AUTHORIZATION TO VERIFY & AUTHENTICATE:.............................................................................................................. 

DATE   :..............................................................................................................................................................................

TO WHOM IT MAY CONCERN:............................................................................................................................................

INVESTOR’S NAME::...........................................................................................................................................................

COMPANY’S NAME::........................................................................................................................................................... 

ADDRESS::......................................................................................................................................................................... 

PHONE::.............................................................................................................................................................................. 

FAX: :................................................................................................................................................................................. 

I  ....................... ( INVESTOR) ................, REPRESENTED BY ............................................................CORP.LTD

...........................................................and.....................................................................................BANK CORP. 

HEREBY AUTHORIZE ANY TRADING BANK, THE TRADING ENTITY OR THEIR DESIGNATED COUNSEL TO AUTHENTICATE AND CONFIRM OUR LAWFULLY OWNED, CLEAR AND CLEAN, ASSETS CURRENTLY HELD ON DEPOSIT, PROVIDING THE COORDINATES OF SUCH CONTACTING ARE GIVEN WELL IN ADVANCE

BANK NAME                 :.....................................................................................................................................................

BANK ADDRESS          :..................................................................................................................................................... 

BANK OFFICER            :..................................................................................................................................................... 

TELEPHONE NUMBER:....................................................................................................................................................... 

FACSIMILE NUMBER  :....................................................................................................................................................... 

SWIFT CODE                 : .................................................................................................................................................. 

SIGNATURE AND PASSPORT NO: ...................................................................................................................................