----------------------Company name----------------------

----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

CLIENT INFORMATION SHEET (CIS)

In accordance with Articles two (2) through five (5) of the 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. 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 others’ activities. This legal obligation shall remain in full force
and effect at all times.

SECTION 1 NAME OF COMPANY/CORPORATION/TRUST

Buyer’s Full Name
Business Address
Business Registration No
Telephone
Facsimile
E-mail address

SECTION 2 NAME OF INDIVIDUAL

Buyer Signatory Full name
Title
Nationality
Passport No
Date of Issue
Date of Expiration
Date of Birth
Place of Birth
SSN/Identity No
Address
Telephone
Mobile Telephone
Facsimile
Email Address

SECTION 3 NAME OF LEGAL COUNSEL (FOR TRANSACTION ONLY)

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 1 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

Legal Counsel
Address
Telephone
Facsimile
Email Address

SECTION 4 BANKING COORDINATES

Name of Bank
Bank Address
Account Name
Account Signatory
Account No
SWIFT Code
Bank Officer
Bank Officer Telephone
Beneficiary
Email Address

SECTION 5 FUNDS AVAILABLE FOR FIRST TRANCHE

Funds available
Origin of Funds
Are funds clean and clear?

SECTION 6 BRIEF DESCRIPTION OF CORPORATE ACTIVITIES

Description of Corporate
Activities

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 2 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

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 is in compliance with Anti-Money-Laundering Policies as set forth by this Financial Action
Task Force (FATF) 6/O1.

Signed and executed on this June 3, 2025 . SEAL OF COMPANY

(We will create a seal if you don’t have one—need the date of Corp.)

For and on behalf of the Buyer

______________________________________ [Signature IN BLUE INK]

Name : XXXXXXXXXXXXXXXX
Passport Number : XXXXXXXXXXXXXXXX
Country of Issue : XXXXXXXXXXXXXXXX
Issue Date : XXXXXXXXXXXXXXXX
Expiration Date : XXXXXXXXXXXXXXXX

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 3 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

WE WILL PREPARE THE FOLLOWING DOCUMENTS FOR YOU BASED ON THE

INFORMATION THAT YOU PROVIDE TO US ABOVE.

1. LETTER OF INTENT

2. CORPORATE RESOLUTION
IN ORDER TO COMPLETE THIS IN THE FORMAT THAT THE SOURCE REQUIRES, WE NEED TO KNOW THE
NAME OF THE ENTITY’S CEO, SECRETARY AND ANY DIRECTORS’ NAMES.

XXXXXXXXXXXXXXXXXX CEO

XXXXXXXXXXXXXXXXXX SECRETARY

XXXXXXXXXXXXXXXXXX SOLE DIRECTOR

2. AUTHORIZATION TO VERIFY AND AUTHENTICATE

VITAL TO HAVE PROPER NAME OF BANK, TWO BANK OFFICERS, THEIR PIN NUMBERS, THEIR
TELEPHONE NUMBERS AND THEIR EMAIL ADDRESSES.
WE WILL NOT CONTACT THEM WITHOUT APPROPRIATE NOTICE TO YOU.

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 4 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

PASSPORTS

PROVIDE COLOR COPY ENLARGED (140%) TO THIS SIZE (8½ X 11 INCHES). PICTURE MUST BE
CLEAR AND NOT DARK. ENLARGE & LIGHTEN (USING PHOTO SETTING). COLOR SCAN THE
PASSPORT INTO YOUR COMPUTER AT A HIGH RESOLUTION IN THE JPEG FORMAT AND INSERT.

PLEASE ATTACH PASSPORTS OF THE KEY PRINCIPALS IN THIS TRANSACTION. YOU WILL ALSO RECEIVE
XXXXXXXXXXXXX PASSPORT AS PART OF THE PACKAGE AS HE REPRESENTS THE TRANSACTION.

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 5 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

passport of person

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 6 (Plus Exhibits)

 ----------------------Company name----------------------
----------------------COMPANY ADDRESS----------------------
----------------------Telephone: Email: Website:----------------------
(If you have a logo, please send us the scalable version separately)

PROOF OF FUNDS
CURRENT BANK STATEMENT

CURRENT BANK STATEMENT OR RECENT FIVE (5) DAYS TEAR SHEET IS THE REQUESTED
ACCEPTABLE PROOF OF FUNDS. BCL, BANK LETTERS/FINANCIAL CAPABILITY LETTER SIGNED BY
BANK OFFICER(S), CERTIFICATE OF ACCOUNT OR CONFIRMATION OF FUNDS MAY BE INCLUDED
AS SUPPLEMENTAL BANKING. KINDLY INCLUDE UN‐SANITIZED CURRENT BANK STATEMENT OR
TEAR SHEET WITH YOUR SUBMISSION. TRANSMIT HIGH-QUALITY, COLOR SCANS OF REAL
DOCUMENTS. THANK YOU.

the statement attached is an example for review purposes only. for the initiation of this relationship,
all that is required at this time is a screen shot of the account showing the name, bank and amount,
does NOT need to be verified or signed by any bank officers.

an actual signed copy like this one may be required at some time during the process following your
acceptance in and with the program and the source/supplier of the paper.

SENDER’S INITIALS __________________ RECEIVER’S INITIALS ________________

Transaction Code: We will supply this PAGE - 7 (Plus Exhibits)