mm oerhn'Lll I;an
nonyueunc mm. ermm
I fipokwcku: 

1] 11mm: Umm)

 

mun-mm mm umpI-vmx a Slimeoncpnummnu I 60mm": an 

Wm,

I:


 

ouymmunmun <> gm nun-m KCM um."
Mprc: (crpana. man. ynnua, gum)

91mm mum, nonumuuccku ymumxx mm:

Hm. ?lemn

ohm-mm" mu:
yummneplmumi nuwoc'm "my

1.1m nmnw.' mm mm
Anpu. (mm. ropml, ylmua. NoMcp noMal
mm, qumum

one".an Imn
,Upkyumn, nuwnL-IL: Hump:

A31: mum-4n. nunw
Aapcc: (swarm. ropnn, yum. Nomp gum)
11mm, ammupamuue nullumuwcku ymemsm JIMKIIM:

 

Wan, 0mm." ohm:an Kan
flukyuzm. NnMep' nm "warm "saw
'5 
Wen. (mafia. romev ylmna. mmep Rom)



Dpkyuem. ynumonpmmua nuwncv Mtp, um awu'm' km mm,
. Mpcc: (mm. mpnn. ymua. map new)

 

 

 

 

  
 
  

mew. 5am nfin "aw

    
  
 

I405 mnema

 

. mm. m. (waOyumv-i 

 



 

Mm M.  

mm mm." 

. "mummu WNW  
   

 


"mm"men'mum. "um-"mm

    
 

  

 

 

. no "(mm mm

M. .um. 
.. 140111707).

     

 
     

BC 

. f' CHESTIONAR CLIENT - PERSDANX 
"yam nenarale

'fia Waflers Maurice
1'"ch de idenlilsle (bll. permis de $2dere. pa?apor0
pasapon
seria' numarui. -
dam aiinerarii; 16/03/2012
onciul cars Ia eimerai IPS
oodul de identificave
iermenui de 15/05/2022
Data 5! incui nsgierii "are, regi'unea. Vocalilakeal'
dais .Mansfield.regiunea'


[1.4 Advesa de resedima:
United Kingnom, Nefezidenli' STR Earningnem-

 

   

  
  
   
   
   
 
 
  
  
  
 
     

 



 

.5. Adiesa de domicilm
- United Kingdom, LONDON, STR aamingnem-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

upafin:
I Angaisi Anlreprenor
Pensvonar Sludem
$omer Alta (indicagi)
"ea inueprinaerii (angaiamruim): Westbum Enlerpvises Limited
cua publlce aeunuu (parsoane expuse politic-PEP):
Denmal si Membru al Guvemului RM
Primar Cansilier al aumricagiim pumice iocaie
Judecamr alie funcy'e. iinaicam
Nu deim funcyie puhiice
32ml" paz 52 defineu 0 "Indie pubiice mama,

 

W0,  membrii de gradui i)

 

ne Asocvale 

I de oporatiuni precanizate a (i elecmate prin conturile deschise ia bance:

 

\vanslevun' iocaie (ranslemn internationaie

 

 

operatiuni cu cardun opemxium cu numerar

depuzi'te crediie

opeialiuni

 

 

 

 

 

Indicagi)

 

 

 

  

 

5. in cazul existen'ei internauunala Indlca'i ma de origins a partenarilor:

 

 

s. Indicagi sum milloacslor henewi supuss 

7. Au mal elsclual operafiunl do legalizare a capmlulul tn aka bencl'i'

 

nu

 

 

da (mdicafi msmuna financiarey

 

 

 

E. Dalele de Contact:
Numelul lerefunulux
domimlm moml

servicm . fax

E-mau-
9. Acest chastionar va fi completata gi de persoansle care eVectueazi operauuni financiam inf:
camul titularului in haza procurli,

