JOSE CARLOS TORREGROSA BOUZON  
 
CLIENT INFORMATION SHEET  
FOR PAYMASTER SERVICES  
 
 
DATE: August 28, 2019  
 
In accordance with Articles 2 and 5 of the due diligence and federal banking commission
circular of December 1999, concerning the prevention of money laundering, and Article 305 of
the Swiss Criminal Code, the following information may be supplied to banks and to financial
institutions for purposes of verification of identity and activities of the investing member, and
the nature and origin of the funds which are to be utilized.  
 
Client Full Name   JOSE CARLOS TORREGROSA BOUZON  
Nationality   SPAIN  
Passport Number   PAE341586  
Issued By   DGP – 39676A 6P1  
Issue Date   APRIL, 4, 2017  
Expiration Date   APRIL, 4, 2027  
Social Security Number (MEDICARE NO:) if  
any  
LICENCES HELD(IF ANY)    
Phone no   +34 610 206 528 Whatsapp  
 

E mail address   letme@hotmail.es  

 

Skype address   Carlos

  Letme  
Date of Birth   January 28, 1964  
Place of Birth   MADRID– SPAIN
 
Company Name    

Registered Office    

Registered Number    
Business Telephone    
Mailing Address    
Email Address    
 
Attorney ( if you have one)  
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 1 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
Address    
Telephone    
Fax    
Mobile    
Email Address    
 
Origin Of Funds re this activity    
Are Funds Free and Clear    
Brief Corporate Activity    
 
Facilitator and/or Intermediary for
transactions between groups and/or Buyers
and Sellers of:  
 
Commodities/Banking  
Instruments/Bonds/Currency Exchange  
 
I hereby swear under penalty of perjury that the information given above is accurate and true.  
 
Any information, work or service conducted hereunder is that of a private placement
transaction that is exempt from the Securities Act and not intended for the general public but
for Private Use Only.  
 
 
 
 
 
 
 
 
 
 
 
 
SIGNATURE AND SEAL ( electronic signature or original)  
 
Signatory: JOSE CARLOS TORREGROSA
BOUZÓN
Passport: PAE341586  
Country: SPAIN

Date: August 2, 2019

 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 2 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
BANKING COORDINATES FOR  
INDIVIDUAL (THE BANKING INFO IS FOR RECORD PURPOSES ONLY)  
BANK NAME:    
BANK ADDRESS:    

SWIFT CODE:    
BANK OFFICER:    
BANK PHONE No:    
BANK FAX No:    
A/C NUMBER:    
BANK ACCOUNT NAME:    
EMAIL:    
SIGNATURE    

Re following, please provide  

a copy of a photo id… either
 
passport or driver licence    
NEXT PAGE  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 3 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
COPY OF BENEFICIARY
DRIVERS LICENCE  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 4 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
COPY OF BENEFICIARY
PASSPORT.  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 5 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
BUSINESS  
Please provide description of
the business activity. Where
you are working through the
company as listed above  
           
               
 
 
 
 
                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 6 of 7  
  
 
 
 
JOSE CARLOS TORREGROSA BOUZÓN  
 
PROOF   OF   RESIDENTIAL  
ADDRESS (NotethatP.O.BOX
isnotacceptable)  
To   validate   the   home  
addresses of all   parties,  
please provide at least ONE
COPY of the following:  
(a) Original   and  
recent   bank  
statement   from   a  
recognized bank  
(b) Original   and  
recent   credit   card  
statement  
(c)   Letter from your  
employer (on headed  
paper)   confirming  
your   permanent  
address  
(d) Utility bill  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TELEPHONE: +34 610 206528   EMAIL: letme@hotmail.es   SKYPE: Carlos Letme  
ADDRESS: Calle Hércules, 1 – bloque 1 – 1ºB – 28690 Brunete - Spain  
CLASSIFIED AND CONFIDENTIAL  
 
Initial:   Page 7 of 7