55-11 9 8465 9886 EMAIL:augustodasilvav@gmail.com SKYPE:

ADDRESS: Rua Ceramica 15 Apto 75 A São João Climaco SP ZIP CODE 04240 130
CLASSIFIED AND CONFIDENTIAL

Initial: Page 6 of 6