Applicant Information Form - Individual

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.

First Name :                                                              

Last Name :    

Date and Place of Birth :                                           

Nationality :                                                              

Passport Number :                                         

Date of Issue of the Passport :                                  

Expiry Date of the Passport :                         

Postal Address :

Home Address:

Business Telephone Number :                                  

Business Facsimile Number :                                    

Home Telephone Number:

Home Facsimile Number:

Mobile Phone Number:

E-mail Address :

Legal Advisor Name:

Legal Advisor Address:

Legal Advisor Telephone Number:

Legal Advisor Facsimile Number:

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:

Translator Address:

Translator Telephone Number:

Translator Facsimile Number:

Translator E-mail Address:

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 Business Activity(ies) :

What is the investment amount of cash funds available for placement?                              

How were the investment funds earned?

Have the cash funds been in the same bank account for the past three (3) years? 

Are the cash funds free and clear with no liens or encumbrances? 

I, <Name of Investor>, warrant and attest that the cash funds/instruments may be transferred, reserved and / or blocked.

I, <Name of Investor>, warrant and attest, with full personal and corporate responsibility that I have full legal title and authority over the herein described cash funds/instrument(s).

I hereby grant THE TRANSACTING PRINCIPALS full permission and authority to verify, confirm, and reconfirm said cash funds/instrument(s) on a bank to bank basis and conduct standard background checks of the cash funds/instrument(s), and the person/entity owning the cash funds/instruments.

I warrant and attest that I have not authorized any other party to place these cash funds/instrument(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

_________________________________

Mr. <NAME OF INVESTOR>, An Individual

Passport: <NUMBER & COUNTRY>

Date: February    ^th , 2010

Corporate Resolution

This is to certify that the board of directors of ______________________________, [hereinafter “company”] having its address at ___________________________ _________________________________, attended a board of directors meeting which was duly and regularly called, noticed and held on February    ^th 2010, at the company’s above referenced address, at which there was present a quorum thereof, wherein the following resolutions were unanimously adopted, to wit:

 Resolved:         that

Mr. _____________

Nationality : Russian

Passport Number : _____

Passport Issue (Date/Place) : _____

Passport Expiry Date : ______

Date and Place of Birth : ________

Home Address : ______________

Home Telephone Number : ________

Home Fax Number : _______

Mobile Tel Number :________

Email Address : ________

Business Name : ______Global Inc.

Business Post Address :______________

Registration Number & Date : ________

Business Telephone Number : ________

Business Fax Number : __________

Legal Adviser ( : __D.V.__

Address for Mail Delivery :  __________

Address for Courier Delivery :  _______

the director of the company, as authorized signatory on the herein described bank account, in which our funds are deposited at the date of these presents, is hereby fully authorized to act individually as the sole representative of the company to execute all necessary documents and to undertake all actions on behalf of the company in connection with the lawful use of our assets in the amount of                   Euros (EUR  000,000,000.00) presently located in ______ (name and address of bank)_______ in account number __________ Copper (powder) Isotopic fractions CU 63/CU65 Cu 63=69,1%, Cu 65 = 30,9%  - ._000.000 gram.  Analytic certificate No. ______, No. ______ from IGAS dated ____th March 200__ .  

Also resolved:   that the aforesaid Mr. ______________________, is authorized to effect the opening and operation of bank accounts on behalf of and for the benefit of the company at any bank[s] he shall select, and be a signatory thereon, to accept and disburse funds there from, at his discretion and determination, and to execute contracts with his selected sources and banks with respect to the company’s deposits therein, at his discretion, for and in the best interest of the company.  

Further resolved:     

that Mr. _______________, as a director of the company, be and hereby is, authorized and directed to certify that the foregoing resolutions and the provisions thereof are in conformity with the charter, bylaws and articles of incorporation of the company, and that the foregoing resolution and the authority thereby conveyed shall remain in full force and effect until the purposes set forth herein are accomplished.

It is further certified that the above named director of the company has been duly elected and appointed to hold office, is presently holding office, is empowered to act for and on behalf of the company, and that fax, email or photostat copies of this corporate resolution shall be of equal value to their original and shall be accepted as such by everyone, for all purposes, everywhere.

It is resolved that

Mr. ________

Nationality:

Number passport  

Date of issue:

Date of the Expiration of the Passport:

Birth date:

Home the Address:

Domestic Phone number:

Mobile Phone Number {Number}:

The address of e-mail:

is hereby authorized  to   introduce our documents to the Platform and from Platform to the the Companies “_______.” (Director_________) and to carry out fast connection between the Platform and the Companies “______.”  (Director ______) during action of the contract with the trader private placement program..

