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1:
CLIENT INFORMATION
FORM
In accordance with Articles 2
through 5 of the Due Diligence Convention and
the Federal Banking Commission Circular of
December 1998, and under the
US Patriot Act of 2002, as amended in February
2003 concerning the prevention of money
laundering and 305 of the Swiss Criminal Code,
the following information may be supplied to
banks and/or other financial institutions for
purposes of verification of identity and
activities of the Client described below, and
the nature and origin of the funds which are to
be utilized. The foregoing is subject to
agreement by all parties to whom this
information is provided that they are obligated
to respect the privacy rights of the Client and
all individuals described herein, as well as the
generally accepted professional standards
relating to the maintenance of confidential
information, and to take all appropriate
precautions to protect the confidentiality of
the information contained herein, This legal
obligation shall remain in full force
indefinitely without restriction.
Corporate
Full
Name of Institution
:
Registration Number
:
Date of
Registration
:
Domicile
/Jurisdiction :
Postal
Address :
Registration Address
:
Physical
Address
:
(if
different from Registration Address)
:
Business
Telephone Number
:
Business
Facsimile Number
:
E-mail
Address
:
Website
:
Corporate Officers and
Titles
:
Corporate Officers
phone number
:
Corporate Officers
Mobile phone
:
Corporate Officers
Skype
:
Details of Signatory to
Contract – Corporate & Individual
First
Name :
Last
Name :
Date and
Place of Birth
:
Nationality
:
Passport
Number
:
Date of
Issue of the Passport
:
Expiry
Date of the Passport
:
Title
Within the Corporation
:
Mobile
Phone Number
:
Skype
:
Home
Address :
Home
Telephone Number
:
Home
Facsimile Number
:
E-mail
Address :
Legal
Advisor Name
:
Ousitsenko Nikolaos
Legal
Advisor Address
:
Legal
Advisor Telephone Number
:
+42 0602 354354
Legal
Advisor E-mail Address
:
info@fintradeppp.com
Do you
speak English?
:
If no,
what language?
:
If
English is not listed, please provide the name
and co-ordinates of a person you designate to
translate from English to your preferred
language.
Translator Name
:Ousitsenko
Nikolaos
Translator Address
:
Translator Telephone Number
:+42
0602 354354
Translator Facsimile
Number
:
Translator E-mail Address
:
info@fintradeppp.com
Ware House Information and DESCRIPTION OF ASSETS FORM:
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ISSUING Ware
House (Name)
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:
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Ware House (address)
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INSTRUMENT/ASSETS
|
:
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Assets
in form of Copper Powder Ultrafine CU CU69,1
and Cu 30,9%, chemical purity of 99,999% (Box 1-
50)
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Safekeeping receipt №/Date
|
:
|
|
|
Quantity
|
:
|
|
|
Evaluation Order №/Date
|
:
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Total
amount
|
:
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|
|
|
:
|
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Ware House
OFFICER
|
:
|
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Telephone/
Fax
|
:
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Assets (skr)
owner/Signatory Name
|
:
|
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|
|
:
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ASSETS (SKR)
OWNER/SIGNATORY
Phone,
Mob.,Skype, E-mail.
|
:
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Phone: _____,
Mob.:______,Skype:____, E-mail:____
|
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NATURE OF
TRANSACTION
|
:
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PRIVATE
PLACEMENT INVESTMENT PROGRAM
|
|
|
:
|
|
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Funds in
form ______
SKR No.:
……
available in
your deposit (USD / EUR )
|
:
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USD/EUR
|
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How was
the investment funds in form
Nickel wire
SKR No.:
……
earned?
|
:
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Legal purchase
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Origin
of Funds in form
______
SKR No.:
……
|
:
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Commercial origin
|
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Are the
________
SKR No.:
………
free and
clear with no liens or encumbrances?
|
:
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YES
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Details of
the Depository & Profit
Depository Bank Accounts
Bank
Name
:
Bank
Address
:
Bank
Swift Code
:
Account
Name
:
Account
Number
:
Account
Signatory Name and Title
:
Bank
Officer Name and Title
:
Bank
Officer Telephone Number
:
Bank
Officer Facsimile Number
:
Bank
Officer E-mail Address
:
Describe
Corporate Activity :
What is
the investment amount available
for
placement and in what form?
:
How were
the investment
funds
earned?
:
Are the
cash funds and/or the application asset
beneficially
owned by
the undersigned?
:
Have the
cash funds or the cash funds supporting the
application asset been in the same bank
account for the past three (3) years?
:
Are the
cash funds and/or the application asset
free and clear with no liens or encumbrances
or governing restrictions?
