CREDIT SUI-SSE

110 323 5L3

?t . A

Form A pursuantto Art. 3 and 4 of the C03

Establishment of the? Beneficial Owner's Identity-

mme/Companytcontracling parry): CientNo. (CIF). oreccomt/Selekeephg acmrnumrts)

Pen-European Conferences Limited 0251-1 5210643

 

(hereinafter referred to as the rename-

Bene?clel Owner 

The-term 'benellclel towner" refers to."the person who [she ultimate-owner of the a'ssetsdepo?sited. The bene?cial
owner does; not necessarily have to-be granted a bank power or attorney oreignatoW authority for the" blislne'ss
relationship. 

The" Cilem hereby declares that (please check OnIyOne box)

the Client Is the sole bone?cialowner of the assets concerned

- the following is/er'e the bene?dal _owne'r(s) of the assets cancemed:

 

-.1 Name/Comm name Nationality

 

 

 

 

 

 

 

 

VANEA. . .. Roma?la .
First name Date at birth Mummy)
Vict'Or 13.06.1958
Residenrraiaddrassxoomrcm Comuy of domrcre' (no abbretiations)
- Romania
Str.? 3. ap. 16, 3400'Ctuy-Napoke .
2 NunefCompany name Nationality
First name I I I Date o'i (dd.mm
Residential address/Domicile Camdryofdemidle'mo ebbreVlattona)
3 Marne/Comm . Nationality
Firirt n'eme? Dale oi  (mm 
Residentiel'address/Domldle .Comtryof domlc?e (no abbreviations)

 

Dale metres

 First eubrhiSSion of form Replacement'lor all previdus forms A
Addendum to oneoi' more ertisting tonne A El
The Client undertakes to Inform credit'Suisee' AG of'eny changes _o 

 

own accord.

 z? 
Important Inlormatlon: This farm is a'docutnent asde?flned in'A .- 110 p?e. 4 kt "the Penal CodetSPC).
Willftiily providing false informallm when completing this romn ma'y'thue 'res'uli in the penalties tout In Article 251 "of the
Swiss. Penal Code (document forgery; up to'ltveyears'. imprisonment er a 

 

 

 

 

 

 

To be completed by the: Bank Identi?er 1: BO mm 2; ?onler a:
0.1002 ?mp
145508 ammo. 0251-1_52106-3_ Reh?orehlp Menage:

 

 

 

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