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Compliance Template Set - CORPORATE
EXAMPLE
ONLY
COMPLIANCE PACKAGE (WORD)
documentation enclosed
*** CORPORATE ENTRY
***
*
*
DATE:
April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
UNDERSTANDING THE RULES OF THE ROAD
Affidavit Requesting Information
Client Information Sheet
CORPORATE RESOLUTION
letter of exclusivity
letter of intent
LETTER OF CEASE & DESIST CONFIRMATION
SOURCE OF FUNDS AFFIDAVIT
LETTER OF NON-SOLICITATION & REQUEST
AUTHORIZATION TO VERIFY FUNDS
CONFIRMATION OF BANK OFFICER
passport(s)
proof of funds
Attachments
(if needed)
n
LETTER OF LIAISON and
communications AUTHORITY
E-mail, facsimile copies or
photocopies of documents or agreements pertaining to this subject are declared
and regarded as valid and equal to the original, provided they are represented
by proper signatories. Originals may be required upon
request.
understanding THE RULES OF
THE ROAD
None of the customary standards and
practices that apply to normal, conventional business, investing and finance
applies to private funding programs. It is a "privilege" to be invited to
participate in a Private Placement Transaction Program, not a "right." The
trading administrators and managers have a virtually endless supply of
financially qualified applicants. All things considered, the trading
administrators and their banks will favor the applicant who provides the best
paperwork. An applicant should never underestimate what the trading entities
knowledge about him. Failure to provide full disclosure will disqualify the
disingenuous. Clients must first prove that they are qualified, not the other
way around. Until the client is accepted by Compliance, the Traders, and Trading
Banks, no placement can occur. The U.S. Patriot Act has introduced obligatory
compliance procedures. Face‐to‐face interviews with compliance officers and
program management are occasionally required, but generally not necessary. Any
arrogant or demanding personality will guaranteed to be rejected. Only the
principal owner of funds is required as signatory. Corporations must empower an
Officer or Director as sole, exclusive signatory by using a Corporate
Resolution. Not only do the funds have to be on deposit in an acceptable bank;
they must also be in an acceptable jurisdiction. It is felony fraud to submit
documents or financial instruments that are forged, altered or counterfeit. Such
documents are promptly referred to the appropriate law enforcement agencies for
immediate criminal prosecution. The practices, procedures and rules are
determined by the U.S. Federal Regulatory Authorities, Western European Central
Banks program management, licensed traders and trading banks. It is their
decision whom to accept and whom to reject. Contract terms, yield, schedules,
etc., are made to fit their needs and schedules – and not the caprices or
demands of the investors. This marketplace is highly regulated and strictly
confidential, and absolute confidentiality by the investor is a key element of
every contract. A client who breaks confidentiality will precipitate instant
cancellation. Finally, submission of the application documents to more than one
management group at a time is termed "shopping". If an investor "shops" he can
expect that this fact shall be quickly disseminated and known among the program
management groups who maintain close communication – and will then be accepted
by none and rejected by all.
I, (NAME), have read
and accepted the above as of this date: April 22, 2011
Signature:
________________________________
Name:
Passport Number:
Country of Issuance:
Affidavit
Requesting Information
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the
undersigned, on my own behalf, do hereby affirm that I have requested specific
information about Private Placement Opportunities and or the Participation in
Investment Programs. The confidential information presented, received, and
learned is not for the solicitation of funds, nor is it an offering of any kind,
but is for my general knowledge. I confirm that I have requested the information
of my own free will and choice, and further confirm that no party has solicited
me in any way. I hereby agree to keep all information received from you strictly
confidential, private, and proprietary, and that I will not disclose it to any
other third party.
I, (NAME), further
affirm that any funds or assets I decide to place are done so at my own specific
initiative, risk, and authorization with full consideration and without duress.
I further affirm that the information received is intended solely for my PRIVATE
& CONFIDENTIAL USE ONLY. I am a sophisticated investor by all definitions of
that classification known to me; I make my own investment decisions, and have
legally acquired assets available. I, hereby reaffirm, under penalty of perjury
that I have requested information from you and your organization and that you
have not solicited me in any manner.
I, (NAME),
understand that the contemplated transaction is strictly one of Private
Placement and is in no way relying upon existing regulations in relation to the
United States Securities Act of 1933 as amended, or related regulations, and
does not involve the buy and sell of securities. I further declare that I am not
a licensed securities broker or government employee and understand that neither
are you or your organization. I mutually agree that this Private Placement
Transaction is exempt from the securities act.