:
Are
the cash funds and/or the application asset
restricted from being used to obtain credit
lines?
Are the
cash funds and/or the application asset governed
and/or restricted by any “Depository
Agreement(s)” that would
affect its implementation in a private business
venture?
As the
beneficial owner: I, <Name of
Investor>, warrant and attest that the cash
funds and/or the application asset(s)
may
be transferable, reserved, blocked,
and is
also unrestricted in regards to its use for
credit lines.
That I,
<Name of Investor>, warrant and attest, with
full personal and corporate responsibility that
as the beneficial owner; I have full legal title
and authority with no governing restrictions
over the herein described cash funds and/or
application asset(s) and am also acknowledged as
such by my depository financial institution.
We
hereby grant THE TRANSACTING PRINCIPALS full
permission and authority to verify, confirm, and
reconfirm said cash funds on a bank to bank
basis and conduct standard background checks of
the cash funds and/or asset(s),
and the corporate entity
owning such.
I warrant and attest that I
have not authorized any other party to place
these cash funds and/or Asset(s).
I certify
and attest that at no time has your organization
or any agent and / or appointee on your behalf
made any offer or solicitation.
I, <Name
of Investor>, hereby declare with full personal
and corporate responsibility under penalty of
perjury that the information given above is
accurate and true.
By:
<NAME OF INVESTOR>, An Individual
_________________________________
Signature
Name:
Title:
Passport Number:
Country of Issue:
Date of Issue:
Date of Expiry:
Signature,
Stamp (not electronic form)
2:
CLIENT INFORMATION
SHEET
Date:
16th day of April, 2011
Full Name of Corporation: .
Address:
Board of Directors & Signatoty (Name &
Title): Mr. ____ Mob._______ Skype____
Officers (Name & Title): Director&
Signatory : Mr. ____ Mob._______ Skype____
Officers (Name & Title): Director _____
Mob._______, Skype____
1)
Client Name (Signatory):
2)
Nationality:
3)
Passport Number:
4)
Passport Issue Data:
5)
Date and Place of Birth:
6)
Home Address:
7)
Home Fax Number:
8)
Home Tel. Number:
9)
Cellular Phone Number:
10)
Email
Address:
11)
Business Name:
12)
Business Address:
13)
Registered Office:
14)
Registration Number:
15)
Business Fax Number:
16)
Business Telephone Number:
17)
Legal Advisor: Ousitsenko
Nikolaos
18)
Legal Advisor Mail Address:
ebc@fintradeppp.com,
Address...
19)
Legal Advisor Courier Address:
.......... London +447971091628,
Prague: +420602354354
20)
Bank:
21)
Branch and Branch Address:
22)
Bank Officer’s Name:
23)
Phone Number:
24)
Fax Number:
25)
Account Name:
26)
Account Number:
27)
Account Signatory:
Ware House Information and
DESCRIPTION OF ASSETS FORM:
|
ISSUING Ware House (Name)
|
|
|
Ware
House (address)
|
(Ware
House address that has issued
the instrument)
|
|
INSTRUMENT/ASSETS
|
Assets
in form of Copper Powder
Ultrafine CU CU69,1 and Cu 30,9%, chemical
purity of 99,999% (Box 1- 50)
|
|
Safekeeping receipt
№/Date
|
|
|
Quantity
|
|
|
Evaluation Order
№/Date
|
|
|
Total
amount
|
|
|
Ware
House OFFICER
|
|
|
Telephone/ Fax
|
|
|
Assets (skr) owner/Signatory Name
|
|
|
ASSETS (SKR) OWNER/SIGNATORY
Phone, Mob., Skype, E-mail.
|
Phone:
_____, Mob.:______,Skype:____, E-mail:____
|
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Are
the Assets ________ SKR No.: ……… free and clear
with no liens or encumbrances?
PRIVATE PLACEMENT INVESTMENT PROGRAM
|
|
|
NATURE OF TRANSACTION
|
PRIVATE
PLACEMENT INVESTMENT PROGRAM
|
28) Funds available for this transaction:
Euro 5.540.000.000.00
(five billion five hundred forty million) euro
Origin of Funds: The Assets in form of
Enriched Stable Isotope Copper-Powder fractions CU 69,1% of Cu63 & 30.9%
of Cu65 with purity of 99,999% (the chemical composition of the assets is
certified by IGAS Certificate of Analysis No ++++ from ___) is 2,77 Euro/mg (two
Euros and seventy seven Cent per Milligram), deposited in the Ware House
IGAS GmbH, Landstrase 88a, - D – 38644 Coslar Harlingerode, Germany
(Officer (Managing Director - Dieter Draht Telephone Number - +49 (0) 5321 330
300, Faximile Number - +49 (0) 5321 303
301), Safekeeping receipt No. ___ Dated ____,
with the Evaluation Order No.: ____ from __ which confirms the price the
total amount for 2000 kg makes Euro 5.540.000.000.00 (five
billion five hundred forty million euro)
Funds available in words:
five billion five hundred forty million
euro
29)
Origin of funds:
Earnings from business
30)
Are funds free and clear?
