Client Information Sheet: Camila@Maktub-Swiss - CH WWW - Maktub-Swiss - CH

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CIS

CLIENT INFORMATION SHEET

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 and activities of the investing Member, and the nature and
origin of the funds that are to be utilized. 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.

COMPANY NAME
MAKTUB SÀRL
REGISTRATION
NUMBER IDE CH-166.298.782

REPRESENTED BY
MRS CAMILA CRISTINA PEREIRA
PASSPORT
N°/NATIONALITY ITALIAN N° YB0004787

ISSUE DATE 25/JAN/2017

EXPIRE DATE 24/JAN/2027

Issuing Authority Ministro Affari Esteri e Cooperazione Internacionale


ADDRESS
ROUTE DE MEYRIN 267 – 1217 MEYRIN GE - CH
TELEPHONE / FAX
+41 22 774 24 24

CAMILA@MAKTUB-SWISS.CH
E-MAIL / WEB SITE
WWW.MAKTUB-SWISS.CH (Under construction)
MOBILE
+41 79 873 45 13
BANK NAME
UBS SWITZERLAND AG
BANK ADDRESS
GENEVA – CORNAVIN - SWITZERLAND
ACCOUNT NAME
MAKTUB SÀRL
ACCOUNT NUMBER
CH90 0027 9279 3293 1101 N
SWIFT - CODE
UBSWCHZH80A
BANK OFFICER
HELENE JULIETTE WOLFF

BANK TELEPHONE / +41 22 375 60 27


FAX

SIGN & SEAL

DATE Camila Cristina Pereira

Signed Date : December 16th, 2019


Declaration: I swear under penalty of perjury, the information given above 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 cleared. The origin of funds is in
compliance with Anti -Money-Laundering Policies as set forth by the Financial Action Task Force
(FATF) 6/01.
Date:

Name: Camila Cristina Pereira

Passport: ITALIAN N° YB0004787


Date of Issue: 25/JAN/2017
Date of Expiry: 24/JAN/2027
Country: Italian
SIGNATORY PASSPORT

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