In witness whereof, I have hereunto set my hand and seal of the company in certification of the above resolutions and provisions on this   ^th day of February, 2010.

________________________________                                                      (Company seal)

Name

Passport No.:

Title:

Company:

As a member of the quorum attending the subject board meeting, I confirm that this document represents a true and complete record of the said board meeting and that the minutes of the meeting have been duly recorded in the company’s minute book.

________________________________

Name: ________________

Title:  _________________

Director of ______Company... INC.                                        _________

                                                                   Signature and SEAL

                                                 NOTAR

February     ^th 2010

AFFIDAVIT OF OWNERSHIP, EXCLUSIVITY AND AUTHORIZATION TO VERIFY ASSETS

TRANSACTION CODE:

TO:

ATT:

1.  I, Mr                      PASSPORT NR                      OF LAWFUL AGE, DO HEREBY SOLEMNLY SWEAR AND TESTIFY UNDER OATH AND MAKE THIS AFFIDAVIT UNDER PENALTY OF PERJURY AS FOLLOWS.

2.  I MAKE THIS AFFIDAVIT KNOWING THAT THE RECIPIENT HEREOF WILL RELY ON THE CONTENTS HEREOF, AND AGREE TO INDEMNIFY THE RECIPIENT AND ALL INTERMEDIARIES AGAINST ANY AND ALL CLAIMS RESULTING FROM ANY MISREPRESENTATION OF A MATERIAL FACT AND

3.  I CONFIRM THAT I AM THE CURRENT LAWFUL OWNER, LAWFUL SIGNATORY WITH FULL LEGAL CONTROL OF THE ASSETS, DESCRIBED IN THIS STATEMENT WHICH ARE IDENTIFIED BY TRANSACTION CODE:.......................................AND IN ALL MY SUPPORTIVE DOCUMENTATION, AND

4.  I FURTHER STATE THAT THE ASSETS DESCRIBED ABOVE WERE LAWFULLY OBTAINED BY FUNDS THAT WERE CLEAN, CLEAR AND OF NON-CRIMINAL ORIGIN, AND

5.  I DECLARE THAT I HAVE FULL AND COMPLETE LEGAL TITLE AND AUTHORITY TO PLEDGE, DEPOSIT OR ARRANGE FOR HYPOTHECATION OF THE ASSETS DESCRIBED AND,

6.  I FULLY ACQUIESCE TO THE INTERNATIONAL ACCEPTED RULES OF NON-CIRCUMVENTION AND NON-DISCLOSURE AS IDENTIFIED IN THE LATEST INTERNATIONAL CHAMBER OF COMMERCE, PARIS, FRANCE.

7.  I CONFIRM THAT I AM READY, WILLING AND ABLE TO PLACE THIS UNENCUMBERED ASSET/CAPITAL AT THE DISPOSAL OF YOUR INVESTMENTS PLATFORM.

8.  I AM INTERESTED TO PARTICIPATE IN THE INVESTMENT IN THE INTERNATIONAL PROJECTS INTENDED.

9.  COMMITTING TO THIS PURPOSE I HEREBY AUTHORIZE YOUR TRADER/BANK OFFICER TO VERIFY AND AUTHENTICATE THE AVALABILITY OF THESE ASSETS AND BALANCE IN THE ACCOUNT ON A BANKTO BANK BASIS, MAINTAINING OUTMOST CONFIDENTIALITY REGARDING THE PRESENTED DOCUMENTS.

10.               PLEASE CHECK THE FOLLOWING ACCOUNT :

ACCT NO. ................

ACCT NAME .........

BANK NAME ............

SWIFT IBAN

BANK OFFICER:

TEL. : FAX:

I'M READY TO MEET YOU AS SUGGESTED, AFTER THE AVAILABILITY OF THESE ASSET HAVE BEEN AUTHENTICATED AND VERIFIED

Signature Notary

(Use Investor’s letterhead with full address,

phone and fax numbers)

HISTORY OF FUNDS STATEMENT BY <NAME OF THE CLIENT>

Date:  February     ^th, 2010

To: Program Manager

Dear Sirs;

The following three questions need to be answered by the Client (Owner of Funds).  Use whatever additional sheets of paper that may be necessary to answer the questions fully and completely.

1.        What is the history of the funds for the past three years?

2.      What is the nature of the business in which the funds

     were earned?

