OnLine APPLICATION - PROYTEC PANAMA CORP

The Application 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 for the purposes indicated.

Please enable JavaScript in your browser to complete this form.

Date

In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of December 1998, and under the US Patriot Act of 2002, as amended in February 2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the following information may be supplied to Banks and/or other Financial Institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally accepted professional standards relating to the maintenance of confidential information, and to take all appropriate precautions to protect the confidentiality of the information contained herein, This legal obligation shall remain in full force indefinitely without restriction.

ENTER THE CODE PRESENT IN THE CIS/KIC.

IF YOU DO NOT REMEMBER YOUR CIS/KYC CODE, LEAVE IT BLANK

THE FIELDS WITH A RED ASTERISK ARE MANDATORY

1. NAME and SURNAME
First
Last

ENTER THE NAME AND SURNAME PRESENT IN THE CIS/KIC

18. BUSINESS NAME

ENTER THE BUSINESS NAME PRESENT IN THE CIS/KIC

54. Submission of the Application
The Application is presented by a Company without Partnership agreements
The Application is presented by an Association, a Consortium, a Foundation, a Professional Firm or a Company with Partnership agreements

!!! IMPORTANT !!!

If the Application is presented by
See POINT 20 (Business Information) of the CIS / KYC

-> an Association
-> a Consortium
-> a Foundation
-> a Professional Firm
-> a Company with Partnership agreements

send the document in JPG or PNG graphic format, not PDF, from which all PARTNERS and their PARTICIPATIONS are deduced, to e-mail :

proytecbox@gmail.com

The SUBJECT of the email must be:

[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - PARTNERS

56. If Type of financial service requested is "Other" (description)

58. If Business Reason for financing/investment is "Other" (description)

18. Brief description of the purpose of the financing/investment

19. I undertake to send a descriptive REPORT as indicated in the INDEX to be followed for the drafting of the Report accompanying the Financial Plan, and to also send the FINANCIAL PLAN
YES

The index to follow for drafting the descriptive REPORT can be downloaded here : BUSINESS PLAN

The REPORT must be sent to : proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - REPORT

The FINANCIAL PLAN must be sent to : proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - FINANCIAL PLAN

If the descriptive REPORT is integrated into a single Document with the FINANCIAL PLAN, constituting the BUSINESS PLAN
the SUBJECT of the email must be :
"[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - BUSINESS PLAN

20. Currency

21. TOTAL AMOUNT FOR THE PURPOSE

22. FINANCING/INVESTMENT REQUIRED

23. DURATION OF THE FINANCING/INVESTMENT REQUIRED

24. PERIOD OF GRACE REQUIRED

25. Currency Gross Income

26. Gross Income Period

27. Gross Income

28. Net Income for the Period indicated

29. Banking Exposures

30. Total Banking Exposures
Indicate 0 if there are no exposures

31. Total other Financial Commitments
Indicate the sum of Leasing, other Financing or Loans, etc.

Indicate 0 if there are no exposures

32. Are there Mortgages, Guarantees or Pledges?

33. Total Value of Mortgages, Guarantees or Pledges
Indicate the sum of Mortgages, Guarantees or Pledges

Indicate 0 if there are no exposures

34. I undertake to send the FINANCIAL STATEMENTS for the last 3 years and the BANKING MOVEMENT EXTRACT for the last 24 months (Not applicable to Start Up Business)
YES

The FINANCIAL STATEMENTS must be sent to :
proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - FINANCIAL STATEMENTS

The BANKING MOVEMENT EXTRACT must be sent to :
proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 10.) - BANKING MOVEMENT EXTRACT

35. Are there Bankruptcy requests?

36. Are there any disputes ? (If YES describe below)

37. If Disputes exist (description)

38. I, under penalty of perjury, with full corporate and individual responsibility, hereby irrevocably, confirms neither I, nor anyone else associated with my organization, company or individual investor works for any agency of any government
YES

