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CJLConsultores & Asociados

Carlos Julio Lozano, Economist, Bachelor of art


INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

CLASSIFIED AND CONFIDENTIAL

Full Name: CARLOS JULIO LOZANO PERNIA


Place and Date of Birth: Caracas 13/nov/1964
Carlos Julio Lozano ========================================
CIS Passport Number: 133510968 Venezuelan
Issue 15-MAR-2016 Expiration 14-MAR-2021
CLIENT INFORMATION SHEET I.D.: V-7.081.192 TAX Nº RIF V.-07081192-4
Issued JUN 03TH, 2024 Nationality: VENEZUELAN
========================================
Passport Number: AU448267 Colombian
Issue 15-JAN-2018 Expiration 15-JAN-2028
I.D.: CC1127956028
Nationality: COLOMBIAN
=====================================
Company Name: CJL Consultores & Asociados
Home Address: Av Orinoco Resd ORINOCO Suite
piso 1 apto 1-A VALLE DE CAMORUCO, Valencia,
Edo Carabobo, VENEZUELA
3321 Port Royale Dr S 405 Fort Lauderdale Fl
33308 USA
Position in Company: President-CEO
Phone: +58 241 8262859 Landline
Mobile: +58 412-8889595 whatsapp, wechat, telegram
+58 412-4332699 Alternative
E-Mail: lozano.financialconsulting5@gmail.com
Skype: Lozano-financial-commodities

Signature:AUTHORIZED SIGNATURE

Signed Date: JUN 03TH, 2024


I HEREBY SWEAR UNDER PENALTY OF PERJURY THAT THE
INFORMATION GIVEN ABOVE IS ACCURATE AND TRUE
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

CLIENT INFORMATION SHEET (CIS) ・


In accordance with Articles two (2) through five (5) of the Due Diligence Convention and the Federal Marketing Commission Circular of
December 1998, concerning the prevention of money laundering, the following information may be supplied to banks and/or other
Federal Institutions for purposes of verification.

 Full Name: CARLOS JULIO LOZANO PERNIA


 Nationality : VENEZUELAN – COLOMBIAN
 Passport Nr : 133510968 Identity No. : V.-7081192 Issue :15-MAR-2016 Expiration : 14-MAR-2021
Passport Nr : AU448267 Identity No. : CC.-112795028 Issue :15-JAN-2018 Expiration : 15-JAN-2028
 Date of Birth :13-NOV-1964 Place of Birth :CARACAS, VENEZUELA
 Home Address : Av Orinoco Resd ORINOCO Suite piso 1 apto 1-A VALLE DE CAMORUCO, Valencia, Edo
Carabobo, VENEZUELA Home Telephone No. : + 58 241 8262859
 Occupation : Economist, Bachelor of art / Consultant / Financier / Real Estate Advisor / developer / Oil Fuel Trade /
Commodities Trade-Broker / Currency Broker /Financial Instruments Trade-Broker/ wealth management /Investor
 Business Name : CJLConsultores & Asociados
 BusinessAddress: Calle Navas Spínola Edif. Arenas de Valencia Local 8 PB. Entre Av. Bolívar c/c Díaz
Moreno. Valencia Edo. Carabobo Venezuela
 Business Telephone :+ 582418262859 Business Facsimile : N/A
 CellPhone: +58 412-8889595 whatsapp–wechat–telegram AlternativeCellPhone: +58 412-4332699
 E-mail Address: , lozano.financialconsulting5@gmail.com 
 Post Address : Av Orinoco Resd ORINOCO Suite piso 1 apto 1-A VALLE DE CAMORUCO, Valencia, Edo
Carabobo, VENEZUELA
 Skype Id. : lozano-financial-commodities
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 Issued JUN 03TH, 2024.

SUBMITTED BY:

CARLOS JULIO LOZANO,


CEO PRESIDENT CJLConsultores & Asociados
Date: JUN 03TH, 2024
Passport: V. 133510968 C.- AU448267
Date issue: V.- 15-MAR-2016 / C.- 15-JAN-2018
Date expiration: V.- 14-MAR-2018 / C.- 15-JAN-2028
City-Country of issue: Valencia – Venezuela
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

THE ABOVE MENTIONED BENEFICIARY RESERVES THE RIGHT TO CHANGE THE BANK COORDINATES STATED HEREIN AT
ANY TIME BY PROVIDING WRITTEN REQUEST TO THE UNDERSIGNED Note: CARLOS JULIO LOZANO has the right to ask
the paymaster to change the name of the bank, account name and number for payment of the commission after signing the
contract as mentioned on this NCNDA / IMFPA also during the course of the contract and after endorsement by the bank and
after notarization by the notary Public without extra costs. Each beneficiary is also allowed to make one