I, (NAME),
understand and agree that the ICC NON-DISCLOSURE and NON-CIRCUMVENTION rules
apply to this affidavit and business relationship, and hereby agree to the
current application standards of the International Chamber of Commerce, Paris,
France which rules are made a part hereof by this reference.
I, (NAME), under
penalty of perjury, with full corporate and individual responsibility, hereby
irrevocably, confirm that neither myself, nor anyone else associated with my
organization, my corporation, or the individual investor are working for any
Agencies of any Government. I further state under penalty of perjury that I am
not involved in any Government entrapment operation.
I, (NAME), under
penalty of perjury, with full corporate and individual responsibility, hereby
irrevocably, confirm that neither myself, nor anyone else associated with my
organization or corporation have been convicted of a felony, either within the
United States or anywhere in the world where that crime would be considered
equal to a US felony. To the best of my knowledge I am not nor are any of my
associates within my organization or corporation considered to be terrorists or
on any watch list with the United States Department of Homeland Security.
I, (NAME), agree
that all email and facsimile transmitted documents shall be treated as original
documents. I further agree that in all cases where plural might apply where
singular tense is used it is so applied.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
Client
Information Sheet
Directions: This document must be
completed in full. If a line item does not pertain then insert the term: “N/A”
(non-applicable).
Corporate Information
Full Name of Corporation:
Date of Incorporation:
Incorporated in (City/State/Country):
Registration Number:
Board of Directors (Name & Title):
Officers (Name & Title):
Shareholders (List all shareholders
owning more than 5 % of all outstanding shares of Corporation):
Location of Address: Registered Address
(Corporation)
Full Name of Corporation:
Street Address:
City:
State:
Country:
Postal Code:
Location of Address: Mailing Address
(Corporation)
Full Name of Corporation:
Street Address:
City:
State:
Country:
Postal Code:
Contact Information (Corporation)
Telephone Number:
Fax Number:
Mobile Number:
Email Address:
Financial Information (Corporation)
Annual Income of Corporation:
Liquid Assets of Corporation:
Net Worth of Corporation:
Investment Experience (in years) of
Corporation:
Languages / Translator
Languages:
Does the Signatory speak English?:
If No, Name of Translator:
Tel Number:
Email Address:
Legal Advisor
Full Name:
Company:
Address:
City:
State:
Country:
Postal Code:
Telephone Number:
Fax Number:
Email Address:
Bank Information (Corporate)
* Please attach copy of account
statement from bank
Bank Name (where funds are currently on
deposit):
Street Address:
City:
State:
Country:
Postal Code:
Account Name:
Account Number:
Sort Code ABA No.:
SWIFT Code:
Account Signatory (1):
Account Signatory (2):
Bank Officer # 1 Name:
Bank Officer # 2 Name:
Telephone Number:
Fax Number:
Client Account where Profits to be paid
Bank Name:
Street Address:
City:
State:
Country:
Postal Code:
Account Name:
Account Number:
Sort Code ABA No.:
SWIFT Code:
Bank Officer Name:
Telephone Number:
Fax Number:
Personal Information of Officer(s) of
Corporation / Passport Information
(Please attach copy of corporate
resolutions adopted by the Board of Directors appointing and authorizing said
officer(s) to represent and legally bind the corporation)
* Duplicate the section below for
each Director.
First Name:
Middle Name:
Last Name:
Gender:
Date of Birth:
Social Security Number:
Country of Citizenship:
Languages:
Passport Information of Officers(s) of
Corporation
*Please attach copy of photo and
signature page of passport
Passport Number:
Date of Issue:
Date of Expiry:
Issuing Authority:
Location of Address: Home-Legal
Residence (Officer(s) of Corporation)
(Please attach copy of utility bill)
Full Name of Officer:
Street Address:
City:
State:
Country:
Postal Code:
(Below, duplicate the section above
for each Director)
Investment
Funds available for this transaction:
Type of currency:
Origin of funds:
Are these funds free and clear of all
liens, encumbrances and third party interests:
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date:
April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
CORPORATE RESOLUTION
INVESTOR TRANSACTION CODE:
All of the directors of
(COMPANY NAME) below listed were in attendance, in person or by
telephone conference. General discussion was then held
concerning the issue, and all aspects of the same, were fully explained in
detail to the satisfaction of the board members.
