OnLine QUESTIONNAIRE - PROYTEC PANAMA CORP

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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.

ELECTRONIC QUESTIONNAIRE

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USER

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PROYTEC PANAMA CORP - PROYTEC GROUP

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THE FIELDS WITH A RED ASTERISK ARE MANDATORY

Date

1. NAME and SURNAME
First
Last
ENTER THE NAME AND SURNAME PRESENT IN THE CIS/KIC

2. BUSINESS NAME
ENTER THE BUSINESS NAME PRESENT IN THE CIS/KIC

3. E-mail for Contact

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

61. BRIEF DESCRIPTION OF THE PURPOSE

62 CURRENCY
DOLLAR
EURO

63. CAPITAL NECESSARY TO FINANCE THE ENTIRE VISION

64. CAPITAL RAISED SO FAR

65. CAPITAL ALREADY INVESTED BY PROMOTERS

66. CAPITAL THAT PROMOTERS CAN STILL INVEST

67. POTENTIAL ACTIVE COMPETITORS
INDICATE WITH PRECISION INDIVIDUALS, ORGANIZATIONS, BRANDS, WITH RELEVANT REFERENCES

ONE FOR EACH LINE

IF THERE ARE NO POTENTIAL COMPETITORS, WRITE "NONE"

68. STRENGTHS OF THE PURPOSE

69. WEAK POINTS OF THE PURPOSE

70. POTENTIAL OF PURPOSE

71. ESG CHARACTERISTICS OF THE PURPOSE
ENVIRONMENTAL - SOCIAL - GOVERNANCE
(write the general characteristics)

72. BENEFITS THAT MAY INTEREST THE COMMUNITY

74. BRIEF EXPLANATION OF PREVIOUS CHOICES

STATEMENTS
STATEMENTS

99. 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

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

101. 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

102. 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.
YES

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

104. 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.

AUTHORISATIONS
AUTHORISATIONS

105. I authorize the collection, use and disclosure by PROYTEC GROUP and PROYTEC PANAMA CORP of the data and information provided with this QUESTIONNAIRE, to its affiliates, Credit Agencies, Reporting Agencies, Banking and Financial Institutions and associated Companies.
YES

106. 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

107. I understand and accept that PROYTEC GROUP and PROYTEC PANAMA CORP may disclose personal, business, financial and credit information submitted with this QUESTIONNAIRE and in the Documents sent. to future creditors and banking and financial institutions requesting credit references.
YES

108. 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 QUESTIONNAIRE and in the Documents sent.
YES

RESPONSIBILITIES
RESPONSIBILITIES

109. 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 QUESTIONNAIRE also by committing the Company.
YES

110. COMPILING AND SENDING THE QUESTIONNAIRE
I declare that I have filled out this QUESTIONNAIRE personally and directly on the PROYTEC PANAMA CORP website (https://proytecpanama.com) in the DOWNLOAD section from which you access the ONLINE QUESTIONNAIRE and I am aware that it is sent automatically when you press the SEND button.

111. SEND THE QUESTIONNAIRE
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.

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

REFERENCE REGULATIONS
REFERENCE REGULATIONS

113. EDT (ELECTRONIC TRANSMISSIONS OF DOCUMENTS)
This QUESTIONNAIRE is subject to the rules and regulations of the Electronic Transmission of Documents (EDT), provided that it is sent and received via the indicated email addresses. In particular, signatures on documents transmitted via EDT tools are subject to EDT (Electronic Transmissions of Documents) and will be considered valid and applicable with respect to any provision of this QUESTIONNAIRE.

114. ELECTRONIC SIGNATURE
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).

115. ELECTRONIC DOCUMENT
Electronic Commerce Agreement (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic Business (UN/CEFACT).

116. DATA PROTECTION
EDT documents shall be subject to the Federal Trade Commission Act (FTC Act), the General Data Protection Regulation (GDPR/UE/2016/679), and the regulations of countries that have adopted specific data protection and privacy laws, if applicable, as well as the Financial Action Task Force (FATF), the provisions of the USA PATRIOT Act of 2001, Directives 2005/60/EC and 2015/849 (EU), and the guidelines of the Basel Committee on Banking Supervision (BCBS), if the data is used for financial activities requested by the undersigned.

117. ORIGINAL COPY OF DOCUMENTS
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.

DATA (USER)

ELECTRONIC SIGNATURE (Name and Surname)
First
Last

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