Paymaster Arya Law Center, Professional Corp (Mr. Majid Safaie)
Mailing Address 18627 Brookhurst Street, #382 Fountain Valley, CA 92708
Physical Address 3187 Red Hill Ave, Suite 115 Costa Mesa, CA 92626
Passport number
Beneficiary Account No 325055076735
Routing Number 121000358 (not needed if using swift code)
Bank Account Type Client Trust Account
Beneficiary Name Arya Law Center, Professional Corp
Paymaster Cellphone 1-714-362-7627
Paymaster telephone 877-279-2523
Paymaster fax 877-235-1558
Paymaster email info@aryalc.com
Bank Name Bank of America
Branch Name Santa Ana Office
Branch Address 3730 S. Bristol St Santa Ana, CA 92704
Branch Phone 1-714-708-6919
Bank Officer Alfonso Garcia
Telephone 1-714-874-9960
Swift Code (Domestic) BOFAUS3N (Domestic) for USA dollar
Bank Address to be used Bank of America, N.A. 222 Broadway,New York, NY 10038

Swift Code (International) BOFAUS6S (International) for foreign currency


Bank Address to be used Bank of America, N.A. 555 California Street, San Francisco, CA 94101
Commission
Special wire instructions SAME DAY TRANSFER AND IMMEDIATE CREDIT FOR EACH ROLL AND EXTENSIONS. EACH
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

TRANSFER PAYMENT MUST INCORPORATE THE STATED BELOW TEXT MESSAGE,


TOGETHER WITH THE SPA TRANSACTION REF.NO: XXXXXXXXXX AND A COPY OF BANK
WIRE TRANSFER SLIP SHOULD BE EMAILED
TO: info@aryalc.com
For benefit of the Following CARLOS JULIO LOZANO PERNIA and Assigns
Lozano.financialconsulting5@gmail.com,
+58 412-8889595 +58 412-4332699 +507 6677-3622
whatsapp
Text message “FUNDS ARE GOOD, CLEAN, CLEARED AND OF NON- CRIMINAL AND NON-TERRORIST
ORIGIN, ARE LIEN FREE AND UNENCUMBERED FUNDS. PAYABLE IN CASH AND IN FULL
AMOUNT IMMEDIATELY UPON RECEIPT BY BENEFICIARY BANK, BASED ON THE SAME
DAY VALUE AND IMMEDIATE CREDIT, THE REMITTER IS KNOWN TO US AND WE ARE
SATISFIED AS TO THE SOURCE OF THE FUNDS SENT TO US - THIS IS DONE WITH FULL
BANKING RESPONSIBILITY IN ACCORDANCE WITH THE SPA TRANSACTION REF. NO:
XXXXXXXXXXXXXX AND A COPY OF BANK WIRE TRANSFER SLIP SHALL BE EMAILED TO:
info@aryalc.com
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

PAYMASTER NAME: AURA SOLUTION COMPANY LIMITED


BANK NAME: KASIKORN BANK PUBLIC LIMITED
BANK ADDRESS: 39/2 CHANA ROAD, THALADYAI MUANG,TILOK
CENTRE, PHUKET,THAILAND: 83000
ACCOUNT NAME: AURA SOLUTION COMPANY LIMITED
ACCOUNT NUMBER: 399-1-04319-4
SWIFT CODE: KASITHBKXXX
PHONE/FAX : (+66) 76 218074
ACCOUNT TYPE: CURRENT ACCOUNT
EMAIL info@aura.co.th

BENEFICIARIES NAME: AURA SOLUTION COMPANY LIMITED

COMMISSION FEE%
IN BEHALF Carlos Julio Lozano +584128889595 whatsapp
Lozano.financialconsulting5@gmail.com,
SPECIAL WIRE INSTRUCTIONS FOR LEGAL VERIFICATION AND DOCUMENTATION PURSUANT TO PATRIOT ACT/BANKING REGULATIONS
WITH ONE ORIGINAL CONTRACT COPY TO BE FILED WITH BANK. ALL TRANSFER INSTRUCTIONS SHALL
STATE: “FUNDS ARE GOOD, CLEAN AND CLEAR, OF NON-CRIMINAL ORIGIN AND ARE PAYABLE IN CASH
IMMEDIATELY UPON RECEIPT BY BENEFICIARY’S BANK WITH SAME DAY’S CREDIT.

