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CIS Kellcor Investment GMBH - 241129 - 175003 1

The document is a client information sheet for Herbert Keller, a Swiss citizen born on March 24, 1968. It includes personal details, corporate information for his company kellcor Investment GmbH, and banking information with Deutsche Bank AG. The document is signed by Herbert Keller, affirming the accuracy of the provided information as of December 21, 2021.

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203 views5 pages

CIS Kellcor Investment GMBH - 241129 - 175003 1

The document is a client information sheet for Herbert Keller, a Swiss citizen born on March 24, 1968. It includes personal details, corporate information for his company kellcor Investment GmbH, and banking information with Deutsche Bank AG. The document is signed by Herbert Keller, affirming the accuracy of the provided information as of December 21, 2021.

Uploaded by

mj.ansarii2021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Morgartenstrasse, 3

CH-6003 Luzern

CLIENT INFORMATION SHEET

Personal Information
First Name: Herbert
Middle Name: n/a
Last Name: Keller
Gender: Male
Date of Birth: 24.03.1968
Social Security Number: n/a
Country of Citizenship: Switzerland

Passport Number: X5769444


Date of Issue: 26.04.2019
Date of Expiry: 25.04.2029
Issuing Authority: Switzerland

Languages / Translator
Languages: German, English, Italian, Portuguese
Do you speak English? Yes
If No, name of Translator n/a
Tel. Number: n/a
E-mail address: n/a

Corporate Information
Full Name of Corporation: kellcor Investment GmbH
Registration Number: CH-100.4.802.430-2
Street Address: Morgartenstrasse 3
City: Luzern
State: Luzern
Country: Switzerland
Postal Code: CH-6003
Morgartenstrasse, 3
CH-6003 Luzern

Bank Information
Bank Name: Deutsche Bank AG
Street Address: Taunusanlage 12
City: Frankfurt am Main
State: n/a
Country: Germany
Postal Code: 60262

Account Name: kellcor Investment GmbH


Account Number: DE43500700100927361600
SWIFT Code: DEUTDEFFXXX
Account Signatory (1): Herbert KELLER
Account Signatory (2): n/a

Bank Officer Name: TBA


Telephone Number: TBA
Fax Number: TBA

I, Mr. Herbert KELLER hereby swear under penalty of perjury, that the information provided herein
is accurate and true as of this date: December 21, 2021

Signature:
Name: Herbert KELLER
Morgartenstrasse, 3
CH-6003 Luzern
Morgartenstrasse, 3
CH-6003 Luzern

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