DIRECTOR Name/Title:
Passport No.:
DIRECTOR Name/Title:
Passport No.:
DIRECTOR Name/Title:
Passport No.:
SECRETARY Name/Title:
Passport No.:
The Board of Directors of
(COMPANY NAME) an International Business Company incorporated on
(DATE) in (LOCATION) in (COUNTRY),
with Registered Offices at (ADDRESS) in a meeting held on
this the (Day) Day of (MONTH),
(YEAR), adopted the following resolutions.
RESOLUTION 1:
It is resolved that the Board of
Directors of (COMPANY NAME) hereby authorizes:
(NAME) holder of Passport Number (NUMBER) issued
on (DATE).
As our Managing Member, as the
(President-CEO etc) who assigned authority, on our behalf stay and
name, to instruct, negotiate, arrange, monitor, execute, manage and sign any and
all agreements and/or necessary contracts with third parties pertinent to all
financial transactions with bank instruments (securities/derivatives)
RESOLUTION 2:
It is resolved that at this meeting of
the Board of Directors that our Managing Member and in fact (NAME)
acts for (COMPANY NAME) with regards to the afore said
financial investment.
RESOLUTION 3:
It is resolved that (NAME)
is hereby authorized to act as our Financial Director for afore said purpose.
RESOLUTION 4:
It is resolved the Board of Directors of
(COMPANY NAME) hereby authorized (NAME) to assume
all authority, powers, duties, signatory rights and responsibilities on our
behalf.
RESOLUTION 5:
It is resolved that (NAME)
is hereby authorized to open a personal, corporate, trading, trust and/or
custodial account in any bank, domestic or foreign and to sign such resolutions
as may be required by such bank to accomplish the objective(s) as stated herein
and to give irrevocable instructions to said bank(s) on our behalf.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
Signature:
__________________________________
Name / Title: Secretary
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
LETTER OF EXCLUSIVITY
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing
(COUNTRY) Passport No. (NUMBER), authorized
signatory of the Account No (ACCOUNT NUMBER) at
(Name of the Bank), located at (ADDRESS OF BANK),
the undersigned, (hereinafter referred to as the “INVESTOR”), hereby with full,
personal and legal responsibility under penalty of perjury of law, represent,
warrant and attest that:
I, the undersigned, have full legal
title, rights, interest, control and authority to commit and invest these funds
and have chosen to do so of their own free will and sole decision without any
solicitation or influence from the trade administrators.
I, the undersigned, principal party
involved in this transaction do not have any other party working with or
authorized to work with these funds allocated for above-mentioned reference
code, nor have any other parties been authorized to invest these funds, nor have
other funds from myself or the corporation been placed with other parties for a
similar investment. Further I attest that I have sent Cease & Desist Notices to
any other intermediaries or trade groups that have had access to our paperwork
in the past.
I, the undersigned, herewith grant
Program Manager, full exclusive right as our sole agent for 3 Months and 1 Day
(Three Months and One Day) and/or the period of the contract whichever is later
including any proceeds of the investment if re-invested, from the above date, to
enter these funds for me, or the Corporation into the best available investment
I, the undersigned, understand, and I am
fully aware that this transaction will be registered with a major world bank
and/or the Federal Reserve and the submitted private and confidential paperwork
will be forwarded for the sole purpose of establishing necessary dossier due
diligence and clearance for this transaction.
I, the undersigned understand and
acknowledge that the Program Manger (hereinafter referred to as the “Trade
Coordinator”) will initially base the placement of this transaction on the face
value representations and documentation presented, and that any
misrepresentation may be considered criminal bank fraud. I, the undersigned
hereby indemnify the Trade Coordinator against any misrepresentations.
Facsimiles or electronically transmitted
documents are deemed as legally binding as delivered originals.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
LETTER OF INTENT
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the
undersigned, hereby confirm under penalty of perjury, my full commitment and
agreement to participate in an investment opportunity, subject to my acceptance
of the terms, conditions and procedures that shall be outlined in the Private
Placement Program.
