The CIS / KYC must be filled in all mandatory fields marked with a red asterisk.

The system automatically rejects incomplete requests, spam and blocks hacking attempts.

By sending this message I confirm and certify that the information provided below is complete and correct and I authorize its use.

THE FORM DOES NOT APPEAR ON MOBILE PHONES OR TABLETS.    ->  PLEASE COMPLETE IT ON A COMPUTER.
 

ELECTRONIC CIS / KYC

PROYTEC PANAMA CORP - PROYTEC PANAMA INC - PROYTEC ASOCIADOS

Bloomberg LEI : 254900L8XTFXM62D2447

!!! DO NOT MODIFY !!!



WRITE EVERYTHING WHIT "CAPS LOK"


TAB TO MOVE TO THE NEXT FIELD

THE FIELDS WITH A RED ASTERISK ARE MANDATORY

CAREFULLY READ THE NOTES BELOW EACH FIELD !!!


!!! DO NOT MODIFY !!!

If you accidentally delete this field you will not be able to submit the form and will have to reload it to fill it out.


Is this KYC/CIS related to an INDIVIDUAL or an ORGANIZATION ?


LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
LEGAL COMPLIANCE, PRIVACY PROTECTION, AND RESPONSIBILITY IN THE TRANSMISSION OF INFORMATION
Name and Surname


PERSONAL DATA

3. Second Document

Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.

UPLOAD here, but SEPARATELY in JPG format

PDF are NOT ACCEPTED

Documents must be in COLOR , LEGIBLE and must not exceed 500 Kb each

1. Identity Card (front)
2. Identity Card (back)
3. Second Document (front)
4. Second Document (back)
5. Tax Code (front)
6. Tax Code (back)


5.1. Does the Personal Residence Address written in the documents correspond to the Domicile ?



Drag & Drop Files, Choose Files to Upload

UPLOAD Register Document in PDF Format

Documents must be in COLOR , LEGIBLE and must not exceed 500 Kb each


8. LEGAL ADVISOR

9. ACCOUNTING AUDITOR

BANK DATA




10.4. Account Signatory Name (Name and Surname)


10.6. Payment

10.7. International Banking Circuits

10.8. Bank Officer Name (Name and Surname)


STATEMENTS

Statements 1.1
Statements 2.1
Statements 3.1
Statements 4.1
Statements 5.1
Statements 6.1
Statements 7.1
Statements 8.1
Statements 9.1
Statements 10.1
Statements 11.1

AUTHORISATIONS

Authorisation 1
Authorisation 2
Authorisation 3


RESPONSABILITIES

Responsibility 1.1.

SIGNATURE and SEND

Signature 1
Send 1

 

REFERENCE REGULATION

EDT (ELECTRONIC TRANSMISSIONS OF DOCUMENTS)

This CIS / KYC is subject to the rules and regulations of the Electronic Transmission of Documents (EDT), provided that it is sent and received via the indicated email addresses. In particular, signatures on documents transmitted via EDT tools are subject to EDT (Electronic Transmissions of Documents) and will be considered valid and applicable with respect to any provision of this CIS / KYC.

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).

ELECTRONIC DOCUMENTS

Electronic Commerce Agreement (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic Business (UN/CEFACT).

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 CIS / KYC

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