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Cis Citibank Uk Glaxosmithklineserver 2

The document is a Client Information Sheet that outlines the necessary information for identity verification in compliance with various legal regulations, including the US Patriot Act and Swiss Criminal Code. It provides details about the company GlaxoSmithKline, including its address, registration number, and representative, as well as banking information with Citibank U.K. The document emphasizes the importance of maintaining confidentiality and privacy rights of the client and related individuals.

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Daniel Rocha
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589 views3 pages

Cis Citibank Uk Glaxosmithklineserver 2

The document is a Client Information Sheet that outlines the necessary information for identity verification in compliance with various legal regulations, including the US Patriot Act and Swiss Criminal Code. It provides details about the company GlaxoSmithKline, including its address, registration number, and representative, as well as banking information with Citibank U.K. The document emphasizes the importance of maintaining confidentiality and privacy rights of the client and related individuals.

Uploaded by

Daniel Rocha
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
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CLIENT INFORMATION SHEET

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.

COMPANY INFORMATION
COMPANY NAME : GLAXOSMITHKLINE
COMPANY ADRESS : 980 GREAT WEST ROAD, BRENTFORD, MIDDLESEX, TW8 9GS,
UK.
COMPANY REG. # : 03888792
REPRESENTED BY : MR. GUIDO FETZER
TITLE : BOARD DIRECTOR
PASSPORT № : B28BAEBU0
PLACE OF ISSUE (COUNTRY) : GERMANY
PASSPORT ISSUE DATE : 21.04.2020
PASSPORT EXPIRY DATE : 21.04.2025

BANKING INFORMATION

BANK NAME CITIBANK U.K

BANK ADDRESS CITIGROUP CENTRE, 33 CANADA SQUARE, CANARY


WHARF, LONDON E14 5LB.
ACCOUNT NAME GLAXOSMITHKLINE

ACCOUNT NO. 53910298


SORT CODE 30-00-45
IBAN GB76CITT30004553910298
SWIFT CODE CITTGB2LXXX
BANK OFFICER NAME RICHARD RADFORD
BANK TELEPHONE +44 20 7500 5000

SERVER DETAIL
SERVER ID : AS1696
SERVER IP : 213.170.212.0/24
IDENTITY CODE : 27QGBDDGB42FOP56F
WTS : S0966400
FARM NAME : FARM 21
PASSPORT COPY
COMPANY REGISTRATION COPY

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