Yes: X
No: ________
31)
Brief Overview of Corporate Activity: (Describe
Corporate Activity)
Company ______ registered in 2005. Main
activities of the company - investment activities as a representative of an
investment company _____ ), financial intermediation in the sale of oil and rare
metals real estate transactions in
It is agreed that facsimile or electronic copies of this Client Information
Sheet, or any other associated documents to this transaction, are as valid and
legal as delivered originals.
I Hereby Swear, under penalty of
perjury, the information given above is accurate and true.
For and on behalf of:
(corporate name)
__________________________________
Signature
Name:
Title:
Passport Number:
Country of Issue:
Date of Issue:
Date of Expiry:
Список
Security
House,
которые принимают на хранение
Copper
(powder),
с выдачей полного пакета документов для РРР:
1.PRO SAFE
Sicherheit und Service Management GmbH. Anschrift
Alt Salbke 6-10 39122
Magdeburg
Unternehmensleitung: Geschäftsführer: Helmut Bandulik. Kontakt
Telefon: (03 91) 6 62 50-0
Telefax: (03 91) 6 62 50-19.
2.«ZF»
Zurcher Freilager AG) Zurich.
Zürcher Freilager AG. Freilagerstr. 47, CH-8043 Zürich. Tel. +41 (0)44 / 405 62
62, Fax. +41 (0)44 / 405 62 63,
info@zf-company.ch.
3. IGAS
GmbH, Landstr. 88a, D-38644 Harlingerode, Germany
E-mail:
kontakt@igasgmbh.de
,
http://www.igasgmbh.de/index.htm
Telefon:
(0049) (0)53 21 / 330 300, Telefax: (0049) (0)53 21 / 330 303
Принимаются также документы других Security
House Германии, Швейцарии или Великобритании.
3. Оценку (Evaluation
Order/Private
Independent
Evaluation)
Copper
(powder)
выполняет
эксперт оценщик
Marko
Ehwe
–
Babelsberger
Strase
5, 39114
Magdeburg
tel.
0391/8520152,
Mob.
0171/5174174,
E-mail:
gutachten@ehwe.de), либо иной сертифицированный
эксперт-оценщик.
Банк трейдера, через который будет
оформлен залог данного актива и выдан кредит для использования в РРР, может
предложить собственную оценку, которая в ряде случаев бывает ниже или выше
существующей.
4. SGS
INSTITUT FRESENIUS - один из ведущих
поставщиков Европы немедицинского лабораторного анализа.
http://www.institut-fresenius.de/english/home/index.shtml
SGS INSTITUT FRESENIUS GmbH Im
Maisel 14 65232 Taunusstein
Germany Telephone +49 6128 744-0
Zur Wetterwarte 10, Haus 107
D-01109 Dresden t +49 351 8841-100
f +49 351 8841-190
microelectronics institut-fresenius.de
-
Словарь специальных выражений, терминов Private Placement Program-PPP
Действительно ли существуют
Private
Placement Programs?
Private placement program:
насколько высоки доходы?
Как провести “Due Diligence”
при инвестировании в private placement program?
Использование
низколиквидных активов для инвестиций в Рrivate Рlacement Рrograms
10 Подсказок, которые должны знать
Частные Брокеры private placement programs.
Надежда, Враг Брокеров Рrivate Рlacement
Рrograms
Монстры и шулера финансового мира (о
деривативах)
Деривативы без директивы
Распространенные способы мошенничества при
выполнении РРР. Стр.1
, 2,
3
В погоне за дешевыми сенсациями:
http://www.spekulant.ru/archive/2002_08_st11.html
Деривативы без директивы:
http://www.spekulant.ru/archive/2004_01_st20.html
Крылья МММ над Америкой:
http://www.spekulant.ru/archive/Krylya_MMM_nad_Amerikoj.html
Монстры и шулера финансового мира:
http://www.spekulant.ru/archive/2002/28/2002_02_st14.html
Скрытые тайны Золотого картеля:
http://www.spekulant.ru/archive/2002/33/2002_07_st11.html
Гром грянул -пора креститься!
http://www.spekulant.ru/archive/2002/36/2002_10_st21.html

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