You are on page 1of 5

Daniel Fernando Toro Agudelo

CLIENT INFORMATION SHEET


FOR PAYMASTER SERVICES
Date: July 11/2017

In accordance with Articles 2 and 5 of the due diligence and federal banking commission circular of December
1999, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the
following information may be supplied to banks and to financial institutions for purposes of verification of
identity and activities of the investing member, and the nature and origin of the funds which are to be utilized.

Client Full Name DANIEL FERNANDO TORO AGUDELO

Nationality COLOMBIANO

Passport Number AQ 837919

Issued By GOBERNACION DEL VALLE, COLOMBIA

Issue Date 16 DE ABRIL DE 2015

Expiration Date 15 DE ABRIL DE 2025

Date of Birth 26 DE ENERO DE 1988

Place of Birth SANTIAGO DE CALI

Address CALLE 11 57-42 B/ SANTA ANITA

E mail DANIELK26@HOTMAIL.COM

Skype DANIEL_TORO_126

Business Telephone +57 313 572 8568

CLASSIFIED AND CONFIDENTIAL

Initial: Page 1 of 5
Daniel Fernando Toro Agudelo

BANKING COORDINATES

Origin Of Funds

Are Funds Free and Clear YES

Brief Corporate Activity

Facilitator and/or Intermediary for Facilitator Business Advisory


transactions between groups and/or Buyers
and Sellers of: Gold, Coltn, Coal
Commodities/Banking
Instruments/Bonds/Currency Exchange

BANK NAME DAVIVIENDA

SWIFT CODE CAFECOBB

A/C NUMBER Ahorros 018070075249

BANK ACCOUNT NAME DANIEL FERNANDO TORO AGUDELO

I hereby swear under penalty of perjury that the information given above is accurate and true.

Any information, work or service conducted hereunder is that of a private placement transaction
that is exempt from the Securities Act and not intended for the general public but for Private Use
Only.

CLASSIFIED AND CONFIDENTIAL

Initial: Page 2 of 5
Daniel Fernando Toro Agudelo

COPY OF BENEFICIARY
NATIONAL IDENTIFICATION

CLASSIFIED AND CONFIDENTIAL

Initial: Page 3 of 5
Daniel Fernando Toro Agudelo

COPY OF BENEFICIARY
PASSPORT.

CLASSIFIED AND CONFIDENTIAL

Initial: Page 4 of 5
Daniel Fernando Toro Agudelo

CLASSIFIED AND CONFIDENTIAL

Initial: Page 5 of 5

You might also like