[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
DOCUMENTATION ENCLOSED
*** INDIVIDUAL ENTRY ***
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
UNDERSTANDING THE RULES OF THE ROAD
AFFIDAVIT REQUESTING INFORMATION
CLIENT INFORMATION SHEET
LETTER OF EXCLUSIVITY
LETTER OF INTENT
LETTER OF CEASE & DESIST CONFIRMATION
SOURCE OF FUNDS AFFIDAVIT
LETTER OF NON-SOLICITATION & REQUEST
AUTHORIZATION TO VERIFY FUNDS
CONFIRMATION OF BANK OFFICERS
BANK OFFICERS VISIT CARDS
PASSPORT(S)
PROOF OF FUNDS
ATTACHMENTS (IF NEEDED)
LETTER OF LIAISON AND COMMUNICATIONS AUTHORITY
BANK STATEMENT LETTER
PROOF OF LIFE
E-mail, facsimile copies or photocopies of documents or agreements
pertaining to this subject are declared and regarded as valid and
equal to the original, provided they are represented by proper
signatories. Originals may be obtained upon request
APPLICANT INITIALS ___________ Page 1 sur 23
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UNDERSTANDING THE RULES OF THE ROAD
None of the customary standards and practices that apply to normal, conventional business, investing and finance
applies to private funding programs. It is a "privilege" to be invited to participate in a Private Placement Transaction
Program, not a "right." The trading administrators and managers have a virtually endless supply of financially
qualified applicants. All things considered, the trading administrators and their banks will favor the applicant who
provides the best paperwork. An applicant should never underestimate what the trading entities knowledge about
him. Failure to provide full disclosure will disqualify the disingenuous. Clients must first prove that they are qualified,
not the other way around. Until the client is accepted by Compliance, the Traders, and Trading Banks, no placement
can occur. The U.S. Patriot Act has introduced obligatory compliance procedures. Face‐to‐face interviews with
compliance officers and program management are occasionally required, but generally not necessary. Any arrogant
or demanding personality will be guaranteed to be rejected. Only the principal owner of funds is required as
signatory. Corporations must empower an Officer or Director as sole, exclusive signatory by using a Corporate
Resolution. Not only do the funds have to be on deposit in an acceptable bank; they must also be in an acceptable
jurisdiction. It is felony fraud to submit documents or financial instruments that are forged, altered or counterfeit. Such
documents are promptly referred to the appropriate law enforcement agencies for immediate criminal prosecution.
The practices, procedures and rules are determined by the U.S. Federal Regulatory Authorities, Western European
Central Banks program management, licensed traders, and trading banks. It is their decision whom to accept and
whom to reject. Contract terms, yield, schedules, etc., are made to fit their needs and schedules – and not the
caprices or demands of the investors.
This marketplace is highly regulated and strictly confidential, and absolute confidentiality by the investor is a key ele-
ment of every contract. A client who breaks confidentiality will precipitate instant cancellation. Finally, submission of
the application documents to more than one mana-gement group at a time is termed "shopping". If an investor
"shops" he can expect that this fact shall be quickly disseminated and known among the program management
groups who maintain close communication – and will then be accepted by none and rejected by all.
I, (NAME), have read and accepted the above as of this date: Monday, July 21, 2025
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 2 sur 23
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AFFIDAVIT REQUESTING INFORMATION
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the undersigned, on my own behalf, do hereby affirm that I have requested specific information about
Private Placement Opportunities and or the Participation in Investment Programs. The confidential information
presented, received, and learned is not for the solicitation of funds, nor is it an offering of any kind, but is for my
general knowledge. I confirm that I have requested the information of my own free will and choice, and further
confirm that no party has solicited me in any way. I hereby agree to keep all information received from you strictly
confidential, private, and proprietary, and that I will not disclose it to any other third party.