Furthermore, I hereby warrant and
represent that I have available for placement into the proposed investment, the
sum of (SPELL AMOUNT) United States Dollars
($_____,000,000.00 USD) of clean, clear funds, free of any levy,
liens or encumbrances and of non-criminal origin, and herewith attach
documentary evidence of same. I hereby warrant and represent
that the Rule of Full-disclosure has established these funds were legally
obtained from non-criminal business or actions. I further
confirm that I am the beneficial owner of these cash funds, that I have full
signatory authority and control thereof, and that such funds are available for
immediate placement at my sole discretion.
I confirm and acknowledge, with full
responsibility, that neither your company nor anyone working on your behalf has
solicited me; that the documents that I shall receive shall not be deemed to be
a solicitation of funds in connection with an investment program; and, that I am
approaching you voluntarily for the purpose of securing participation in a bona
fide Secure Private Placement Program.
I am prepared to instruct my bank to act
upon the funds as required pursuant to the specifics of this program.
In the case of Blocked Funds, it is my understanding the funds will be
blocked and or reserved) in the account and they will remain, at all times,
non-callable.
I hereby request information from you
covering the terms, condition and procedures of a secured investment and look
forward to commencing the transaction, upon my acceptance of the agreement.
Email, facsimile copies or photocopies
of documents or agreements pertaining to this subject are declared and regarded
as valid and equal to the original, provided they are represented by proper
signatories. Originals may be obtained upon request.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
LETTER OF CEASE & DESIST CONFIRMATION
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing
(COUNTRY) Passport No. (NUMBER), duly
authorized and full legally representative director for and on behalf of
(NAME OF COMPANY), give notice to have Cease and Desist and
any/other group previous group approached in the past regarding our/my files
I, (NAME), make a
clear statement and confirm under risk and penalty of perjury not to have any
other entities, associations, financial institutions, affiliates,
intermediaries, groups or others with my /our permission nor any specific
authorization to handle nor process any one of my /our documents as from
April 22, 2011
And that; All previous entities,
associations, financial institutions, affiliates, intermediaries, groups or
others have been notified of such by the correspondent official Cease and Desist
Letter communication. This exclusive authority and engagement shall continue
fully effective until cancelled in writing by me.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
SOURCE OF FUNDS AFFIDAVIT
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing
(COUNTRY) Passport No. (NUMBER), duly
authorized and full legally representative director for and on behalf of
(NAME OF COMPANY), do solemnly swear/attest the following
statements to be true.
I, (NAME), declare
under penalty of perjury and with full personal and legal responsibility under
the International Court of Law that I legally hold the sum of (SPELL
AMOUNT) United States Dollars ($_____,000,000.00 USD)
and it is deposited in Account No (ACCOUNT NUMBER) at
(Name of the Bank), located at (ADDRESS OF BANK).
I further declare these funds are
current and valid currency lawfully obtained and constitute clean, cleared funds
of legitimate, non-criminal, commercial origin. There are no
liens, contractual obligations or encumbrances of any kind against these funds.
I have full and complete, legal
ownership of, and the unrestricted right and authority to pledge or otherwise
utilize these funds. The funds are ready for transfer or
release upon my instruction.
These funds are authentic and
verifiable. I am not aware of any matter which could or might
cause the non-validation of these funds and I hereby indemnify the Program
Manager and/or assignees, intermediaries, or other parties involved, against any
claims, demands, civil and/or criminal in nature, and liabilities, damages, or
expenses including without limitation any attorney’s fees which may arise,
whether in whole or in part, caused by reason of reliance upon this sworn
declaration.
E-mail, facsimile copies or photocopies
of documents or agreements pertaining to this subject are declared and regarded
as valid and equal to the original, provided they are represented by proper
signatories. Originals may be obtained upon request.
I, (NAME), hereby
swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
(THIS DOCUMENT MUST BE NOTARIZED)
NOTARY:
LETTER OF NON-SOLICITATION & REQUEST
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the
undersigned, hereby confirm that I have requested of you and your organization
specific confidential information and documentation on behalf of ourselves. I
hereby declare that I am fully aware of the information received from you is in
direct response to my request, and is not in any way considered or intended to
be a solicitation of funds of any sort, or any type of offering, and is intended
for our general knowledge only. I hereby affirm under penalty of perjury that
you have not solicited in any way. I understand that the contemplated
transaction is strictly one of private placement, and is in no way relying on or
related to the United States Securities Act of 1933, as amended or related
regulations, and does not involve the sale of securities. That affiant makes
this affidavit knowing that the recipients will rely on the contents hereof, and
agrees to indemnify and hold-harmless all recipients and all other parties --
including intermediaries -- against any and all claims resulting from any
applicant misrepresentation of a material fact or any loss of asset value or any
act (legal or not) of a bank or other financial institution, governing authority
or agency, the Federal Reserve or an official or other insider of any such
entity. Further, I hereby declare we are not licensed brokers or government
employees, and understand that neither are you or your organization. We mutually
agree that this private placement transaction is exempt from the Securities Act,
and not intended for the general public, and all materials are for private use
only.
