\CBH Account No.
CLIENT PROFILE / ECONOMIC BACKGROUND.
‘Account name: BANSTEAD ASSETS S.A.
CONVIT GURUCEAGA FRANCISCO ANTONIO
‘Beneficial Owner
(only eiterent rom account name)
‘choose a box [7] ew cient ponte odate of een rote
Reason for update
Type of account
Personal [Commifeal company [W]orshoce s8mpany
other (und, trust, foundation)
Onshore company: Are reputed ofshate companies, nespctive oftheir object, their legal fad thePhead oe, Svs or foreign companies
\nhich de net have their own premises (head offs witha lawyer, fiduciary company, bank, etc) or which do et employ staff exclusively working for
them, or whose own sa only does administrative fas (bookkeeping, and correspondence upon instructions frm individuals or companies
heading the efshore company)
Referer
‘The clients refered by
Jan account manager: name:
Jan exiting tent account no
[Han authorized third party (1AM) name UPSON COLUMBUS CORP:
atin esent
Relationship between the cnt ai the initiator:
‘The referer has known the clan since: