The document provides an investor information summary for S.C. Pangiran Budi Service S.R.L. It includes details about the principal such as name, nationality, passport information, date of birth, occupation, business details, and contact information. It also lists bank drafts totaling USD 440 million and affirms that the information provided is true and accurate and that the funds comply with anti-money laundering policies.
1. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
INVESTOR INFORMATION SUMMARY
DATE : Monday, March 23, 2015
FROM : S.C. PANGIRAN BUDI SERVICE S.R.L
TO : Compliance Officer
THROUGH : SIR DR IR FEROZ
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 Crimina
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.
1. Principal
a) Represented By
b) Nationality
c) Passport Number
d) Date Of Issue
e) Date Of Expiration
f) Date Of Birth
g) SSN/Identity No.
h) Place Of Birth
i) Contact Address
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
INVESTOR INFORMATION SUMMARY
Monday, March 23, 2015
S.C. PANGIRAN BUDI SERVICE S.R.L
Compliance Officer – NRL Platform
SIR DR IR FEROZ
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
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.
: S.C. PANGIRAN BUDI SERVICE S.R.L
: SIR DR IR FEROZ
Nationality : MALAYSIAN
: A25895236
: 21 JANUARY 2012
: 23 JUNE 2017
: 08 NOV 1974
: 741108-01-7575
: JOHORE BHARU
: JALAN GURNEY 2
________
IASI Romania European Union
Page 1
INVESTOR INFORMATION SUMMARY
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
l 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
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.
S.C. PANGIRAN BUDI SERVICE S.R.L
2. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
j) Contact Telephone No.
k) Facsimile No.
l) Cell No.
m) Occupation
n) Business Name
o) Business Address
p) Contact Telephone No.
q) Facsimile No.
r) Cell No.
2. Address For Mail
3. Address For Courier
4. BD Issuing Bank Name
a) Address
b) Account Number
c) Account Name
d) Bank Officer 1 Name
e) Bank Officer 1 Pin Code
f) Bank Officer 2 Name
g) Bank Officer 2 Pin Code
h) Telephone
i) Telefax
j) SWIFT CODE
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
: +60177430448
: TBA
: +60177430448
: BUSINESS OWNER
: S.C. PANGIRAN BUDI SERVICE S.R.L
: +60355118268
: +60177430448
: +60355108268
: +60177430448
:
1-08-02 WORLDWIDE @7,JALAN LAZUARDI 7/29.
SEKSYEN 7,40000,SHAH ALAM,SELANGOR,MALAYSIA
:
SAME AS ABOVE
: NATWEST,NEW YORK
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: AS ATTACHED
: TBA
: TBA
:
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IASI Romania European Union
Page 2
S.C. PANGIRAN BUDI SERVICE S.R.L
02 WORLDWIDE @7,JALAN LAZUARDI 7/29.
SEKSYEN 7,40000,SHAH ALAM,SELANGOR,MALAYSIA
3. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
k) Face Value BANK DRAFT
5. Affirmation:
I hereby swear under the full penalty of perjury, that the information provided herein
is both true and accurate. I am in control
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
Financial Action Task Force (FATF) 6/01.
Signed and Sealed this Monday, March 23, 2015
______________________________________
Name : SIR DR IR FEROZ
Title : CHAIRMAN
Passport No. : A25895236
Country of Issue : MALAYSIA
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
BANK DRAFT : USD 190 MILLION (1 PCS)
USD 190 MILLION (1 PCS)
USD 250 MILLION (1 PCS)
I 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.
Monday, March 23, 2015
______________________________________
SIR DR IR FEROZ
CHAIRMAN
A25895236
________
IASI Romania European Union
Page 3
I hereby swear under the full penalty of perjury, that the information provided herein
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
ndering policies set forth by the
4. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
________
IASI Romania European Union
Page 4
5. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
________
IASI Romania European Union
Page 5
6. Str. Gr. Ureche nr. 1 -3, B1. W. Maracineanu
Clients Initials __
3, B1. W. Maracineanu – mezanin IASI Romania European Union
Email :ioedf@diplomats.com
________
IASI Romania European Union
Page 6