Registration – Company –

Please note that the information below is required in compliance with Federal Law n9.613, of March 1998, and Central Bank of Brazil
regulation regarding Anti-Money Laundering and Combating the Financing of Terrorism (specially Circular nº3461/2009, of July
2009), and also considering the recommendations established in the International Convention for the Suppression of the Financing of
Terrorism, adopted by the General Assembly of the United Nations in Resolution 54/109 of December 1999. All the data provided
herein is protected under Brazilian bank secrecy rules (Complementary Law n105 of 10 th January 2012).
Identification/Address
Corporate Name:

ID Number*:
Regulatory Authority
responsible for
AML/CFT supervision of
institution:
Type of Company
(partnership, limited, Date Established:
corporation):
Principal Place of
Business (Address):
Suburb: DDD: TEL:
City: State: Zip code:
Does your Bank/Institution maintain a physical presence in the Yes
licensing country? No
Name of Affiliate / Parent company:
Is your Bank/Institution an
Yes
Agency, Branch or Subsidiary of a Indicate Affiliation: Agency Branch
No
Bank with a Physical Presence? Subsidiary
Licensing Country of Affiliate:
* The ID Number (identification number), for companies or individuals is the number that a Country’s Revenue Agency or Service uses to
identify the taxpayer. For example: 1. The United States’ IRS - Internal Revenue Service identifies individuals with the Social Security
Number and companies with the EIN – Employer Identification Number, known as Federal Tax Identification Number; 2. The Canada
Revenue Agency uses SIN – Social Insurance Number for individuals and the Business Number for companies; 3. The United Kigndom’s HM
Revenue & Customs has the UTR – Unique Taxpayer Reference for individuals and the Company Registration Number for business. The ID
Number should be the "CNPJ" in Brazil if the company has it.

Capital Structure
Company Capital ($): Paid-in capital:
Capital Nationality (Country) :
Type: Listed Private If Listed, Provide Exchanges & Symbols:
Note: - If it is a company, discover the capital structure down to the final controller – individual.
- To add lines to the different fields, place the cursor in box in the extreme right on the last line and press “TAB” or “ENTER”.
% Capital

ID Number * Date of Birth Partner/Member/Shareholder Nationality Voting Capital Total

(Full Name)

Members of the Board of Directors

ID Number * Date of Birth Administrator (Full Name) Nationality Position Period

Executive Officer
ID Number * Date of Birth Administrator (Full Name) Nationality Position Period

ECONOMIC GROUP:
ID Number * Company Name State

Note that omitting information and/or including false data on this form may lead to a low registration ranking for the
Company or Economic Group.
I hereby authorize BNDES to (i) collect, store, use, transfer or disclose any public and non-public information about the
Company, its controlling shareholders, executive officers, directors, and any of their representatives, considering that
non-public information may be disclosed by the BNDES only to (a) BNDES’s directors, managers, officers and
employees, or other representatives, provided that involved in the operation, or (b) any other person whatsoever as
required by law or any governmental authority (including any governmental agency, court, tribunal, supervisory body
or regulatory authority); and (ii) consult existing information about the Company, its controlling shareholders,
executive officers, directors, and any of their representatives at any databanks and registered information centers,
including the Central Credit Risk System of Brazil’s Central Bank, if necessary.

Anti-Money Laundering Controls

Has your bank/institution set up an AML/CFT compliance program and an AML/CFT operational Yes
procedure? No
Is the AML/CFT compliance program approved by the institution´s board or a senior Yes
committee? No
Are you supervised by a regulatory or supervisory authority concerning AML/CFT provisions?
Yes
If YES, what is this authority called (name and address)?
No
Yes
Have you ever been sanctioned by this authority for non-compliance with AML/CFT issues?
No
Does your Bank/Institution have a designated officer that is responsible for coordinating and
overseeing the AML/CFT procedures? Yes
If YES, provide name and contact information: No

Does your Bank/Institution apply your AML/CFT procedures within your subsidiaries, including Yes
located abroad? No
Does your Bank/Institution offer accounts or services to shell banks? (A shell bank is a bank
Yes
that has no physical presence in its country of incorporation (except if a subsidiary of a
No
regulated bank)
Yes
Does your Bank/Institution offer accounts or services to anonymous customers?
No
Does your Bank/Institution have processes for the identification of customers classified as Yes
politically exposed persons by the applicable legislation? No
Does your Bank/Institution have processes for the identification of those customers on whose
Yes
behalf it maintains or operates accounts or conducts transactions at the establishment of the
No
relationship?
Does your Bank/Institution have policies or practices for the identification and reporting of Yes
transactions that are required to be reported to the authorities? No

DECLARATION

Aware that any form of perjury is punishable by Law, I hereby declare:

(i) that the information furnished to fill in this registration form is true;
(ii) to be aware the furnishing of any false and/or incomplete information concerning the financial or equity
situation, or the failure to furnish this data, may give rise to the understanding that there is no economic
base, with respect to the incompatibility between the operation carried out and the financial and equity
situation declared, as well as barring the completion of the Registration Report and/or a demotion in the
Registration Assessment of the company or economic group, notwithstanding any other applicable
penalties;
(iii) to be aware that I should keep permanently updated the personal documentation and information
included on this registration form, whether by using a new registration form or a specific form, or even by
delivering a declaration stating that no registration data requires updating; and that I should immediately
respond to BNDES´ requests for any documents;
(iv) that I know the international norms related to preventing and combating Money and Asset Laundering
and the Financing of Terrorism, especially the underlying aspects in the revised "40 Recommendations on
Money Laundering", published by GAFI/FATF (Financial Action Task Force on Money Laundering), and
to be aware that any entity of the BNDES System is obliged to communicate the occurrence of the
operations outlined in the aforementioned norms and in the Brazilian laws and regulations associated with
the same matter to the competent authorities in Brazil, and I am not opposed to this procedure; and
(v) that the company, its controlling shareholders, executive officers, directors, nor any of their
representatives or family members, do not appear on publicly available exclusion lists regarding money
laundering and terrorism, including those published by the United Nations.

TERM OF RESPONSIBILITY:
Name (Legal Representative) Position: Telephone:

The information above, to the best of my knowledge, is true, and I take full responsibility.

Location: Date: Signature: