Uploaded by Pavel Medvedev

Документ (2)

advertisement
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
CARD TYPE
DEBIT
CARD LOADING FORMAT
PROTOCOL 101.1 / RATIO 1:1
DOWNLOADING PROCESS VIA
TRANSACTION MODE
TERMINAL POINT OF SALE (POS)
PHYSICALLY
(INDICATE PHYSICALLY OR VIRTUAL):
HEREBY AND AS OWNER OF THE DEBIT CARD DETAILED BELOW, I AUTHORIZE MR.
RAMÓN ANDRÉS CERVERO WITH SPANISH PASSPORT NUMBER PAL494468, WITH
PHONE / WHATSAPP +34 638939295 TO COORDINATE THE DOWNLOAD OF THE MONEY
FUNDS LOADED ON MY DEBIT CARD AND ITS POSTERIOR APPLICATION AND
DISTRIBUTION FOR INVESTMENT AS DETAILED IN ANNEX 5 OF THIS DOCUMENT. THIS
AUTHORIZATION IS ONLY VALID DURING THE PRESENT AND CURRENT TRANSACTION
DESCRIBED BELOW AND DOES NOT PROVIDE AUTHORIZATION FOR ANY ADDITIONAL
DEBIT OR CREDIT UNRELATED TO THE PRIMARY PURPOSE DESCRIBED HEREIN.
CARD OWNER MAIN INFORMATION:
1
2
3
CARD OWNER NAME:
PASSPORT NUMBER:
ISSUING & EXPIRY PASSPORT DATES :
JUAN CRISTOBAL CARBO RAMIREZ
4
5
6
7
COUNTRY / NATIONALITY:
CARD OWNER ADDRESS:
CITY:
POSTAL CODE :
SPAIN
8
COUNTRY:
PAF 028885
03.07.2017 / 03.07.2027
N/A
N/A
N/A
N/A
TOTAL INVESTMENT AMOUNT
TOTAL CARD LOADED AMOUNT:
$ 100,000,329.11 (ONE HUNDERD MILLION
THREE HUNDRED TWENTY NINE POINT
ELEVEN USD).
TOTAL TRANSACTION AMOUNT:
PERIOD BETWEEN DOWNLOADS:
FUNDS DISTRIBUTION PAYMENTS FORMAT AS
DETAILED IN ANNEX 5.
$ 99,000,000.00 (NINETY NINE MILLION USD)
AS AGREED
SWIFT MT103 DIRECT CASH TRANSFER
TRANSACTION TRANCHES
FIRST TRANCHE
TRANCHES BY DAY / AMOUNT BY TRANCHE
TOTAL DAILY AMOUNT
Page 1 of 12
AS AGREED
AS AGREED
AS AGREED
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
I, JUAN CRISTOBAL CARBO RAMIREZ. AUTHORIZE THE RECEIVER/DOWNLOADER TO
CHARGE THE AMOUNT DETAILED ABOVE TO MY DEBIT CARD ACCOUNT INDICATED
BELOW.
I, JUAN CRISTOBAL CARBO RAMIREZ, HEREBY AUTHORIZE, UNDER PENALTY OF
PERJURY, THAT THE FUNDS ARE GOOD, CLEAN AND CLEAR AND OF NON-CRIMINAL
ORIGIN AND ARE FREE OF LIABILITIES, CHARGES AND INTERESTS OF THIRD PARTIES.
DEBIT CARD MAIN INFORMATION
JUAN CRISTOBAL CARBO RAMIREZ
1
2
3
CARD HOLDER NAME:
CARD ISSUING BANK NAME:
ISSUING BANK ADDRESS:
4
BANK ACCOUNT NAME:
C/ Don Ramón de la Cruz, 84 28006 Madrid (
Spain).
JUAN CRISTOBAL CARBO RAMIREZ
5
DEBIT CARD NUMBER:
4133 8873 0289 9044
6
CURRENCY:
USD
7
8
CARD TYPE:
CARD EXPIRY DATE:
VISA
9
CVV NUMBER:
129
10
AUTHORIZATION CODE:
AS DETAILED IN ANNEX 2
EVO BANCA INTELIGENTE
10/2023
I JUAN CRISTOBAL CARBO RAMIREZ CERTIFY THAT I AM THE HOLDER OF THE VISA
DEBIT CARD DETAILED ABOVE AND THAT I WILL NOT DISPUTE OR CLAIM THE
PAYMENT WITH MY DEBIT CARD, PROVIDED THAT THE TRANSACTION CORRESPOND
TO THE TERMS INDICATED IN THIS DOCUMENT.
I, JUAN CRISTOBAL CARBO RAMIREZ, AS HOLDER OF THE ABOVE DETAILED DEBIT
CARD, ORDER THAT THE FUNDS BELONGING TO THE CHARGES MADE IN MY CARD
ACCOUNT SHALL BE DISTRIBUTED AS SPECIFIED IN ANNEX NUMBER 5 OF THIS
DOCUMENT.
Page 2 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 1
SCREENSHOT CONFIRMING THAT THE DEBIT CARD IS ACTIVE AND
CONVENIENTLY LOADED
Page 3 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
Page 4 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 2
AUTHORIZATION DOWNLOADING CODE
Page 5 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
Page 6 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 3
FRONT AND REAR DEBIT CARD IMAGES
Page 7 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 4
CARD HOLDER PASSPORT COPY
Page 8 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 5
FUNDS FOR INVESTMENT DISTRIBUTION
BANK COORDINATES OF INVESTOR RETURN EQUIVALENT TO 45 % (FORTY FIVE PERCENT)
OF TOTAL AMOUNT DOWNLOADED INCLUDING R&E:
Paymaster Name
NORBERTO GABRIEL FANO
Bank Name
ZIRAAT BANKASI BRANBANKCH: DRAGOS
Bank Address
Cevizli Mahallesi Bagdat Cadesi No. 460/A.P.K-34840 Maltepe, Istambul,
Turkey.
Account Name
NORBERTO GABRIEL FANO
Account Number Euro
74103206-5002
Account Number Dollar
74103206-5003
IBAN Euro
TR25 0001 0026 4574 1032 0650 02
IBAN Dollar
TR25 0001 0026 4574 1032 0650 03
Cod SWIFT / BIC
TCZBTR2AXXX
Bank Officer Name
ERGIL KARINCAOGLU
Bank Officer Phone
+90 216 441 4318 -120
Bank Officer E-Mail
ekarincaoglu@ziraatbank.com.tr
Special Instructions
ACB/INVERSIONES
Final Beneficiaries
45%
Investor
Return
2,5% for RAMON
ANDRES
2,5% for Carlos
Girón
CERVERO & CONSULTANTS GROUP.
Page 9 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
ANNEX 6
CARD HOLDER CIS
Page 10 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
Page 11 of 12
AUTHORIZATION FOR INVESTMENT
MANAGEMENT TRANSACTION VIA DEBIT CARD
TANSACTION CODE: JCCR/EVOBI-4133887302899044/202207
<<<<<<<<< END OF DOCUMENT >>>>>>>>>
Page 12 of 12
Download