39. I, under penalty of perjury, with full corporate and individual responsibility, also declare that it is not involved in any government entrapment operation.
YES

40. I, under penalty of perjury, with full corporate and individual responsibility, hereby irrevocably, confirm that neither I, nor anyone else associated with my organization or company has been convicted of a crime, in any country in the World
YES

41. I, under penalty of perjury, with full corporate and individual responsibility, also declare that, as nor my team within my organization or company are considered terrorists or on a checklist of the Department of Security of any State in the World
I am not a politically exposed person

42. I, under penalty of perjury, with full corporate and individual responsibility, declare that
I am not a politically exposed person

43. I, under penalty of perjury, with full corporate and individual responsibility, declare that
I do not have a family member, and that I am not closely related to a politically exposed person

44. I authorize the collection, use and disclosure by PROYTEC GROUP and PROYTEC PANAMA CORP. of the data and information provided with this APPLICATION and with attached CIS/KYC, to its affiliates, Credit Agencies, Reporting Agencies, Banking and Financial Institutions and associated companies
YES

45. I also authorize the disclosure by these parties of credit and financial information obtained from the above sources for the purpose of obtaining and using a credit information report and verifying current and ongoing creditworthiness
YES

46. I understand and accept that PROYTEC GROUP and PROYTEC PANAMA CORP. may disclose personal, business, financial and credit information submitted with this APPLICATION and with attached CIS/KYC to future creditors and banking and financial institutions requesting credit references.
YES

47. I authorize the collection, use and disclosure of personal information by PROYTEC GROUP and PROYTEC PANAMA CORP. and of the persons (natural and legal) referred to in this APPLICATION in the CIS/KYC and in the Documents sent, as well as in the relevant financing or investment contract for the purposes described above
YES

48. I swear under penalty of perjury, with total personal responsibility, that the information provided in this document is accurate and truthful and I irrevocably confirm that I am legally authorized to sign this Application also by committing the Company
YES

49. I am aware that this APPLICATION is filled in directly on the PROYTEC PANAMA CORP website (https://proytecpanama.com) in the DOWNLOAD section from which you access the ONLINE APPLICATION and is automatically sent when you press the SEND button
YES

50. By pressing the SEND button I accept all the conditions indicated in the form which will be stored electronically and used for recognition purposes in order to be able to use one or more services offered by the PROYTEC GROUP and PROYTEC PANAMA CORP
YES

51. My NAME and SURNAME, which I report again at the end of this APPLICATION document, must be considered as an electronic signature made by me with the precise, firm and responsible desire to confirm everything I have declared.
I CONFIRM that my NAME and SURNAME, which I report again at the end of this APPLICATION document, must be considered as an electronic signature made by me with the precise, firm and responsible desire to confirm everything I have declared

52. I am aware that
EDT (ELECTRONIC DOCUMENT TRANSMISSIONS) This APPLICATION is subject to the rules and regulations of electronic document transmission (EDT), provided that it is sent and received by the indicated emails. In particular, signatures on documents transmitted through EDT tools are subject to EDT (Electronic Document Transmissions) shall be deemed valid and enforceable in respect of any provisions of this Contract. As applicable, this agreement shall be :
1. 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)
2. Electronic Commerce Agreement (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic Business (UN/CEFACT)
3. EDT documents shall be subject to European Community Directive No. 95/46/EEC, as applicable. 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

ELECTRONIC SIGNATURE (Name and Surname)
First
Last

Email

Applicant
!!! DO NOT MODIFY !!!

Contact via

Indicate the Manager or Agent or Partner Company or Customer
IF "Contact via" IS "Website" PUT "-"

It is advisable to be accompanied, advised and supported by a Director, a Manager or an Agent of PROYTEC PANAMA Corp.

Requests from the PROYTEC PANAMA Corp. network take precedence, even if all requests are parsed successfully.

END APPLICATION

Get in touch

Social, Blog and News

Quick Links

BLOG PROYTEC