PREADVICE MUST BE SENT VIA SWIFT PRIOR TO WIRE TRANSFER & EMAIL A NOTIFICATION
IMMEDIATELY UPON EACH TRANSFER PAYMENT TOGETHER WITH THE REFERENNCE CODE: AURATO:
info@aura.co.th
CJLConsultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,FINANCIAL
CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE PLACEMENTS INVESTMENTS,
REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

PAYMASTER THOMAS A. DARDAS


PAYMASTER ADDRESS 11211 Valley Spring Dr., Houston, Texas 77043
PASSPORT NUMBER 570458993
PAYMASTER TELEPHONE (281) 293-7140
PAYMASTER FAX (281) 497-3201
PAYMASTER EMAIL t.dardas@sbcglobal.net
BANK NAME Bank of America
BANK ADDRESS 701 Town & Country Blvd, Houston, TX 77024
BANK OFFICER Vicky Carey
BANK TELEPHONE (713) 365-3220, Customer Service: (800) 432-1000
BANK FAX (713) 647-5496
SWIFT CODE BOFAUS3N
ABA ROUTING 026009593
ACCOUNT NAME DARDAS & ASSOCIATES TEXAS IOLTA TRUST
ACCOUNT
ACCOUNT TYPE Checking Account
ACCOUNT NUMBER 4880 7464 3293

COMMISSION 1.5%

SPECIAL WIRE SAME DAY TRANSFER AND IMMEDIATE CREDIT FOR


INSTRUCTIONS EACH ROLL AND EXTENSIONS. EACH TRANSFER
PAYMENT MUST INCORPORATE THE STATED BELOW
TEXT MESSAGE, TOGETHER WITH THE SPA
TRANSACTION REF.NO: XXXXXXXXXX AND A COPY
OF BANK WIRE TRANSFER SLIP SHOULD BE EMAILED
TO: t.dardas@sbcglobal.net
FOR BENEFIT OF THE CARLOS JULIO LOZANO PERNIA and Assigns
FOLLOWING Lozano.financialconsulting5@gmail.com,
+58 412-8889595 +58 412-4332699 +507 6677-3622
whatsapp
TEXT MESSAGE “FUNDS ARE GOOD, CLEAN, CLEARED AND OF NON-
CRIMINAL AND NON-TERRORIST ORIGIN, ARE LIEN
FREE AND UNENCUMBERED FUNDS. PAYABLE IN
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust
CASH AND IN FULL AMOUNT IMMEDIATELY UPON
RECEIPT BY BENEFICIARY BANK, BASED ON THE
SAME DAY VALUE AND IMMEDIATE CREDIT, THE
REMITTER IS KNOWN TO US AND WE ARE SATISFIED
AS TO THE SOURCE OF THE FUNDS SENT TO US -
THIS IS DONE WITH FULL BANKING RESPONSIBILITY
IN ACCORDANCE WITH THE SPA TRANSACTION REF.
NO: XXXXXXXXXXXXXX AND A COPY OF BANK
WIRE TRANSFER SLIP SHALL BE EMAILED TO:
t.dardas@sbcglobal.net

Crypto Wallets

Bitcoin legacy
1EmZh8RVXSzGaQd9578kD2ripQkQp8egpz

Tether wallet 0x0E59C2d11005b7C7Ca0B1A252672bf85bA6F5c7F

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

Bank Name Bank of America, N.A.


Bank Address 10301 N. Dale Mabry Highway, Tampa, Fl. 33618
Telephone 813 961-8468
229015116249
Account Number

Account Name Florida Bar IOTA Trust Account, Michael C. Blickensderfer, Esq.
SWIFT BOFAUS3N
ABA Routing 026009593
Number
Bank Officer Ms. Alexdra Lavelanet
PREADVICE MUST BE SENT VIA SWIFT PRIOR TO WIRE TRANSFER & EMAIL a notification
Special Wire immediately upon each tranche transfer payment together with the transactions code/s to:
Instructions Michael@blicklawfirm.com
ALL TRANSFER INSTRUCTIONS SHALL STATE: “FUNDS ARE CLEAN AND CLEAR, OF NON-CRIMINAL
Required Message ORIGIN AND ARE PAYABLE IN CASH IMMEDIATELY UPON RECEIPT BYBENEIFICIARY’S BANK.”

