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[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
DOCUMENTATION ENCLOSED
*** INDIVIDUAL ENTRY ***
DATE: xxxxxxxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
CLIENT INFORMATION SHEET
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
UNDERSTANDING THE RULES AND PROCEDURES
ACKNOWLEDGEMENT OF LAW
AFFIDAVIT REQUESTING INFORMATION
ATTACHMENTS (IF NEEDED)
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 obtained upon request.
__________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
LETTER OF INTENT
DATE: xxxx
TO: Trade Authority / Program Manager,
RE: Participation in Structured Private Financial Opportunity
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 xxxx Millions of Euro (€ xxx,000,000.00) 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.
We are looking to fund … (please fill in)
Please include a summary of the projects with cost Ê
Project 1
Out line:
Location:
Socio economic benefit:
Cost: M€
Implementation / Projected starting up:
Projected timetable:
Project 2
Out line:
Location:
Socio economic benefit:
Cost: M€
Implementation / Projected starting up:
·
Projected timetable:
Project 3
Out line:
Location:
Socio economic benefit:
Cost: M€
Implementation / Projected starting up:
Projected timetable:
___________________________________________________________________________________________________
What is your expectation – Please explain Ê
xxxxxxxxxxxxxxxxxxxxxx
What do you need ---------Please explain Ê
xxxxxxxxxxxxxxxxxxxxxxx
------
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: 11/19/19
For and on behalf of name
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance: SEAL
applicant initials ___________
___________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
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).
Personal Information
First Name:
Middle Name:
Last Name:
Gender:
Date of Birth:
Social Security Number: N/A
Country of Citizenship:
Passport Number:
Date of Issue:
Date of Expiry:
Issuing Authority:
Home Street Address:
City:
Country:
Postal Code:
Telephone Number: +
Fax Number: -
Mobile Number: +
Email Address:
Skype :
WhapsApp:
Financial Information:
Annual Income:
Liquid Assets:
Net Worth:
Investment Experience (in years) :
Languages spoken / Translator
Languages F o American/English o French o German o Spanish
o Others: ________________
Do you speak English? o Yes o No
If No,
n Name of Translator:
n Tel Number: +
n Email Address:
n Skype :
n WhapsApp:
Translator passport Information:
- Country of Citizenship:
- Passport Number:
- Date of Issue:
- Date of Expiry:
- Issuing Authority:
Legal Advisor
Full Name:
Company:
Address:
City:
State:
Country:
Postal Code:
Telephone Number:
Skype:
Fax Number:
Email Address:
Bank Information (Corporate)
* Please attach copy of account statement from bank
Bank Name (where funds are currently on deposit):
City:
State:
Country:
Postal Code:
Account Name: M.
Account Number:
Sort Code ABA No.: N/A
SWIFT Code:
Account Signatory (1):
Account Signatory (2):
Bank Officer # 1 Name:
Telephone Number: +
Skype :
WhapsApp:
Fax Number: +
Bank Officer # 2 Name:
Telephone Number: +
Skype :
WhapsApp:
Fax Number: +
Client Account where Profits to be paid
Bank Name: TBA
Street Address: TBA
City:
State:
Country:
Postal Code:
Account Name:
Account Number:
Sort Code ABA No.:
SWIFT Code:
Bank Officer Name:
Telephone Number:
Fax Number:
Skype :
WhapsApp:
Email:
Investment
Funds available for this transaction: xxx millions
Type of currency: Euro
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: 11/19/19
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
SEAL
applicant initials ___________
_______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
LETTER OF EXCLUSIVITY
DATE: xxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
Dear Sir,
I, name, bearing country Passport No. xxxxxxxxxx, authorized signatory of the Account No xxxxxxxxxxxxxxxxxxxxxxxxxx at Bank, located at address, 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 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, 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: xxxx
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
SEAL
_____________________________________________________________________________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
LETTER OF CEASE & DESIST CONFIRMATION
(Do not sign during the presentation of these file please)
DATE: xxxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), give notice to have Cease and Desist and any/other group previous group approached in the past regarding 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 documents as from 11/19/19.
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: 11/19/19.
(Do not sign during the presentation of these file please)
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
_____________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
SOURCE OF FUNDS AFFIDAVIT
DATE: xxxxx
TO: Trade Authority / Program Manager
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
Dear Sir,
I, name, bearing country Passport No.xxxxxxxxx , 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 xxx Millions of Euros (€ xxx,000,000.00) and it is deposited in Account No xxxxxxx at Bank, located at address
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: 11/19/19
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
(THIS DOCUMENT MUST BE NOTARIZED)
NOTARY: Seal
_______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
LETTER OF NON-SOLICITATION & REQUEST
DATE: xxxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
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.