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
AUTHORIZATION TO VERIFY FUNDS
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Authorization to Verify
INVESTOR TRANSACTION CODE:
Know all men, by these that I,
(NAME), at the address shown above, give you clear notice that you
have my direct permission and full authority to do all matters necessary to
confirm, verify, and authenticate my beneficially owned cash funds and/or
application asset(s) and its associated good standing account status, in an
amount of (SPELL AMOUNT) United States Dollars
($_____,000,000.00 USD) on a bank to bank basis.
The below stated beneficially owned account is of good, clean, and cleared cash
funds obtained via legal means, and is currently available at the bank
coordinates below:
Cash Amount:
($_____,000,000.00 USD)
Bank Name: (Name of the Bank),
Bank Address: (ADDRESS OF BANK)
Account Name: (ACCOUNT NAME)
Account Number: (ACCOUNT
NUMBER)
Account Signatory: (ACCOUNT
SIGNATORY)
Bank Officer & Title: (BANK
OFFICER / TITLE)
copy of this Authorization will be
lodged and presented to my Bank Officer.
In witness hereof I, (NAME),
hereby swear under penalty of perjury, that the information provided herein is
accurate and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
C.C.: (NAME OF
BANK AND BANK OFFICER)
LETTER OF CONFIRMATION OF BANK OFFICER
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing
(COUNTRY) Passport No. (NUMBER), duly
authorized and full legally representative director for and on behalf of
(NAME OF COMPANY), do solemnly swear/attest with full legal
responsibility, that the following named person is my actual and personal bank
officer at (Name of the Bank), located at (ADDRESS
OF BANK), who will be available to cooperate with the trader for
blocking of the following referenced bank account:
Name Bank Officer & Title:
(BANK OFFICER / TITLE)
Bank Officer Telephone:
(BANK OFFICER TELEPHONE)
Account Number:
(ACCOUNT NUMBER)
I, (NAME), hereby
swear under penalty of perjury, that I AM THE SIGNATORY of the account, that the
funds belong to me, and the information provided herein is accurate and true as
of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
passport
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.
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 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.
LETTER OF liaison and communications AUTHORITY
DATE: April 22, 2011
TO:
Trade Authority / Program Manager
RE:
Participation in Structured Private Financial
Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing
(COUNTRY) Passport No. (NUMBER), duly
authorized and full legally representative director for and on behalf of
(NAME OF COMPANY), hereby authorize (TRANSLATOR NAME),
bearing (COUNTRY) Passport No. (NUMBER)
having the below contact details, to act as my official liaison in such matters
to carry out the duty and responsibility as primary contact to coordinate
communication and receive copy of all written and telephonic communication
regarding the above transaction as I do not speak English and he is my official
translator. Copy of corresponding passport has been included.
Name of Translator: (TRANSLATOR
NAME)
Telephone Number: (TRANSLATOR
TELEPHONE NUMBER)
Email Address:
(TRANSLATOR EMAIL)
Address: (TRANSLATOR ADDRESS)
I, (NAME), hereby
swear under penalty of perjury that the information provided herein is accurate
and true as of this date: April 22, 2011
For and on behalf of (NAME OF
COMPANY)
Signature:
__________________________________
SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
D
OFFICIAL SEAL OF LAW /NOTARY OFFICE:
.
Phone/Fax: +4420 8518 2792
United Kingdom, London
Phone +44 79 7109 1628
E-mail:
financetrade2000@aol.co.uk
Prague
Phone: +42 0602 354354
Russian Federation,
Moscow
Phone/Fax: +74956910508
Mob. +74957610194
St. Petersburg
Phone/Fax: +78125723139
Mob. +79219668993
http://www.ukcredit.ru
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