investor information summary
TRANSCRIPT
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
INVESTOR INFORMATION SUMMARY
DATE : Monday, March 23, 2015FROM : S.C. PANGIRAN BUDI SERVICE S.R.LTO : Compliance Officer THROUGH : SIR DR IR FEROZ
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 Criminamay be supplied to banks and/or other financial institutions for the purpose of verification of identity and activities of the Principal, and the nature and origin of the funds that are to be utilized. All parties have an obligation for professional discretion 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.
1. Principal
a) Represented By
b) Nationality
c) Passport Number
d) Date Of Issue
e) Date Of Expiration
f) Date Of Birth
g) SSN/Identity No.
h) Place Of Birth
i) Contact Address
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
INVESTOR INFORMATION SUMMARY
Monday, March 23, 2015 S.C. PANGIRAN BUDI SERVICE S.R.L Compliance Officer – NRL Platform SIR DR IR FEROZ
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 Principal, and the nature and origin of the funds that are to be
obligation for professional discretion 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.
:
S.C. PANGIRAN BUDI SERVICE S.R.L
: SIR DR IR FEROZ
Nationality : MALAYSIAN
: A25895236
: 21 JANUARY 2012
: 23 JUNE 2017
: 08 NOV 1974
: 741108-01-7575
: JOHORE BHARU
: JALAN GURNEY 2
________
IASI Romania European Union
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INVESTOR INFORMATION SUMMARY
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
l 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 Principal, and the nature and origin of the funds that are to be
obligation for professional discretion 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.
S.C. PANGIRAN BUDI SERVICE S.R.L
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
j) Contact Telephone No.
k) Facsimile No.
l) Cell No.
m) Occupation
n) Business Name
o) Business Address
p) Contact Telephone No.
q) Facsimile No.
r) Cell No.
2.
Address For Mail
3.
Address For Courier
4.
BD Issuing Bank Name
a) Address
b) Account Number
c) Account Name
d) Bank Officer 1 Name
e) Bank Officer 1 Pin Code
f) Bank Officer 2 Name
g) Bank Officer 2 Pin Code
h) Telephone
i) Telefax
j) SWIFT CODE
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
: +60177430448
: TBA
: +60177430448
: BUSINESS OWNER
: S.C. PANGIRAN BUDI SERVICE S.R.L
: +60355118268
: +60177430448
: +60355108268
: +60177430448
: 1-08-02 WORLDWIDE @7,JALAN LAZUARDI 7/29.SEKSYEN 7,40000,SHAH ALAM,SELANGOR,MALAYSIA
: SAME AS ABOVE
: NATWEST,NEW YORK
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: TBA
: TBA
:
________
IASI Romania European Union
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S.C. PANGIRAN BUDI SERVICE S.R.L
02 WORLDWIDE @7,JALAN LAZUARDI 7/29. SEKSYEN 7,40000,SHAH ALAM,SELANGOR,MALAYSIA
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
k) Face Value BANK DRAFT
5. Affirmation: I hereby swear under the full penalty of perjury, that the information provided herein is both true and accurate. I am in control signatory authority on the aforementioned bank account and have full authority to execute all contracts and agreements relating to pleading the assets for a loan. The funds are in full compliance with the antiFinancial Action Task Force (FATF) 6/01.
Signed and Sealed this Monday, March 23, 2015
______________________________________Name : SIR DR IR FEROZTitle : CHAIRMANPassport No. : A25895236Country of Issue : MALAYSIA
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
BANK DRAFT : USD 190 MILLION (1 PCS) USD 190 MILLION (1 PCS) USD 250 MILLION (1 PCS)
I hereby swear under the full penalty of perjury, that the information provided herein is both true and accurate. I am in control of the assets stated above, and have signatory authority on the aforementioned bank account and have full authority to execute all contracts and agreements relating to pleading the assets for a loan. The funds are in full compliance with the anti-money laundering policies set forth by the Financial Action Task Force (FATF) 6/01.
Monday, March 23, 2015
______________________________________
SIR DR IR FEROZ CHAIRMAN A25895236
________
IASI Romania European Union
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I hereby swear under the full penalty of perjury, that the information provided herein of the assets stated above, and have
signatory authority on the aforementioned bank account and have full authority to execute all contracts and agreements relating to pleading the assets for a loan. The
ndering policies set forth by the
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
________
IASI Romania European Union
Page 4
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
________
IASI Romania European Union
Page 5
Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :[email protected]
________
IASI Romania European Union
Page 6