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance: SEAL
_____________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
AUTHORIZATION TO VERIFY FUNDS
DATE: xxxx
TO: Trade Authority / Program Manager
RE: Authorization to Verify
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 xxx Millions of Euro Euros (€ xxx,000,000.00) 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: xxxx Millions of Euros (€ xxx,000,000.00)
Bank Name:
Bank Address:
Account Name:
Account Number:
Account Signatory:
Bank Officer & Title:
Bank officer Email:
Bank Officer Telephone: +
Bank Officer Skype:
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: xxxxxx
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance:
SEAL
______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
C.C.: (NAME OF BANK AND BANK OFFICER)
LETTER OF CONFIRMATION OF BANK OFFICER
DATE: xxxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
Dear Sir,
I, name, bearing country Passport No xxxxxxxxxxxxxxxx, do solemnly swear/attest with full legal responsibility, that the following named person is my actual and personal bank officer at bank, located address, who will be available to cooperate with the trader for blocking of the following referenced bank account:
Name Bank Officer & Title:
Bank Officer Telephone:
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: xxxx
Signature: __________________________________
Name :
Passport Number: SEAL
Date of Issue:
Date of Expiry:
Country of Issuance:
_______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
PASSPORT OWNER
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.
______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
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: xxxx
Signature: ________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance: SEAL
______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
ACKNOWLEDGEMENT OF LAW
I, name & quality, the undersigned personally confirm I have read the following and confirm we are not in violation of any laws as stated herein and acknowledge this document will be made an integral part of our contract as an attachment.
To:
The European Union
Law Applicable to Cash, Securities and Obligations
Obligations or securities of the European Union
Whoever, with intent to defraud, falsely makes, forges, counterfeits, or alters any obligation or other security of the European Union, shall be fined under this title or imprisoned not more than 20 years, or both.
Uttering counterfeit obligations or securities
Whoever, with intent to defraud, passes, utters, publishes, or sells, or attempts to pass, utter, publish, or sell, or with like intent brings into the European Union or keeps in possession or conceals any falsely made, forged, counterfeited, or altered obligation or other security of the European Union, shall be fined under this title or imprisoned not more than 20 years, or both.
Dealing in counterfeit obligations or securities
Whoever, buys, sells, exchanges, transfers, receives, or delivers any false, forged, counterfeited, or altered obligation or other security of the European Union, with the intent that the same be passed, published, or used as true and genuine, shall be fined under this title or imprisoned not more than 20 years, or both.
Plates, stones, or analogue, digital, or electronic images for counterfeiting obligations or securities
a) Whoever, having control, custody, or possession of any plate, stone, or other thing, or any part thereof, from which has been printed, or which may be prepared by direction of the European Union for the purpose of printing, any obligation or other security of the European Union otherwise use the same; or Whoever prints, photographs, or in any other manner makes or executes any engraving, photograph, print, or impression in the likeness of any such obligation or other security, or any part thereof, or sells any such engraving, photograph, print, or impression, except to the European Union, or brings into the European Union, any such engraving, photograph, print, or impression, except by direction of some proper officer of the European Union is guilty of a class B felony.
b) For purposes of this section, the term “analogue, digital, or electronic image” includes any analogue, digital, or electronic method used for the making, execution, acquisition, scanning, capturing, recording, retrieval, transmission, or reproduction of any obligation.
Read, understood and accepted without qualification.
Witness whereof, the parties hereto do set their hands and are witnessed with seals upon this Acknowledgement of Law as of this date: xxxx
For and on behalf of Mr. name
Signature: ________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance: SEAL
______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
AFFIDAVIT REQUESTING INFORMATION
DATE: xxxx
TO: Trade Authority / Program Manager
RE: Participation in Structured Private Financial Opportunity
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, hereby irrevocably, confirm that I am not 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, hereby irrevocably, confirm that I have never 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 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: xxxx
Signature: __________________________________
Name :
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issuance: SEAL
_______________________________________________________________________
-[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
INVESTOR PASSPORT
(2 pages copy color HD)
______________________________________________________________________
[INSERT APPLICANT INFORMATION IN HEADER SPACE]
INVESTOR TRANSACTION NUMBER: 201911BsP_xxxxxx
TRANSLATOR PASSPOR
(if needed - 2 pages copy color HD)
