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tipu1sultan_1Clark Global Energy Corporation
3167 San Mateo NE
Albuquerque New Mexico
87110 USA
CLIENT INFORMATION SHEET
In accordance with international banking regulation concerning the prevention of money laundering and
criminal activities, the following information may be supplied to banks and financial institutions for
verification of identity and activities of the investing member, and the nature and origin of the funds
/assets, which are to be utilized. All parties are obliged to respect Professional secrecy and take all
necessary precautions to protect confidentiality of the information each holds in respect to the other’s
activities. The legal obligations shall always remain in full force.
Applicant Company Information:
Company Name: Clark Global Energy Corporation
Mailing Address: 3167 San Mateo NE, Albuquerque, NM
Registered: New Mexico, USA Company
Registration Number: 5396734
TAX ID: 82-0780673
Registered Company Address: 3167 San Mateo NE, Albuquerque, NM
Company Telephone Number: +1 408 840 3516
Company E-mail Address: info@clarkatc.com
Date Company Established: 2017
Type of business activity: Renewable Energy
Individual Applicant or authorized Signatory Representative of Company
Individual Name: Adrian Clark
Title/Position/Authority: Chief Executive Officer
Residence Mailing Address: N/A
Facsimile Number: N/A
E-Mail Address:
Date of Birth: May 3, 1957
Passport Number: 482531792
Country Issuing Passport: United States of America
Date of Expiration: May 2, 2021
Clark Global Energy Corporation
3167 San Mateo NE
Albuquerque New Mexico
87110 USA
Bank Details:
Name of Bank: Bank of America
Full Street Address of Bank: 6201 San Mateo Blvd NE, Albuquerque, NM 87109,
Account Name: Clark Advanced Technologies Corporation
Account Number: 4390 0922 3608
SWIFT Code: BOFAUS3NXXX
Routing Transit Number: 026009593
Telephone Number:
Name(s) of Account Signatory: Carl Parker
Date Account established: 2019
ACKNOWLEDGEMENT:
I hereby confirm and verify that I have the power on behalf of CLARK GLOBAL ENERGY CORP to
undertake all financial transactions on behalf of the company by using its assets and/or bank
instruments and that I am an authorized signatory on the company bank account, and that I have full
authority to execute all related contracts and agreements.
I hereby swear and attest under penalty of perjury that the statements and information provided in this
document, three pages in all, dated December 6, 2018 are true and correct to the best of my knowledge
and belief.
For and on behalf of CLARK GLOBAL ENERGY
Signature: SEE PASSPORT
Place: USA
Name: ADRIAN CLARK
Passport Number: 482531792
Country of Issuance: USA
Clark Global Energy Corporation
3167 San Mateo NE
Albuquerque New Mexico
87110 USA
Clark Global Energy Corporation
3167 San Mateo NE
Albuquerque New Mexico
87110 USA