3.  What is the history of the Client’s control of the funds?

______________________                                Date:____________

 (Print Name)

Passport Number     :          

Issuing Country       :          

Date Issued               :          

Initial Letter of Interest and Exclusive Request of Service

Date:  February      ^th, 2010

To: Program Manager

RE: Financial Transaction Opportunity

Transaction Code:   

Dear Sir:

Please accept this Letter of Interest and Request for your Private Consultancy.

We request your exclusive services to assist and facilitate the placement of our herein referenced funds for participation in a bank secured Private Placement.

We are interested in participating in this Investment with the explicit understanding that there will be no risk to our principal funds.

Please accept this letter as an indication of our serious interest and commitment to pursue the placement of this transaction on an immediate basis, subject to the execution of a definitive financial investment contract.

I, Mr.                       , with full authority, for and on Behalf of (corporate name), am the sole authorized bank signatory and account holder with assets in the amount of                             Euros (EUR   000,000,000.00) as attached, that are currently on deposit at       , (Bank’s full address)

These funds are good, clean and cleared funds that have been legitimately earned, and are of a non criminal origin; the funds are free and clear of any liens or encumbrances and are immediately available for private transaction at my sole discretion.

I, Mr.                       , for and on Behalf of (corporate name), confirm clearly that I am ready and able to order assets in the amount of EUR   000,000,000.00 located at       , (bank address), to confirm funds on a Bank-To-Bank basis, and that I am also prepared to have my Bank issue a MT 103 or to block the funds for the duration of the Program with absolutely no restrictions.

PAGE 1 OF 3 – Letter of intent and Exclusive Request of Service (Continued)

Transaction Code:   

I, Mr.                  for and on behalf of (corporate name), attest and agree, as follows:

I am a sophisticated investor who is knowledgeable of private international banking transactions of this nature; and

b.)                                      I have approached your private consultancy group to retain your services at my own choice and freewill, with absolutely no enticements, inducements, or solicitation on your part or by any related parties; and

c.)                                       All information by your consultancy group will be held in the strictest confidence and will be for our private use only and will not be disclosed to any third parties; and

d.)                                      The international standards of business conducted and confidentiality, non disclosure and non-circumvention apply to this private transaction and any related business; and

e.)                                      This is a private transaction that is no way relying upon the US Security act of 1933, and any amendments or regulations related thereto, and does not involve the purchase or sale of securities; and

f.)                                         I am not a licensed securities broker, banker, or government agent of any kind and understand neither is your private Consultancy group; and

g.)                                      That you, nor anyone acting on your behalf, has ever solicited me in any way to enter into a high yield bank secured investment program, and any documents, information and contracts that will be received by us from your group will be in

h.)                                      No way be considered a solicitation of any kind, and in addition, such documents, information and contracts will be kept strictly confidential and private.

PAGE 2 OF 3 – Letter of intent and Exclusive Request of Service (Continued)

Transaction Code:   

I, Mr.                        for and on behalf of (corporate name), am immediately ready, willing and able to proceed with this private transaction and respectfully request that your private Consultancy group assist exclusively with the placement of this transaction and provide me with further details and documentation relating to the definitive agreement.

I have enclosed with this Letter of Interest and Exclusive Request for Service, a copy of my latest Proof of Fund by current statement or bank letter as evidence of my financial capacity to engage this transaction, along with my client information and copy of my passport.

All statements made herein are under penalty of perjury.

A facsimile is deemed as acceptable as a delivered original.

For and on Behalf of (corporate name)

__________________________

Name:            Mr.                 

Passport No.:

Country of Issue:

Witnessed By:        

__________________________

Name:                                   

Passport No.:                      

Country of Issue:  

PAGE 3 OF 3 Letter of intent and Exclusive Request of Service

Letter of Cease and Desist Confirmation

Date:  (insert date)

To: Program Manager

RE: Financial Transaction Opportunity

Transaction Code:      

Know all men by these presence that I, Mr.                        , holder of the         Passport No.:                      , duly authorized and full legally representative director for and on behalf of (corporate name), give notice to have Cease and Desist and any/other group previous group approached in the past regarding our/my files

I, Mr.                       , 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 (insert date).

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.

In witness whereof, I hereby executed this document affixing my signature on this       ^th day of February in the year Two Thousand Ten.

For and on behalf of, (corporate name);

__________________________

Name:            Mr.                 