10. DECLARA TIE
privind identiratea beneficiarului elecliv

Subsemnalul Waflers Maurice declav pe propna
respundere ce beneficiaml eiecllv a! operafiumlor in/dm com esle

Numere, prenumeb Walters Maunce

Coum persuna'

Acmldewdenlitale _4 dataehberam 18/03/2012'organuvcarem ehberat 

 
     
    

Confirm corecmudlnaa datelor prezentate, imi asum ohligagia sa' comunic in
bencii orice modificare refsn'toare Ia eels declarate mai sus. Confirm de asem
pravenienta legala' a miiloace/or b5ne?ll depuse inifial ce var derula pn'n cont

     

am,
Semnetm

 
   
   

Mangiunile bancu 

NOTE:

EC "Moldindconbank" SA isi rezerve dreplul ds 3 salicila intermagn Supllmenlarz
necasilate 5% de a rafuxa elecluarea nanxacgmar ordnnate de euenude a incela rolauile cu one
cazul unor daclarayii false sau daca are suspiciunl cu privire la realflatea celnr daclarata do
Invormaua constiluis sacral camarclal 5. Va volasna da name so "Moldindconbaw
numai in exercltarea luncgmar sale 51 nu Va palmlte accesul anor persoane la acsasla inform:

Beneficlarul electiv - persoana hm: Ce contro'eaze In umma Mama 0 persoana uzica sau Jun
persoana in El cerel nume se rea'izeaze a Ivanzacfie sau se deslesoare amvilake gusau define an
indlvect dleplul de propvie|ale sau convulul asupra a ce' pu|in 25 um acyum sau din dremw 0'
persaanei Jundme (art 3 din Legea cu prM're we pvevemrea 51 combalerea spilen'i nannm 5. 
teronsmum 190m am 26 07 2007)

Persoane expuse politic pevsoane hzw'ce carom 52 incvedmleaze saw srau Incredm|a| luncw
:mponama precum 5' membnlol rev do (2mm: mm cel puun persoane cu lunch de respundere my
a\ carer mod de nume sau alegere es|e Ieglemenlat de consmuua lm sau care sum mvesme Tn
alegere sau numne de cetre parramem pm$edmte San guvem (an 3 dm Legea cu 
prevenwea s' Combalerea spalam banum s. nnanuem 100-xvx am 25 07 2007)

Tmrebame pemm persoane'e flzme' submcw \egahzem capwla'u'm

 

 

 




3

 

'Covia a sm

 

rude 

:0 

 

  
 
  
 
 

)ulxlic

Zyprus
Sweet,
BURN
mama,
Sn'ecl,
marias

n? and

fof the

he \rue
lhereun
ures an-

DVQI 
[ummls

   

  
  
 

TRUE cog:

  

JOHN GRAHAM .-
Salicuarand Notary Pubflu
CnaMcn Plans

Scotland 

 

 

  

 

:1 

 

 

    
 
 
   
    
   
   
   
 

dmcxubuufi 

ueficrnmenefl Au: 

 

P011 nem'umnutrn 
- "sown no mam 
- HEHCMOHEP '7 - 

5 uv'yroE 

 

'1 

 

 

m. (nonn'm'lecku mum):
aenym HapnaMEH'm PM linen HpasHmM-cma PM
- I'IpnMap - Conemnk npmuau
- (yam Apyroe 
- He zanmam nyGamuux 
11 came,

nepxramncM 25

  


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axumy 5011ch
my mum panama)

      
   

  

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 an pal-lee neranmnunm Kanmm man

   
  
  
  
  
   
    
  
  

usanarme cpmucomm yqpmaem)
nTaKnm)! 

 

. Tcnerbunon' umqu 

paeouxm

mama" 4 Wig--

 

 

3m Mucen 1101mm Gun, Janomlella .vmumn. o1 "Mel-m

a my mm ucymensrm'rb mm. m. oclwualmn

ppennocm.

 

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my; mama". EA

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0611mm 6amconbank” S.A.

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