CLIENT INFORMATION SHEET
1 COMPANY NAME HEART 1 HEALTHCARE PVT LTD
2 REPRESENTED BY MONIKOTH PRADEEP NAMBIAR
3 PASSPORT NUMBER Z 3491796
4 PLACE OF ISSUE DELHI INDIA
5 COMPANY REGISTARATION NO CORPORATE IDENTITY NO:U85191MH2012PTC232570
6 BANK NAME DEUTSCHE BANK AG
7 BANK ADDRESS TAUNUSANLAGE 12 ,60262 ,FRANKFURT MAIN GERMANY
8 SWIFT CODE DEUTDEFF
9 RECEIVER ACCOUNT NUMBER EUR 953549304 US 953549304
10 RECEIVER ACCOUNT NAME MONIKOTH PRADEEP NAMBIAR
12 BANK OFFICER TELEPHONE +496991000 +496991032010-60 +496991031183
15 COMMON ACCOUNT NUMBER 947259564 / 731919305
16 CLEARING HOUSE CODE DEUT – HEBA37890672
17 IDENTITT CODE 27CDB FR DE 17BEH
TRANSACTION CODE:
SMPT2531.S502M22G1974T1SGT.BMPS221974SSTBP2831.110/
SGMTS.110.MKSBP/113/502.6931.1151