Passport No.:

Country of Issue:

NON SOLICITATION LETTER

Date:  February    ^th, 2010

To:       Program Manager

I, Mr. __________________, as authorized signatory, do hereby confirm that I have requested of you and your organization, specific confidential information and documentation on behalf of myself regarding currently available Private Placement Programs to serve only my interests, education and not for further distribution.

I am hereby agreeing that all information received from you  is a 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 my general knowledge only.  I hereby affirm under penalty that I have requested this information from you and your organization of my own choice and free will and further that you have not solicited me in any way.

I herein represent that I am not an informant, nor am I associated with any government agency such as Secret Service, IRS, FBI, CIA, SEC, Banking Commission, or any agency whose purpose is to gather information regarding such offerings.

I understand that the contemplated transaction is strictly one of private placement and is in no way relying upon, or relating to the United States Security Act of 1933 as amended, or related regulations, and does not involve the sale of securities.  Further, I hereby declare that you, the Program Facilitator, have disclosed that you are not a licensed security trader, attorney, bank officer, certified public accountant, or financial planner.

I hereby swear under penalty of perjury that the information given above is accurate and tr

Signature  and Seal 

Signatory: Mr            

Company:     

Title:                

Passport:        

Country:          

Date of Issue:            

AFFIDAVIT– IRREVOCABLE PAY ORDER – AFFIRMATION

Reference:  MT-799 with SKR for confirmation and blocking purposes-To the appointed Trader

Principal amount invested: Ten MT of copper isotope powder     ,000,000,000.00 EUROS

This is a private agreement for execution by Mr                             in respect of payments to be made to beneficiaries represented by the Paymaster hereon, and does not include, now or in the future, any claims upon the received profits which may be required by anyone administering the platform trade, who will make their own agreements with me independent of this document.

I, Mr                   holder of                  passport number                , am signatory of the funds as referred to above to be used for the purpose of entering private placement programs. I herby authorize the Trading Platform to make direct payments of 10% (ten percent) to Mr. Louis-Robert Lemire as Paymaster for all intermediaries, the said 10% shall be deducted from all net returns or outgoings received from various financial operations and trades based on the above sum and amount involved in the above-referenced Transaction(s) and in respect of any and all rollovers and or extensions or from the use of further submissions of additional financial, including front payments if any.

Payment of the Compensation

Mr                           is obligated to lodge this Pay Order with the Trading Platform and to instruct the Trading Platform resulting from the above referenced investment transaction, to immediately earmark, segregate and wire transfer into the respective percentage of commission agreed and set out below totaling 10% (ten percent) of the gross proceeds of the total sum of each and every successive partial profit distribution of the agreed volume, pursuant to the period of profit payments (daily, weekly, monthly) as stipulated in the relevant contract/agreement between Mr                      and the entity/institute performing the Private Placement Program. All transfers are to be marked: SAME VALUE DATE; IMMEDIATE“.

For the purpose of this Agreement, “immediately” shall be defined as a period not to exceed 24 (twenty four) hours from the moment at which a cash gross profit, realized from the transaction referenced above, is credited to profit receiving accounts.

Disbursement of Fees as follows:

Their respective percentage of commission agreed and set out below will be paid, without let or hindrance, immediately as per these instructions for the disbursement of fees, from the profits generated and received from the Transaction or Transactions, and will be paid immediately by program administrator account where I undertake to lodge this document, to make automatic payments to the nominated account of the designated Paymaster on behalf of all the respective beneficiaries who signed Broker Agreement with the Paymaster.

The aggregate commission rate is 10% (ten percent), to be paid to the named Paymaster and his respective banking instructions, delineated hereon, at the specific rates indicated, on all finalized net returns from each and every completed trade per week, with rolls and extensions for the term of the trade(s) as referred to herein. It is further understood all commission payments are deducted from 100% (one hundred percent) profit received by Mr                                         .

Furthermore, it is agreed, unequivocally, that the above-referenced Transaction(s) will not be altered, amended or modified during the full term of the accepted trade(s). All beneficiaries accept it is their sole individual responsibility for any tax obligations required by their country of legal domicile, and/or any humanitarian or commercial projects which they undertake independently.

I, Mr                                   , the obligated party, agree irrevocably to pay the proper fee amounts to the Paymaster listed below, and hereby confirm this document as my authority.

                                BENEFICIARY PAYMASTER

It is agreed that the above-referenced banking instructions may be modified by the respective beneficiaries with proper prior written notice.

Executed at:                                                     Notary Public

Date: February     ^th 2010                               Witnessed, accepted and acknowledged by:

Signature.....................................                     Signature...................................

Mr

_________________                                    

              Passport number                               Seal: