VOLENTE INTERNATIONAL PTY LTD

STRICTLY CONFIDENTIAL

Client Information Sheet

In accordance with Articles Two (2) through Five (5) of 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 the
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).

1. Personal Information:
1.1 Name : Simone`Collova
1.2 Nationality : Australian
1.3 Passport No. : PA2683015
1.4 Date of Issue : 25 August 2015
1.5 Date of Expiry : 25 August 2025
1.6 Date of Birth : 22 February 1978
1.7 Place of Birth : MESSINA
1.8 Social Security : N/A
1.9 Drivers License No. : 4001015
1.10 Expiration Date : 21 February 2027
1.11 Address : 1 Queens Rd, 3004 Melbourne, Australia
1.12 Home Phone No : NA
1.13 Cellular Phone No :
1.14 Email Address : :

2. Business Information:
2.1 Company Name : VOLENTE INTERNATIONAL PTY LTD
2.2 Registration No. : 632 124 835
2.3 Country : Australia
2.2 Address : 1 Queens Rd, 3004 Melbourne, Australia
2.3 Office Phone No. :
2.4 Email Address

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 VOLENTE INTERNATIONAL PTY LTD
STRICTLY CONFIDENTIAL

3. Law Firm Information:

3.1 Law Firm : CK Tan & Co
3.2 Advisor : Tan Cheng Kiong
3.3 Phone No : +65 6339 8048
3.4 Email Address : kiong@cktan.com.sg

4. Bank Information:
4.1 Name of Bank : Commonwealth Bank of Australia
4.2 Branch : Westfield Booragoon
4.3 Bank Address : Shop T146 Westfield Booragoon, 125 Riseley St, Booragoon, WA
6154, Australia
4.4 SWIFT Code : CTBAAU2S
4.5 Account Name : Volente International Pty Ltd
4.6 BSB Number : 066-202
4.7 Account Number : 10438446
4.8 Currency : AUD, EUR, USD
4.9 Bank Officer : Matt Braysher (Authorised access to SWIFT Global Server)
4.10 Bank Officer Email : matt.braysher@cba.com.au
4.11 Bank Officer Phone : +61 8 9215 8260

Declaration: I hereby swear, under penalty of perjury, that the information provided is both true and accurate. I am
the signatory on the aforementioned bank account. All monies engaged in this transaction are derived from non
criminal origin; and are good, clean and cleared. The origin of funds are in compliance with Anti-Money-Laundering
Policies as set forth by the Financial Action Task Force (FATF)6/01.

For and On Behalf of

Name : Simone`Collova
Title : Director
Passport No : PA2683015

______________________________

Signature

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STRICTLY CONFIDENTIAL

PASSPORT COPY

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 VOLENTE INTERNATIONAL PTY LTD
STRICTLY CONFIDENTIAL

COMPANY REGISTRATION

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