Cis 15 Banca Pueyo Empresa
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tipu1sultan_1Cis 15 Banca Pueyo Empresa
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tipu1sultan_1CLIENT INFORMATION SHEET
Date: Badajoz (spain), Juli 14, 2020
In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal
Banking Commission Circular of December 1998, and under the US Patriot Act of 2002, as
amended in February 2003 concerning the prevention of money laundering and 305 of the
Swiss Criminal Code, the following information may be supplied to banks and/or other financial
institutions for purposes of verification of identity and activities of the Client described below,
and the nature and origin of the funds which are to be utilized. The foregoing is subject to
agreement by all parties to whom this information is provided that they are obligated to respect
the privacy rights of the Client and all individuals described herein, as well as the generally
accepted professional standards relating to the maintenance of confidential information, and to
take all appropriate precautions to protect the confidentiality of the information contained herein,
This legal obligation shall remain in full force indefinitely without restriction.
Client / Home Information
Client / Signatory Name Mr. FERNANDO BIELO CHALE
Nationality SPANISH
Passport Number PAB241509
Date of Issue 07, Aug., 2015
Date of Expiration 07, Aug., 2025
Country of Issue SPAIN
Social Security Number 45410152X
Birthday (MM/DD/YYYY) 14/04/1943
Place of Birth SPAIN
Business Information
Business Name COMERCIO UNIVERSAL BAHO MAN, S.L..
CALLE BILBAO Nº 38, .- 06008
Business Address
BADAJOZ(SPAIN)
Years in Business 30 Years
Country / State of Incorporation BADAJOZ(SPAIN)
Business Telephone
CLIENT INFORMATION SHEET
Business Fax N/A
Web Page Address
Legal Advisor (Law Firm) N/A
Legal Advisor Phone N/A
Legal Advisor Address N/A
BANKING COORDINATES FOR RECEIVING THE TOTAL VALUE INSTRUMENT.
BANCA PUEYO,S.A.
TOTAL AMOUNT TO OF THE TOTAL VALUE INSTRUMENT
RECEIVE
Bank Name BANCA PUEYO, S. A.
Account Number
0078 0025 30 40 0000 2296
Account Name and COMERCIO UNIVERSAL BAHOMAN, S.L.
Beneficiary
SWIFT/BIC BAPUES22XXX
IBAN ES66 0078 0025 3040 0000 2296
Bank address AVDA. RICARDO CARAPETO Nº 25-A.- 06008 BADAJOZ
(SPAIN)
City/ Country of BANCO 06008 BADAJOZ (SPAIN)
OFICIAL BANCARIO DIRECTOR DEL BANCO
WEBB acceso internet www.e.pueyo.com
-------------------------------------
[email protected]
Bank E-Mail Address
Bank Officer Phone Number +34924238011
Fax N/A
Beneficiary MR. FERNANDO BIELO CHALE.-
CLIENT INFORMATION SHEET
IN THE INVOICE FOR TRANSFER THIS FUNDS, IT IS VERY IMPORTANT TO
JUSTIFY THE REASON FOR PAYMENTS AS: “LOAN FOR MR. FERNANDO BIELO
CHALE, SUPERIOR INDUSTRIAL ENGINEERING, TO EXECUTE PROJECTS, FOR
FACILITIES, SERVICES AND CONSTRUCTION OF ENGINEERING WORKS FOR
HUMANITARIAN ASSISTANCE PURPOSES.
================================================================
EN LA FACTURA DE TRANSFERENCIA DE LOS FONDOS ES MUY IMPORTANTE
JUSTIFICAR EL MOTIVO DE LOS PAGOS COMO: “PRESTAMO A FAVOR DE MR.
FERNANDO BIELO CHALE, PARA EJECUTAR PROYECTOS DE INGENIERO
INDUSTRIAL SUPERIOR, PARA INSTALACIONES, SERVICIOS Y CONSTRUCCION
DE OBRAS CIVILES DE INGENIERIA Y CON DESTINO A FUNDACIONES DE AYUDA
HUMANITARIA.
==============================================================
Declaration Below
I HEREBY SWEAR, UNDER PENALTY OF PERJURY, THAT I AM THE SIGNATORY OF THE ACCOUNT IN
WHICH ALL OF THE FUNDS/ASSETS ARE DEPOSITED AND THAT THE FUNDS/ASSETS ARE OWNED BY OUR
CORPORATION OR CLIENT INDIVIDUALLY AND THAT THE INFORMATION PROVIDED HEREIN IS TRUE
AND CORRECT. ALL MONIES ENGAGED IN THIS TRANSACTION ARE DERIVED FROM NON-CRIMINAL
ORIGIN AND ARE GOOD, CLEAN, AND CLEARED. THE ORIGIN OF FUNDS IS IN COMPLIANCE WITH THE
ANTI-MONEY LAUNDERING POLICIES AS SET FORTH BY THE FINANCIAL ACTION TASK FORCE (FATF) 6/01.
DATE: 14, July., 2020
For and On behalf of the Developer: COMERCIO UNIVERSAL BAHOMAN, S.L.
____________________________ SIGN AND SEAL:
SIGNATURE DATE : 14/July /2020
NAME / TITLE : FERNANDO BIELO CHALE
PASSPORT NUMBER :PAB241509
PASSPORT ISSUE DATE : 07/August/2015
PASSPORT EXPIRY DATE: 07/August/2025
COUNTRY OF ISSUE : SPAIN
CLIENT INFORMATION SHEET
DEVELOPER COMPANY REGISTRATION
CLIENT INFORMATION SHEET
CLIENT INFORMATION SHEET