I, (NAME), further affirm that any funds or assets I decide to place are done so at my own specific initiative, risk, and
authorization with full consideration and without duress. I further affirm that the information received is intended
solely for my PRIVATE & CONFIDENTIAL USE ONLY. I am a sophisticated investor by all definitions of that
classification known to me; I make my own investment decisions and have legally acquired assets available. I,
hereby reaffirm, under penalty of perjury that I have requested information from you and your organization and that
you have not solicited me in any manner.
I, (NAME), understand that the contemplated transaction is strictly one of Private Placement and is in no way relying
upon existing regulations in relation to the United States Securities Act of 1933 as amended, or related regulations,
and does not involve the buy and sell of securities. I further declare that I am not a licensed securities broker or
government employee and understand that neither are you or your organization. I mutually agree that this Private
Placement Transaction is exempt from the securities act.
I, (NAME), understand and agree that the ICC NON-DISCLOSURE and NON-CIRCUMVENTION rules apply to this
affidavit and business relationship, and hereby agree to the current application standards of the International
Chamber of Commerce, Paris, France which rules are made a part hereof by this reference.
I, (NAME), under penalty of perjury, with full individual responsibility, hereby irrevocably, confirm that neither myself,
nor anyone else associated with my organization, my corporation, or the individual investor are working for any
Agencies of any Government. I further state under penalty of perjury that I am not involved in any Government
entrapment operation.
I, (NAME), under penalty of perjury, with full individual responsibility, hereby irrevocably, confirm that neither myself,
nor anyone else associated with my organization or corporation have been convicted of a felony, either within the
United States or anywhere in the world where that crime would be considered equal to a US felony. To the best of
my knowledge I am not nor are any of my associates considered to be terrorists or on any watch list with the United
States Department of Homeland Security.
I, (NAME), agree that all email and facsimile transmitted documents shall be treated as original documents. I further
agree that in all cases where plural might apply where singular tense is used it is so applied.
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
APPLICANT INITIALS ___________ Page 3 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 4 sur 23
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CLIENT INFORMATION SHEET
Directions: This document must be completed in full. If a line item does not pertain, then insert the term: “N/A” (non-
applicable).
Personal Information
First Name :
Middle Name :
Last Name :
Gender :
Date of Birth :
Social Security Number :
Country of Citizenship :
Passport Number :
Date of Issue :
Date of Expiry :
Issuing Authority :
Home Street Address :
City :
State :
Country :
Postal Code :
Telephone Number :
Fax Number :
Mobile Number :
Email Address :
Languages / Translator
Languages :
Do you speak English?
If No, Name of Translator :
Tel Number :
Email Address :
Legal Advisor
Full Name :
Company :
Address :
City :
State :
Country :
Postal Code :
Telephone Number :
Fax Number :
Email Address :
APPLICANT INITIALS ___________ Page 5 sur 23
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Bank Information
* Please attach copy of account statement from bank
Bank Name (where funds are currently on deposit):
Street Address :
City :
State :
Country :
Postal Code :
Account Name :
Account Number :
Sort Code ABA No. :
SWIFT Code :
Account Signatory (1) :
Account Signatory (2) :
Bank Officer # 1 Name :
Bank Officer # 2 Name :
Telephone Number :
Fax Number :
Client Account where Profits to be paid
Bank Name :
Street Address :
City :
State :
Country :
Postal Code :
Account Name :
Account Number :
Sort Code ABA No. :
SWIFT Code :
Bank Officer Name :
Telephone Number :
Fax Number :
APPLICANT INITIALS ___________ Page 6 sur 23
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Investment
Funds available for this transaction :
Type of currency :
Origin of funds :
Are these funds free and clear of all liens, encumbrances, and third-party interests?
