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    Cis Elvira Dias Murtha 2024

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    lajuri2002
    This document provides personal and banking information for Elvira Dias Murtha. It includes her name, nationality, passport details, date of birth, addresses, phone numbers, email, social security numbers, bank account information, and signatures to verify the information.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cis Elvira Dias Murtha 2024

    Uploaded by

    lajuri2002
    28 views5 pages
    This document provides personal and banking information for Elvira Dias Murtha. It includes her name, nationality, passport details, date of birth, addresses, phone numbers, email, social security numbers, bank account information, and signatures to verify the information.

    Original Title

    CIS ELVIRA DIAS MURTHA 2024 (1)

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    This document provides personal and banking information for Elvira Dias Murtha. It includes her name, nationality, passport details, date of birth, addresses, phone numbers, email, social security numbers, bank account information, and signatures to verify the information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views5 pages

    Cis Elvira Dias Murtha 2024

    Uploaded by

    lajuri2002
    This document provides personal and banking information for Elvira Dias Murtha. It includes her name, nationality, passport details, date of birth, addresses, phone numbers, email, social security numbers, bank account information, and signatures to verify the information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 5

    ELVIRA DIAS MURTHA

    Passport CB166885
    Address: T.B.A
    Phone: T.B.A E-mail: T.B.A

    CLIENT INFORMATION SHEET


    FOR PAYMASTER SERVICES

    In accordance with Articles 2 and 5 of the DUE DILIGENCE AND FEDERAL BANKING COMMISSION, Circular of
    December-1999, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the
    following information may be supplied to banks and to financial institutions for purposes of verification of
    identity and activities of the investing member, and the nature and origin of the funds which are to be utilized.

    PERSONAL INFORMATION:
    Client Full Name: ELVIRA DIAS MURTHA
    Nationality: PORTUGUESA
    Gender: FEMALE
    Passport Number: CB166885
    Date of Issue: 08/10/2019
    Date of Expiry: 08/10/2024
    Issuing Authority: DPF / DF
    Social Security NO: N/A
    (MEDICARE) If Any
    LICENCES HELD NO: If Any N/A
    Social Security NO:
    32270079
    (PORTUGAL) MF:
    Country of Citizenship: Brazil
    T.B.A
    Home Full Address:

    Telephone NO: T.B.A


    Mobile NO: T.B.A
    Email Address: dhdropp@gmail.com
    Date of Birth: 24.04.1956
    Place of Birth: Porto - Portugal
    BANKING COORDINATES FOR INDIVIDUAL

    BANKING COORDINATES DETAILS – FROM BRAZIL:


    Bank Name: SANTANDER UK PLC
    Bank Address: T.B.A
    Swift Code: T.B.A
    Iban: GB56ABBY09012959552215
    Agency/Accont No: T.B.A
    Bank Account Name:
    T.B.A

    Name Passport: T.B.A


    Bank Officer: T.B.A
    Officer Email: T.B.A
    Bank Phone No: T.B.A
    Bank Fax No: T.B.A

    Initial: CLASSIFIED AND CONFIDENTIAL page 1 of 4


    ELVIRA DIAS MURTHA
    Passport CB166885
    Address: T.B.A

    Phone: T.B.A E-mail: T.B.A

    Signature:

    ELVIRA DIAS MURTHA


    COLOUR COPY OF OWNER PASSPORT

    Initial: CLASSIFIED AND CONFIDENTIAL page 2 of 5


    ELVIRA DIAS MURTHA
    Passport CB166885
    Address: T.B.A

    Phone: T.B.A E-mail: T.B.A

    Signature:

    ELVIRA DIAS MURTHA


    COLOUR COPY OF OWNER IDENTIFY

    Initial: CLASSIFIED AND CONFIDENTIAL page 3 of 5


    ELVIRA DIAS MURTHA
    Passport CB166885
    Address: T.B.A
    Phone: T.B.A E-mail: T.B.A

    COPY OF
    (IDENTIFY):

    PROOF OF T.B.A
    RESIDENTIAL
    ADDRESS
    (Note that P.O. BOX is
    not acceptable)

    T.B.A
    To validate the home
    addresses of all parties,
    please
    provide at least ONE
    COPY of
    the following:

    T.B.A
    A. Original and recent
    bank statement
    from a
    recognized bank.
    B. Original and recent
    credit card
    statement.
    C. Letter from your
    employer (on
    headed paper)
    confirming
    your

    Initial: CLASSIFIED AND CONFIDENTIAL page 3 of 4


    ELVIRA DIAS MURTHA
    Passport CB166885
    Address: T.B.A

    Phone: T.B.A E-mail: T.B.A


    I, ELVIRA DIAS MURTHA, hereby swear under penalty of perjury that the information given above is accurate
    and true.

    Any information, work or service conducted hereunder is that of a private placement transaction that is
    exempt from the Securities Act and not intended for the General Public but for Private Use Only.

    Name: ELVIRA DIAS MURTHA


    Passport Number: CB166885
    Date of Issue: 08/10/2019
    Date of Expiry: 08/10/2024
    Country: PORTUGAL

    Initial: CLASSIFIED AND CONFIDENTIAL page 5 of 5

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