For Benefit Of The CARLOS JULIO LOZANO PERNIA and Assigns Lozano.financialconsulting1@yahoo.com,
Lozano.financialconsulting5@gmail.com,
Following
+58 412-8889595 whatsapp
Commision fee:

The SWIFT or CLEARSTREAM text message covering all remittances shall clearly state the following: “SAME
DAY TRANSFER AND IMMEDIATE CREDIT. REMITTER IS KNOWN TO US. THIS TRANSFER IS WITH FULL
Text Message BANKING RESPONSIBILITY AND WE ARE SATISFIED AS TOTHE SOURCE OF THE FUNDS SENT TO US.
CLEARED, CLEAN, LIEN FREE AND UNENCUMBERED FUNDS OF NON-CRIMINAL AND NON-TERRORIST
ORIGINS".

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

WALL PLACE, LTD.


PAYMASTER NAME:
José Alberto de Muruaga Rubio
Registered Number : 08953386 – London
Paymaster Address: Flat 3, 65 Victoria Road, RH6 7QH - HORLEY – SURREY – U.K.
Passport Number: AAH204524 – Spanish
Issue & Expiry Date 04.05.2013 - 04.05.2023
Paymaster Telephone: +34946166 090 +34625505754
albertomuruaga@gmail.com
Paymaster Email:
wallplace@gmx.com
Bank Name:
Bank Address:
SWIFT Code:
AN ACCOUNT WILL BE OPENED IN PAYING BANK
BIC – IBAN:
Account Name:
Account Number:
CARLOS JULIO LOZANO Lozano.financialconsulting5@gmail.com,
Beneficiaries:
+584128889595 whatsapp
Commision;

Paymaster Signature &


Seal :

Special Please always notify paymaster at email address above when a wire
Instructions: has been sent.
TEXT MESSAGE: The SWIFT or CLEARSTREAM text message covering all remittances shall clearly
state the following: “SAME DAY TRANSFER AND IMMEDIATE CREDIT. REMITTER IS KNOWN TO
US. THIS TRANSFER IS WITH FULL BANKING RESPONSIBILITY AND WE ARE SATISFIED AS TO
THE SOURCE OF THE FUNDS SENT TO US. CLEARED, CLEAN, LIEN FREE AND UNENCUMBERED
FUNDS, EARNED FROM FINANCIAL CONSULTING FEES ON COMMERCIAL ENTERPRISES OF
NON-CRIMINAL AND NON-TERRORIST ORIGINS, KNOWN BY TRANSACTION CODE:
_____________________________________

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

Paymaster Name/passport Alexander Sullivan Beneficiaries:


Sperber/ (EM820631- CJLConsultores & Asociados represented By:
Belgium) CARLOS JULIO LOZANO.
Abacus Regency World, Ltd. (English Pp Nr. 133510968 Venezuelan
company under nr. 10811348 in Pp Nr. AU448267 Colombian
association with ArgentuM International
Ltd. registered in 74 Boulevard d’Italie, SKYPE ID: Lozano-financial-
98000 Monaco,under nr. 13PO8024 commoditieLozano.financialconsulting5@gmail.c
om, Lozano.worldwidecommodities@gmail.com

+58 412-8889595 Whatsapp – wechat - telegram


Bank Name HSBC (London)
Bank Address 62-72 Park Street, London SE1 9DZ, United Kindom
Account Holder Address 7 Bell Yard, London EC2A 2JR
Account Name Abacus Regency Ltd
BIC/SWIFT Code HBUKGB4B (for all currencies)
IBAN GB07HBUK40127684033225 (EUR€)
GB82HBUK40127684033233 (USD$)
Account Number 84033225 (EUR€)
84033233 (USD$)
Sort Code 40-12-76
Banking Telephone Queries +44 1624 682108
Banking Contact
Reference G. Clumpus (to be contacted only by other bank officers) ArgentuM
+44 1268 209 160
Bank Officer’s Fax
Paymaster Cell Phone +377 680865511
Paymaster E-mail address alex@argentum.mc
Signature

SPECIAL WIRE Each SWIFT remittance must be covered and message to stay the following: “THE REMITTER IS
INSTRUCTIONS KNOWN TO US, THIS IS DONE WITH FULL BANKING RESPONSIBILITY AND WE ARE SATISFIED
AS TO THE SOURCE OF FUNDS SENT TO US. SAID FUNDS ARE GOOD, CLEAN, CLEARED AND
OF NON-CRIMINAL ORIGIN, ARE LIEN FREE AND UNENCUMBERED, HAS BEEN EARNED FROM
SERVICES RENDERED AND ARE FREE FOR INVESTMENT PURPOSES, ARE PAYABLE IN CASH
AND IN FULL AMOUNT IMMEDIATELY
UPON RECEIPT BY BENEFICIARY BANK, BASED ON THE SAME DAY VALUE AND CREDIT
SPECIAL SWIFT MESSAGE All Wire transfers shall incorporate below Text Message and a copy of Bank Wire Transfer slip
shall be emailed to: lozano.financialconsulting5@gmail.com, and
lozano.financialconsulting1@yahoo.com, alex@argentum.mc, argentumjorge@yahoo.com,
jorge@argentum.mc, for legal verification and documentation pursuant to Patriot Act/Banking
regulations with one Original Contract copy to be filed with Bank.

