OnLine AML / CTF - Proytec Group - Complete on computer

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ELECTRONIC AML / CTF

PROYTEC PANAMA CORP - PROYTEC PANAMA INC - PROYTEC UK LIMITED - PROYTEC ASOCIADOS

Bloomberg LEI : 254900L8XTFXM62D2447

For the attention of

Ruth Guerrero Hernandez

Treasurer of PROYTEC GROUP, PROYTEC PANAMA CORP (Panama) and PROYTEC PANAMA INC (US)
Legal Representative of PROYTEC PANAMA CORP (Perú)

Compliance Officer

CIS / KYC Code

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Date

User

DECLARATION OF COMPLIANCE WITH ANTI‑MONEY LAUNDERING (AML) AND COUNTER-TERRORIST FINANCING (CTF) OBLIGATIONS.

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First

Last

ENTER THE NAME AND SURNAME PRESENT IN THE CIS/KIC

The undersigned

aware of the civil and criminal liabilities arising from false or incomplete statements, I hereby declare the following.

The undersigned

in compliance with Articles 2–5 of the Convention on Due Diligence and with the provisions of the USA PATRIOT ACT (2002), as subsequently amended in 2003 and updated through the USA PATRIOT ACT IMPROVEMENT AND REAUTHORIZATION ACT (2005) and the USA FREEDOM ACT (2015), I acknowledge and apply the mandatory regulatory measures aimed at preventing money laundering and countering illicit financial activities.

The undersigned

I further refer to Article 305 of the Swiss Penal Code, as amended in 2007 and 2023, which governs the offences of aiding and abetting, evasion of criminal proceedings, and international cooperation in matters related to financial crimes.

The undersigned

In light of the aforementioned legal frameworks, I attest to the truthfulness, completeness, and accuracy of the information provided in this document.

The undersigned

The transmitted data are intended exclusively for activities of identification, verification, and assessment of banking and financial credentials within the scope of Due Diligence, KYC, and AML/CFT processes, as well as for the proper application of obligations related to the prevention of money laundering and terrorist financing.

The undersigned

For these purposes, I authorize the transmission of such information to Public Institutions, Banks, and/or other duly authorized Financial Institutions.

The undersigned

This commitment shall remain fully effective indefinitely, without any temporal or conditional limitation.

PRIVACY PROTECTION AND CONFIDENTIALITY OF INFORMATION

Aware that the information provided in this document, as well as any additional data transmitted within the CIS/KYC, Due Diligence, and AML/CFT processes, may be communicated to Public Institutions, Banks, and/or other Financial Institutions for the purposes of identification, verification, assessment of financial credentials, and compliance with applicable regulatory obligations, I hereby reaffirm the right to privacy and the obligation to respect the professional and ethical standards generally recognized for the handling of confidential information.
This commitment to the protection of privacy and the confidentiality of information shall remain fully effective indefinitely, without any temporal or conditional limitation.

This commitment to the protection of privacy and the confidentiality of information shall remain fully effective indefinitely, without any temporal or conditional limitation.

Is this DECLARATION related to an INDIVIDUAL or an ORGANIZATION ?

Personal
Organization

business and of

3. Fiscal Code

4. Are third-party funds being managed?

5. What type of clients is your main focus?

6. Describe the client acquisition process in a precise but brief manner.

10. Would you object to a legal and administrative background check?

STATEMENTS

Statements 1.1

I, the undersigned, under penalty of perjury and with full individual responsibility, declare that I have not been convicted of a crime in any country in the world.

Statements 2.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I am not considered a terrorist and am not listed on any checklist maintained by the Department of Security of any State in the world.

Statements 3.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I have no criminal record or convictions in any jurisdiction.

Statements 4.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I am not subject to sanctions by any national or international authority.

Statements 5.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I do not appear on any international watchlists, including those maintained by OFAC, the European Union, or the United Nations.

Statements 6.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I am not subject to insolvency, bankruptcy, or liquidation proceedings in any jurisdiction.

Statements 7.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I am not engaged in any high-risk activities such as arms trading, unregulated gambling, or unlicensed cryptocurrency operations.