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 7 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
LETTER OF EXCLUSIVITY
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), authorized signatory of the Account No (ACCOUNT
NUMBER) at (NAME OF THE BANK), located at (ADDRESS OF BANK), the undersigned, (hereinafter referred to
as the “INVESTOR”), hereby with full, personal and legal responsibility under penalty of perjury of law, represent,
warrant and attest that:
I, the undersigned, have full legal title, rights, interest, control, and authority to commit and invest these funds and
have chosen to do so of their own free will and sole decision without any solicitation or influence from the trade
administrators.
I, the undersigned, principal party involved in this transaction do not have any other party working with or authorized
to work with these funds allocated for above-mentioned reference code, nor have any other parties been authorized
to invest these funds, nor have other funds from myself or the corporation been placed with other parties for a similar
investment. Further I attest that I have sent Cease & Desist Notices to any other intermediaries or trade groups that
have had access to our paperwork in the past.
I, the undersigned, herewith grant Program Manager, full exclusive right as our sole agent for 1 Months and 1 Day
(One Months and One Day) and/or the period of the contract whichever is later including any proceeds of the
investment if re-invested, from the above date, to enter these funds for me, or the Corporation into the best available
investment
I, the undersigned, understand, and I am fully aware that this transaction will be registered with a major world bank
and/or the Federal Reserve and the submitted private and confidential paperwork will be forwarded for the sole
purpose of establishing necessary dossier due-diligence and clearance for this transaction.
I, the undersigned understand and acknowledge that the Program Manger (hereinafter referred to as the “Trade
Coordinator”) will initially base the placement of this transaction on the face value representations and documentation
presented, and that any misrepresentation may be considered criminal bank fraud. I, the undersigned hereby indem-
nify the Trade Coordinator against any misrepresentations.
Facsimiles or electronically transmitted documents are deemed as legally binding as delivered originals.
APPLICANT INITIALS ___________ Page 8 sur 23
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I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 9 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
LETTER OF INTENT
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the undersigned, hereby confirm under penalty of perjury, my full commitment and agreement to
participate in an investment opportunity, subject to my acceptance of the terms, conditions and procedures that shall
be outlined in the Private Placement Program.
Furthermore, I hereby warrant and represent that I have available for placement into the proposed investment, the
sum of (SPELL AMOUNT) United States Dollars/Euros (_____,000,000.00 USD/EUR) of clean, clear funds, free of
any levy, liens or encumbrances and of non-criminal origin, and herewith attach documentary evidence of same. I
hereby warrant and represent that the Rule of Full disclosure has established these funds were legally obtained from
non-criminal business or actions. I further confirm that I am the beneficial owner of these cash funds, that I have full
signatory authority and control thereof, and that such funds are available for immediate placement at my sole
discretion.
I confirm and acknowledge, with full responsibility, that neither your company nor anyone working on your behalf has
solicited me; that the documents that I shall receive shall not be deemed to be a solicitation of funds in connection
with an investment program; and, that I am approaching you voluntarily for the purpose of securing participation in a
bona fide Secure Private Placement Program.
I am prepared to instruct my bank to act upon the funds as required pursuant to the specifics of this program. In the
case of Blocked Funds, it is my understanding the funds will be blocked and or reserved) in the account and they will
remain, at all times, non-callable.
I hereby request information from you covering the terms, condition and procedures of a secured investment and
look forward to commencing the transaction, upon my acceptance of the agreement.
Email, facsimile copies or photocopies of documents or agreements pertaining to this subject are declared and
regarded as valid and equal to the original, provided they are represented by proper signatories. Originals may be
obtained upon request.
APPLICANT INITIALS ___________ Page 10 sur 23
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I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 11 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
LETTER OF CEASE & DESIST CONFIRMATION
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), duly authorized give notice to have Cease and Desist and
any/other group previous group approached in the past regarding our/my files.
I, (NAME), make a clear statement and confirm under risk and penalty of perjury not to have any other entities,
associations, financial institutions, affiliates, intermediaries, groups or others with my /our permission nor any specific
authorization to handle nor process any one of my/our documents as from Monday, July 21, 2025.
