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CIS Modelo 2025 Cliente

The document is a Client Information Sheet designed for compliance with anti-money laundering regulations and verification of identity for financial institutions. It collects personal and corporate information, including details about the client's identity, contact information, and banking details. The client certifies the accuracy of the information provided and affirms compliance with relevant financial regulations.

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ruben.martinez010470
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232 views3 pages

CIS Modelo 2025 Cliente

The document is a Client Information Sheet designed for compliance with anti-money laundering regulations and verification of identity for financial institutions. It collects personal and corporate information, including details about the client's identity, contact information, and banking details. The client certifies the accuracy of the information provided and affirms compliance with relevant financial regulations.

Uploaded by

ruben.martinez010470
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CLIENT INFORMATION SHEET

(2025)

In accordance with Articles two (2) through five (5) of the Due Diligence
Convention and the Federal Banking Commission Circular of December 1998,
concerning the prevention of money laundering, and Article 305 of the Swiss
Criminal Code, the following information may be supplied to banks and/or other
financial institutions for the purpose of verification of identity and activities of the
Principal, and the nature and origin of the funds that are to be utilized. All parties
have an obligation for professional discretion and to take all appropriate
precautions to protect the confidentiality of the information each holds in respect of
the others’ activities. This legal obligation shall remain in full force and effect at all
times.

Client Information
First Name :
Middle Name :
Last Name :
Gender :
Date of Birth :
Social Security Number :
Country of Citizenship :
Passport Number :
Date of Issue :
Date of Expiry :
Issuing Authority :

Home Street Address


City :
State :
Country :
Postal Code :
Telephone Number :
Fax Number :
Mobile Number :
Email Address :

Corporate Information (if required).


Full Name of Corporation :
Street Address :
State :
Country :
Postal Code :
Telephone Number :
Fax Number :
Mobile Number :
Email Address :

Bank Information
Bank Name :
Street Address :
City :
State :
Country :
Postal Code :
Account Name :
Account Number :
IBAN Number :
SWIFT Code :
Account Signatory (1) :
Account Signatory (2) :
Bank Officer # 1 Name :
Bank Officer # 2 Name :
Telephone Number :
Fax Number :

We hereby swear under the full penalty of perjury, that the information provided
herein is both true and accurate. I am in control of the assets stated above, and
have signatory authority on the aforementioned bank account and have full
authority to execute all contracts and agreements relating to pleading the assets
for a loan. The funds are in full compliance with the anti-money laundering policies
set forth by the Financial Action Task Force (FATF) 6/01.

_____________________________________________________________
SIGNATURE

Name :
Title :
LEGAL SUPPORT: (INE, Passport and RFC

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