Scribd
Upload
50 views

CIS FORM MR PEREZ

The document is a client information sheet for Enrique Jose Perez, detailing personal and banking information including his address, nationality, passport details, and company name. It also includes banking details for a debit card issued by BB&T, with a significant amount of $1,175,000,000.00 mentioned. The document concludes with a verification statement signed by Enrique Perez affirming the accuracy of the information provided.

Uploaded by

Pat Jurel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
50 views

CIS FORM MR PEREZ

The document is a client information sheet for Enrique Jose Perez, detailing personal and banking information including his address, nationality, passport details, and company name. It also includes banking details for a debit card issued by BB&T, with a significant amount of $1,175,000,000.00 mentioned. The document concludes with a verification statement signed by Enrique Perez affirming the accuracy of the information provided.

Uploaded by

Pat Jurel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 8

CLIENT INFORMATION SHEET

CLIENT SIGNATORY NAME ENRIQUE JOSE PEREZ

ADDRESS ONE MARKET PLAZA, SUITE 600, SAN FRANCISCO,


CA 91406

NATIONALITY UNITED STATES OF AMERICA

PASSPORT COUNTRY OF ISSUE UNITED STATES OF AMERICA

PASSPORT NUMBER A20556181

DATE OF ISSUE 05/31/2023

EXPIRATION DATE 05/30/2033

DATE OF BIRTH 27/01/1963

PLACE OF BIRTH UNITED STATES OF AMERICA

COMANY NAME SEA TRADES L.

SOCIAL SECURITY NUMBER 0159135470

COMPANY REGISTRATION NO TBA

CARD NUMBER 4036 2312 0476 1028

1
DEBIT CARD TYPE BUSINESS VISA DEBIT CARD

COUNTRY OF ISSUE UNITED STATES OF AMERICA

ACCOUNT SIGNATORY ENRIQUE JOSE PEREZ

ONE MARKET PLAZA, SUITE 600,


BANK ADDRESS SAN FRANCISCO, CA 91406

CARD PROTOCOL: POS 101.1 W APPROVAL CODE 3318

CARD ISSUING BANK: BB&T

CARD CVV: 012

CARD EXPIRATION DATE: 01/25

AMOUNT: $1,175,000,000.00 ONE BILLION AND ONE HUNDRED &


SEVENTY FIVE MILLION WITH R&E

First Name: Enrique


Last Name: Perez
Gender: Male
Date of Birth: 27 January 1963
Country of Citizenship : United States Of America
Language: English

2
COPY OF PASSPORT

Banking Details: FNB , Account Number: 62873138715 Branch Code: 220629


3
CARD NUMBER: 4036 2312 0476 1028 EXP 01/25

POS 101.1 Online 4 digits Screens

Banking Details: FNB , Account Number: 62873138715 Branch Code: 220629


5
Banking Details: FNB , Account Number: 62873138715 Branch Code: 220629
6
I herebyverify and affirm thatthe above information is true and correct.

Signed this the 27th of March 2024

Enrique Perez PASSPORT-A20556181


United Stated Of America

7
DEED OF AGREEMENT - INVESTMENT COOPERATION
--END OF DOCUMENT--

You might also like