And that; All previous entities, associations, financial institutions, affiliates, intermediaries, groups, or others have
been notified of such by the correspondent official Cease and Desist Letter communication. This exclusive authority
and engagement shall continue fully effective until cancelled in writing by me.
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 12 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
SOURCE OF FUNDS AFFIDAVIT
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), duly authorized do solemnly swear/ attest the following
statements to be true.
I, (NAME), declare under penalty of perjury and with full personal and legal responsibility under the International
Court of Law that I legally hold the sum of (SPELL AMOUNT) United States Dollars/Euros (_____,000,000.00
USD/EUR) and it is deposited in Account No (ACCOUNT NUMBER) at (NAME OF THE BANK), located at
(ADDRESS OF BANK).
I further declare these funds are current and valid currency lawfully obtained and constitute clean, cleared funds of
legitimate, non-criminal, commercial origin. There are no liens, contractual obligations, or encumbrances of any kind
against these funds.
I have full and complete, legal ownership of, and the unrestricted right and authority to pledge or otherwise utilize
these funds. The funds are ready for transfer or release upon my instruction.
These funds are authentic and verifiable. I am not aware of any matter which could or might cause the non-validation
of these funds and I hereby indemnify the Program Manager and/or assignees, intermediaries, or other parties invol-
ved, against any claims, demands, civil and/or criminal in nature, and liabilities, damages, or expenses including
without limitation any attorney’s fees which may arise, whether in whole or in part, caused by reason of reliance upon
this sworn declaration.
E-mail, facsimile copies or photocopies of documents or agreements pertaining to this subject are declared and
regarded as valid and equal to the original, provided they are represented by proper signatories. Originals may be
obtained upon request.
APPLICANT INITIALS ___________ Page 13 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
(THIS DOCUMENT MUST BE NOTARIZED)
NOTARY:
APPLICANT INITIALS ___________ Page 14 sur 23
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LETTER OF NON-SOLICITATION & REQUEST
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), the undersigned, hereby confirm that I have requested of you and your organization specific confidential
information and documentation on behalf of ourselves. I hereby declare that I am fully aware of the information
received from you is in direct response to my request, and is not in any way considered or intended to be a
solicitation of funds of any sort, or any type of offering, and is intended for our general knowledge only. I hereby
affirm under penalty of perjury that you have not solicited in any way. I understand that the contemplated transaction
is strictly one of private placement and is in no way relying on or related to the United States Securities Act of 1933,
as amended or related regulations, and does not involve the sale of securities. That affiant makes this affidavit
knowing that the recipients will rely on the contents hereof, and agrees to indemnify and hold-harmless all recipients
and all other parties -- including intermediaries -- against any and all claims resulting from any applicant misre-
presentation of a material fact or any loss of asset value or any act (legal or not) of a bank or other financial insti-
tution, governing authority or agency, the Federal Reserve or an official or other insider of any such entity. Further, I
hereby declare we are not licensed brokers or government employees and understand that neither are you or your
organization. We mutually agree that this private placement transaction is exempt from the Securities Act, and not
intended for the general public, and all materials are for private use only.
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 15 sur 23
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AUTHORIZATION TO VERIFY FUNDS
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Authorization to Verify
INVESTOR TRANSACTION CODE:
Know all men, by these that I, (NAME), at the address shown above, give you clear notice that you have my direct
permission and full authority to do all matters necessary to confirm, verify, and authenticate my beneficially owned
cash funds and/or application asset(s) and its associated good standing account status, in an amount of (SPELL
AMOUNT) United States Dollars/Euros (_____,000,000.00 USD/EUR) on a bank to bank basis. The below stated
beneficially owned account is of good, clean, and cleared cash funds obtained via legal means, and is currently
available at the bank coordinates below:
Cash Amount : (_____,000,000.00 USD/EUR)
Bank Name : (NAME OF THE BANK),
Bank Address : (ADDRESS OF BANK)
Account Name : (ACCOUNT NAME)
Account Number : (ACCOUNT NUMBER)
Account Signatory : (ACCOUNT SIGNATORY)
Bank Officer & Title : (BANK OFFICER / TITLE)
Bank Switchboard Number :
Bank officer direct telephone number : (BANK OFFICER TELEPHONE)
Bank officer mobile telephone number :
Bank officer Email address (official) :
COPY OF THIS AUTHORIZATION WILL BE LODGED AND PRESENTED TO MY BANK OFFICER.