Statements 8.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I am not a politically exposed person.

Statements 9.1

I, under penalty of perjury and with full individual responsibility, hereby declare that I do not have any family members, and that I am not closely related to a politically exposed person.

AUTHORISATIONS

Authorisation 1

I authorize PROYTEC GROUP and the Companies of the Group to collect, use and disclose the data and information provided in this form and in the CIS/KYC to their affiliated companies, credit agencies, business information agencies, banking and financial institutions, as well as related Companies.

Authorisation 2

I authorize the aforementioned parties to disclose the credit and financial information obtained from the sources mentioned above, in order to obtain and use a credit report concerning me and verify the accuracy of my statements.

Authorisation 4

I declare that I understand and accept that PROYTEC GROUP and the Companies within the Group must verify the reliability of clients, suppliers, and partners to exclude any connection with illegal activities, identify exposure to money laundering, and strengthen overall prevention.

Authorisation 5

I hereby declare that I understand and accept that PROYTEC GROUP and the Companies of the Group must report potentially criminal activities to the competent authorities, providing detailed contextual information to support further investigative actions.

RESPONSABILITIES

Responsibility 1

I swear, under penalty of perjury and with full personal responsibility, that the information provided in this document is accurate and truthful and that I will inform the PROYTEC GROUP of any changes related to the information provided.

SIGNATURE and SEND

Signature 1

My first and last name, as consciously, voluntarily, and in full possession of my mental faculties, are provided at the end of this document and shall be considered as an electronic signature affixed by me with the precise, firm, and responsible intention of confirming the truthfulness of all statements provided in this document.

Send 1

I am fully aware that this form is completed directly on the PROYTEC GROUP website (https://proytec.group), in the DOWNLOAD section, from which this online form is accessed, and that it will be sent automatically by pressing the SUBMIT button.

REFERENCE REGULATION

EDT (ELECTRONIC TRANSMISSIONS OF DOCUMENTS)

This form is subject to the rules and regulations governing the electronic transmission of documents (EDT), provided it is sent via the SEND button and received at the PROYTEC GROUP email address. In particular, signatures affixed to documents transmitted via EDT tools are subject to the EDT (Electronic Transmission of Documents) regulations and will be considered valid and binding for the purposes indicated in the document.

ELECTRONIC SIGNATURE

Incorporate U.S. Public Law 106-229, ‘‘Electronic Signatures in Global and National Commerce Act’’ or such other applicable law conforming to the UNCITRAL Model Law on Electronic Signatures (2001).

DATA PROTECTION

EDT documents shall be subject to the Federal Trade Commission Act (FTC Act), the General Data Protection Regulation (GDPR/UE/2016/679), and the regulations of Countries that have adopted specific Data Protection and Privacy Laws, if applicable, as well as the Financial Action Task Force (FATF), the provisions of the USA PATRIOT Act of 2001, Directives 2005/60/EC and 2015/849 (EU), and the guidelines of the Basel Committee on Banking Supervision (BCBS), if the data is used for financial activities requested by the undersigned.

ORIGINAL COPY OF DOCUMENTS

Either Party may request hard copy of any document that has been previously transmitted by electronic means provided however, that any such request shall in no manner delay the parties from performing their respective obligations and duties under EDT instruments.

END AML/CFT FORM

ELECTRONIC SIGNATURE (Name and Surname)

Personal E-mail

DATA USER

RESERVED

Our e-mail

ELECTRONIC AML / CTF

PROYTEC PANAMA CORP - PROYTEC PANAMA INC - PROYTEC UK LIMITED - PROYTEC ASOCIADOS

Ruth Guerrero Hernandez

Compliance Officer

DECLARATION OF COMPLIANCE WITH ANTI‑MONEY LAUNDERING (AML) AND COUNTER-TERRORIST FINANCING (CTF) OBLIGATIONS.

WRITE EVERYTHING WHIT "CAPS LOK"

Income

Payments

STATEMENTS

AUTHORISATIONS

RESPONSABILITIES

SIGNATURE and SEND

REFERENCE REGULATION

END AML/CFT FORM

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