Client Registration Form for Businesses
Translated by
ScribdTranslationsClient Registration Form for Businesses
Translated by
ScribdTranslationsCLIENT REGISTRATION FORM
Required documents for client creation:
Individual Photocopy of the identity document enlarged to 150% and photocopy of the updated RUT.
Legal Entity: Photocopy of the identity document enlarged to 150% of the Legal Representative.
Copy of the updated RUT.
Chamber of commerce (no more than 30 days).
BASIC CLIENT INFORMATION
CITY: San Carlos de Guaroa FECHA: 22/02/2021
ID card Nit. No. 900476691
NATURAL PERSON DATA
PRIMER APELLIDO SECOND LAST NAME NAMES
NATIONALITY CODE OF ECONOMIC ACTIVITY (CIIU) DESCRIPTION OF THE ECONOMIC ACTIVITY
COLOMBIAN
CITY MERCHANDISE DISPATCH ADDRESS PHONE 1 CELLULAR ZIP CODE
ADDRESS OF RESIDENCE E-MAIL E-MAIL ELECTRONIC BILLING
DATAAND ACTIVITY OF LEGAL ENTITY
Company Name
AGRICULTURAL MAQUILA SERVICE OF LOS LLANOS SEMAG S.A.S
LEGAL REPRESENTATIVE
FIRST LAST NAME SECOND LAST NAME NAMES
RIVEROS MOYANO JORGE HERNANDO
C.C C.E 79785328
CITY HEAD OFFICE ADDRESS PHONE 1 CELL PHONE ZIP CODE
San Carlos de Guaroa Km 10 via San Carlos de Guaroa-Acacías 3168760292 3168658430
CITY MERCHANDISE SHIPPING ADDRESS PHONE 1 PHONE 2 CELL PHONE
PURCHASES CONTACT - COMMERCIAL PHONE CELLULAR E-MAIL
Diana Caballero Sanchez 3168658430 gerencia@[Link]
ACCOUNTING OR TREASURY CONTACT (for collection) PHONE CELLULAR E-MAIL
Camila Baez 3173693306 tesoreria@[Link]
ELECTRONIC BILLING EMAIL NAME OF TQI SALES REPRESENTATIVE
facturacion@[Link] Sindy Diaz Andrade
TYPE OF COMPANY PUBLIC PRIVATE MIXED
CODE OF ECONOMIC ACTIVITY (CIIU) DESCRIPTION OF THE ECONOMIC ACTIVITY
1030 Production of oils and fats of vegetable and animal origin
TAX INFORMATION
REGIME NOT LIABLE FOR VAT VAT RESPONSIBLE
AUTO RETAINER YES NO RESOLUTION No.
CODE
DECLARE INDUSTRY 1030
YES NO ACTIVITY
AND TRADE
TARIFF 4x1000
GREAT CONTRIBUTOR YES NO RESOLUTION No.
VAT WITHHOLDING AGENT YES NO CLOSING DATE FOR RECEIPT OF INVOICES:
WITHHOLDER OF INDUSTRY AND TRADE YES NO 25th of each month
DECLARATION OF SOURCE OF FUNDS
I expressly declare that: 1. The activity, profession, or trade of the natural or legal person is lawful and is carried out within the legal framework, and their resources do not come from illicit activities as outlined in the Colombian Penal Code. 2. The information
provided in the application and this document is truthful and verifiable and the natural or legal person commits to update it annually. 3. The resources derived from the development of this contract will not be allocated to the financing of terrorism, terrorist groups or
terrorist activities. 4. The resources possessed by the natural or legal person come from the activity described above.
CONSIDERATIONS
1. The personal data requested in this client knowledge form is collected in accordance with the provisions and instructions of the Financial Superintendency of Colombia and international standards to prevent and control money laundering and
financing of terrorism. (SARLAFT). 2. That in accordance with the provisions of literal b9 of article 2 of law 1581 of 2012, the provisions that seek the protection of personal data and that are contained in said provision, are not applicable to the databases
of data and files aimed at the prevention, detection, monitoring, and control of money laundering and the financing of terrorism, thus in principle their use did not require authorization from their owner, which comes from the law.
Additional personal data for the technical risk study collected through this form will be processed in accordance with laws 1581 of 2012 and 1266 of 2008 as applicable. 4. The data will also be processed for commercial purposes, which is why I proceed to
issue the following:
AUTORIZACIÓN
For the purpose of accessing the provision of services by EMPRESA TRATAMIENTOS QUIMICOS INDUSTRIALES S.A.S., I provide my personal data for all pre-contractual purposes related to the commercial activity. My personal data will be
processed by INDUSTRIAL CHEMICAL TREATMENTS S.A.S. for the following purposes. 1. The processing of my application for affiliation as a financial consumer, debtor, counterparty and/or supplier. 2. The execution and fulfillment of the contracts that
celebrate. 3. The control and prevention of fraud. 4. Consultation, storage, management, transfer, processing, and reporting of information to the risk centers or properly established databases related to credit and financial behavior.
Commercial. The treatment may be carried out directly by the mentioned companies or by the data processors they deem necessary.
C.C
Company Legal Representative FOOTPRINT