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Cis HSBC Uk

The document provides client information for Instituto Leucena including personal details, banking coordinates, and a copy of their passport. It states Leucena facilitates transactions between groups for commodities, banking instruments, and currency exchange.

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359 views6 pages

Cis HSBC Uk

The document provides client information for Instituto Leucena including personal details, banking coordinates, and a copy of their passport. It states Leucena facilitates transactions between groups for commodities, banking instruments, and currency exchange.

Uploaded by

saudesp3
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
You are on page 1/ 6

INSTITUTO LEUCENA

CLIENT INFORMATION
SHEET FOR PAYMASTER
SERVICES
Date: April 4/2023

In accordance with Articles 2 and 5 of the due diligence and federal banking commission circular of December
1999, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the following
information may be supplied to banks and to financial institutions for purposes of verification of identity and
activities of the investing member, and the nature and origin of the funds which are to be utilized.

Client Full Name INSTITUTO LEUCENA

Nationality BRASILEIRO

Passport Number GC905112

Issued By GOVERNO BRASILEIRO

Issue Date O1 DE SETEMBRO DE 2021

Expiration Date 31 DE SETEMBRO DE 2031

Date of Birth 27 DE OUTUBRO DE 1982

Place of Birth GOIANIA – GOIAS - BRASIL

Address AV: CARLOS GOMES, N 330 PARQUE ANHANGUERA

Presidente By Instituto Leucena William Rafael José Pimenta

CLASSIFIEDANDCONFIDENTIAL

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INSTITUTO LEUCENA
BANKING COORDINATES

Origin Of Funds

BIC HBUKGB4

Brief Corporate Activity

Facilitator and/or Intermediary for Facilitator Business Advisory


transactions between groups and/or Buyers
and Sellers of: Gold, Coltán, Coal
Commodities/Banking
Instruments/Bonds/Currency Exchange

BANK NAME HSBC PLC

BANK ADDRESS 62-72 PARK STREET, LONDON, SE1 9DZ

NUMBER IBAN GB82 HBUK 40127685572720

ACCOUNT NAMBER 85572720

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

Any information, work or service conducted hereunder is that of a private placement transaction
that is exempt from the Securities Act and not intended for the general public but for Private Use
Only.

CLASSIFIEDANDCONFIDENTIAL

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INSTITUTO LEUCENA

COPY OF BENEFICIARYPASSPORT.

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INSTITUTO LEUCENA

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INSTITUTO LEUCENA

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INSTITUTO LEUCENA

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