In witness hereof I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate
and true as of this date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
C.C.: (NAME OF BANK AND BANK OFFICER)
APPLICANT INITIALS ___________ Page 16 sur 23
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LETTER OF CONFIRMATION OF BANK OFFICERS
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), duly authorized do solemnly swear/attest with full legal
responsibility, that the following named person is my actual and personal bank officer at (NAME OF THE BANK),
located at (ADDRESS OF BANK), who will be available to cooperate with the trader for blocking of the following
referenced bank account:
Name Bank Officer & Title : (BANK OFFICER / TITLE)
Bank Officer Telephone : (BANK OFFICER TELEPHONE)
Account Number : (ACCOUNT NUMBER)
Bank officer direct telephone number : (BANK OFFICER TELEPHONE)
Bank officer mobile telephone number :
Bank officer Email address (official) :
I, (NAME), hereby swear under penalty of perjury, that I AM THE SIGNATORY of the account, that the funds belong
to me, and the information provided herein is accurate and true as of this date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 17 sur 23
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TWO BANK OFFICERS BUSINESS CARDS
APPLICANT INITIALS ___________ Page 18 sur 23
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PASSPORT
PROVIDE COLOR COPY ENLARGED (140%) TO THIS SIZE (8. X 11 INCHES). PICTURE MUST BE CLEAR AND NOT DARK. ENLARGE & LIGHTEN
(USING PHOTO SETTING). COLOR SCAN THE PASSPORT INTO YOUR COMPUTER AT A HIGH RESOLUTION IN THE JPEG FORMAT AND INSERT.
APPLICANT INITIALS ___________ Page 19 sur 23
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PROOF OF FUNDS
CURRENT BANKING DOCUMENTS
CURRENT BANK TEAR SHEET
APPLICANT INITIALS ___________ Page 20 sur 23
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LETTER OF LIAISON AND COMMUNICATIONS AUTHORITY
DATE: Monday, July 21, 2025
TO: TRADE AUTHORITY / PROGRAM MANAGER
RE: Participation in Structured Private Financial Opportunity
INVESTOR TRANSACTION CODE:
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), hereby authorize (TRANSLATOR NAME), bearing
(COUNTRY) Passport No. (NUMBER) having the below contact details, to act as my official liaison in such matters to
carry out the duty and responsibility as primary contact to coordinate communication and receive copy of all written
and telephonic communication regarding the above transaction as I do not speak English and he is my official
translator. Copy of corresponding passport has been included.
Name of Translator : (TRANSLATOR NAME)
Telephone Number : (TRANSLATOR TELEPHONE NUMBER)
Email Address : (TRANSLATOR EMAIL)
Address : (TRANSLATOR ADDRESS)
I, (NAME), hereby swear under penalty of perjury that the information provided herein is accurate and true as of this
date: Monday, July 21, 2025
For and on behalf of (NAME OF INDIVIDUAL)
Signature : __________________________________
Name / Title :
Company :
Passport Number :
Date of Issue :
Date of Expiry :
Country of Issuance :
APPLICANT INITIALS ___________ Page 21 sur 23
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BANK STATEMENT LETTER
BANKER BUSINESS CARDS
APPLICANT INITIALS ___________ Page 22 sur 23
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
PROOF OF LIFE
(photo + passport + newspaper of the day + account statement)
APPLICANT INITIALS ___________ Page 23 sur 23
