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CIS - Marlon April 24

The document is a client information sheet detailing the identity and banking information of Marlon Daniel Salas Alvarado, including compliance with various legal frameworks for identity verification. It emphasizes the confidentiality of the information shared and outlines the legal obligations regarding privacy. Additionally, it warns about the consequences of submitting false documentation in commodity transactions, referencing international enforcement measures.

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henryjames3534
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14 views10 pages

CIS - Marlon April 24

The document is a client information sheet detailing the identity and banking information of Marlon Daniel Salas Alvarado, including compliance with various legal frameworks for identity verification. It emphasizes the confidentiality of the information shared and outlines the legal obligations regarding privacy. Additionally, it warns about the consequences of submitting false documentation in commodity transactions, referencing international enforcement measures.

Uploaded by

henryjames3534
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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[CLIENT LETTERHEAD]

CLIENT INFORMATION SHEET


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.

DETAILS OF BANK

BANK NAME: BANCO DE COSTA RICA - BCR


BANK ADDRESS: Avenida Central, calles 4 y 6 San José, Costa Rica
ZIP CODE: 10101
ACCOUNT NAME: Salas Alvarado Marlon Daniel
INTERBANK ACCOUNT NUMBER: 16015202001350024763
SWIFT CODE: BCRICRSJ

DETAILS OF SIGNATORY – INDIVIDUAL

First Name: Marlon.


Middle Name: Daniel.
Last Name: Salas Alvarado.
Gender: M.
Date of Birth: 23 / 04 / 1977.
Social Security Number: 1-09990364.
Country of Citizenship: Costa Rica.
Languages: Spanish.
Phone number:
E-mail:
[CLIENT LETTERHEAD]

PASSPORT INFORMATION
Passport Number: G060736
Date of Issue: 17-01-2020.
Date of Expiry: 16-01-2026.
Issuing Authority: Costa Rica, San José.
Do you speak English?: No.

I, Marlon Salas Alvarado, hereby declare with full personal and corporate responsibility
under penalty of perjury that the information given above is accurate and true, as of this
date:

RIGHT INDEX
Name / Title : Salas Alvarado Marlon Daniel.
Passport Number : G060736
Date of Issue : 17-01-2020
Date of Expiry : 16-01-2026
Issuing Authority : San José.
Country of Issuance : Costa Rica.
Zip code: 10101.
Address: El alto de guadalupe divino pastor 100 metros este 50 sur.

PRIVATE AND CONFIDENTIAL INFORMATION


This communication may contain information that is legally privileged, confidential or exempt from disclosure. The
information transmitted is intended only for the person(s) or entity to which it is addressed. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon, this information
by persons or entities other than the intended recipient(s) is strictly prohibited. If you received this
message in error, please contact the sender and delete the materials from any computer. This
electronic communication is covered by the Electronic Communications Privacy Act of 1986, Codified
at 18 U.S.C. §§ 1367, 2510-2521, 2701-2710, 3121-3126. Also, see:
http://www.ftc.gov/privacy/glbact/glbsub1.htm - Gramm-Leach-Bliley Act 15 USC, Subchapter I,
Sec. 6801-6809.

INFORMATION SELLER AND BUYER / ICC WARNING (ICC Commercial Crime Services)
This is a very important message to anyone involved in the commodities industry on the new measures with respect to the
Buyers and Sellers conducting old and other commodities transactions. If an ICPO, LOI, RWA or BCL is issued and the
documents are not real, the Buyer will be able to inform the FBI, ICC and INTERPOL. In addition, after an FCO is sent to the
Buyer, there should be a formal answer to the Seller from the Buyer. If there’s no response from the Buyer in a timely
manner, the buying company will be reported to the FBI, ICC and INTERPOL. If this action is repeated by the sellers, they
will also be reported because of abuse of the NCND, LOI, ICPO AND RWA OR BCL, FOR THIS IS A FEDERAL OFFENSE.
It is important to transmit this to all clients that work with providers that are members of the ICC, FBI and other international
organizations, From this point forward, the international codes will be strictly enforced to exclude all intruders that send out
false information. Those who submit false NCND/IMFPA, LOI, ICPO, RWA OR BCL OR FCO, as well as FALSE PROOF OF
PRODUCT (POP), WILL BE CHARGED WITH A CRIME. This went into effect November 15, 2008 after a meeting was held
between the Federal Reserve, European Central Bank, Interpol, Federal Bureau of Investigation and Central Intelligence
Agency.
[CLIENT LETTERHEAD]

COLOR COPY OF PASSPORT

PRIVATE & CONFIDENTIAL – NOT FOR CIRCULATION

This document (and any enclosures or attachments) is intended only for the parties named on this agreement,
or their Bank´s and contains confidential and legally privileged info

April 24 2025..
(BLACK SCREENSHOTS)
(BLUE SCREENSHOTS)
END OF DOCUMENT

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