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

APPLICATION FORM FOR DUE DILIGENCE AND PAYMENT

Each beneficiary must fully and diligently fill in this form, even if he/she is paid by a paymaster, in order to make
sure his/her participation to the transaction and permit the identification as asked by anti terrorism international
laws regarding to remittance of funds.

1 BENEFICIARY NAME : CARLOS JULIO LOZANO & GROUP


2 AMOUNT TO BE RECEIVED : ….% ( ............................. percent) of contract value
3 PASSPORT NUMBER : V.- 133510968 C.- AU448267
: Venezuelan
4 COUNTRY OF ISSUE Colombian
5 ISSUING & EXPIRATION DATE : Issue 15-MAR-2016 Expiration 14- Issue :15-JAN-2018 Expiration : 15-
MAR-2021 Venezuelan JAN-2028 Colombian
: Av Orinoco Resd ORINOCO Suite piso 1 apto 1-A VALLE DE CAMORUCO,
6 HOME ADDRESS
Valencia, Edo Carabobo, VENEZUELA
: SKYPE ID:
7 CELPHONE /TELEPHONE /FAX / +58 412-8889595 /+58 241 8262859
lozano-financial-commodities
: lozano.financialconsulting5@gmail.com,
8 E-MAIL ADDRESS
9 POSITION : Buyer side x Seller side Investor side
10 COMPANY NAME (if any) : CJL Consultores & Asociados
11 ADDRESS : Av Orinoco Resd ORINOCO Suite piso 1 apto 1-A VALLE DE CAMORUCO,
Valencia, Edo Carabobo, VENEZUELA
12 TELEPHONE – FAX : +582418262859 No available
13 E-MAIL ADDRESS : lozano.financialconsulting5@gmail.com,

14 BANK NAME (receiving funds) :


15 BANK ADDRESS :
16 ACCOUNT NAME :
17 ACCOUNT NUMBER :
18 ABA CODE :
19 IBAN CODE :
20 SWIFT / BIC CODE :
21 BANK OFFICER :
22 TELEPHONE - FAX :
23 E-MAIL ADDRESS :
24 CONTRACT CODE/DATE :
25 CONTRACT RECEIVED FROM : (Name)
26 SENDER’S E-MAIL ADDRESS : (25)
27 CONTRACT SENT TO : (Name)
28 RECEIVER’S E-MAIL ADDRESS : (27)
IS SENDER AND/OR RECEIVER A : Sender (25): YES NOT
29 RELATIVE OF YOURS OR A COMPANY
YOU ARE WORKING WITH? Receiver (27): YES NOT

30

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com
CJL Consultores & Asociados
Carlos Julio Lozano, Economist, Bachelor of art
INTERNATIONAL BUSINESS DEVELOPMENT, WEALTH MANAGEMENT, INTERNATIONAL PROJECT MANAGEMENT,
FINANCIAL CONSULTANCY, WORLD WIDE COMMODITIES FUEL PETROLEUM, GOLD BULLION, PRIVATE
PLACEMENTS INVESTMENTS, REAL STATES, REPRESENTATION
RIF.-V.-07081192-4. C.E.E.C. 1227
In GOD we trust

WARNING: This “Application Form” doesn’t constitute and cannot be considered as a “Pay Order”. Incomplete or fraudulent declaration
and due diligence did not pass will cause the cancellation of your name and the amount reserved will be paid to a Charity or Humanitarian
Company, or distributed among all other commission’s beneficiaries of the same contract.
From this point forward, the international codes will be strictly enforced to exclude all intruders that sent out false information. Those
who submit a false declaration will be charged with a crime. I, the undersigned beneficiary, hereby swear, under the international laws
of perjury and fraud, that the herein information provided by me is accurate and true.

Signature: (Seal) Date: JUN 03TH, 2024

NOTE : Colour copy of signatory’s passport must be attached to this.


If beneficiary is a company, Certificate of Incorporation must be attached too.

“Electronic Signature is valid and accepted as Hand Signature”

««««« END OF DOCUMENT »»»»»

+584128889595 whatsapp – wechat - telegram


Skype:lozano-financial-commodities
Lozano.financialconsulting5@gmail.com

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