MT 199

ON APPLICANT’S (ZWD PROVIDER) LETTERHEAD
ZWD Provider Transaction Code:
BUYING ENTITY OFFICIAL COMPLIANCE & INTAKE DOCUMENT

FOR PRIVATE OFF MARKET FOREIGN CURRENCY EXCHANGE/SWAP
IRAQI DINARS
DATE: October 18, 2019
CLIENT INFORMATION SHEET

TO: Currency Exchange/Swap Program Manager
ATTN: Compliance Officer
In accordance with Articles 2 to 5 of the Due Diligence Convention and the Federal Banking Commission Circular of December 1998, and under the
US Patriot Act of 2002, as amended in February 2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the
following information may be supplied to banks and/or other financial institutions for purposes of verification of identity and activities of the Client
described below, and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this
information is provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally
accepted professional standards relating to the maintenance of confidential information, and to take all appropriate precautions to protect the
confidentiality of the information contained herein, This legal obligation shall remain in full force indefinitely without restriction.
All Questions must be completed in written English.
Individual Asset owner information (IF NOT A CORPORATION) “N/A if not applicable”
Name
Address
City, Country, Post (Zip) Code
Date and Place of Birth
Passport Number and Country of Issue
Date of Issue of the Passport
Expiry Date of the Passport
Telephone Number
Cell phone
E-mail Address
Asset owner information if a Corporate Institution (corporation, foundation, trust, etc)
Full Name of Corporate Institution
Registration Number
Date of Registration
Domicile / Jurisdiction
Postal Address
Registration Address
Physical Address (if different from Registration Address)
Business Telephone Number
Business Facsimile Number
E-mail Address
COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

PRIVATE FOREIGN CURRENCY TRANSACTION – ZWD Currency Exchange/Swap. CONFIDENTIAL INFORMATION: Not for Publication or distribution.
This information is not to be construed as an offer to sell or solicit. It is a sanctioned transaction intend for a closed audience. COMPLIANCE
DEPARTMENT: RHBGHK-CGL-MJP-ZWDCE-FYK-YOR. Compliance Office Secure Email: mvkcompliance@cryptoheaven.com Strictly Confidential,
Commercial in Confidence. MARCH 2015-December 2025 ®™ © International IP, Logos, International Trademarks and International Copyright
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Details of Signatory to Contract – if applicant is a Corporation

Name
Date and Place of Birth
Passport Number and Country of Issue:
Date of Issue of the Passport
Expiry Date of the Passport
Title Within the Corporation/Company

Office Phone Number
Cell Phone Number
Home Address
Home Phone Number
Home Facsimile Number
E-Mail Address
Languages
Do you speak English? Yes No

If NO, what language/s do you speak?
Translator’s Name
Translator’s Phone Number/s
Translator’s Facsimile Number
Translator’s E-mail Address
Legal Advisor “N/A if not applicable”
Legal Advisor Name
Legal Advisor Address
Legal Advisor Phone Number/s
Legal Advisor Facsimile Number
Leal Advisor Email Address
Legal Advisor Skype Address
Details of Bank Account to Receive Federal Wire/Deposit Payment for ZIM (IQD).
Sovereign Buyer will assist Seller with account facilities in transacting and other banks
Please provide the following information: Security warehouse/facility where funds are held. If in multiple locations
(Cities, Countries) please list all locations separately with volumes and type of currency at each. Please include
copies (pdf scan) of ALL SKRs/Custodial Receipts, Certificate of Authenticity, Receipt or Bill of Sale packing lists,
photos, inventory documents and other supporting evidence stated - must be included in your submission
documents. Currency: IRAQI DINARS (IQD)
IF currency is in your own private custody, please complete and state next to security facility – “own private custody”
and complete details and ensure evidence to support this is provided in the application. Eg. POL, Pic supporting
docs etc
1. Security Facility Name as per SKR/Custodial Receipts

Security Facility Name:
Address
City and Country
Phone
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Email
Contact Person
SKR Number
Volume of IQD
Address
City and Country
Phone
Email
Contact Person
SKR Number
Volume of IQD
Address
City and Country
Phone
Email
Contact Person
SKR Number
Volume of IQD
A. Has the funds owner ever presented their ZIM (IQD)

asserts to the market on previous occasions? Yes No
If Yes: please state the reason for not succeeding with a transaction
and the name of the party the funds owner attempted to engage with.
(Government master files will be checked for any previous
engagement). Please confirm you have issued advice to
withdraw from that entity.
If NO. Please confirm in writing here that this is the first time
the ZIM (IQD) is presented for Currency Exchange/Swap .
B. Describe Corporate Activity: (IF A Corporate

Institution) otherwise (nature of the business, years
involved in industry, products & nature of activity)
“N/A if not applicable”

protected Page 3
C. What is the overall total amount available for currency TOTAL IQD
program?
IQD100T Loose Notes =
IQD 50T Loose Notes =
TOTAL Boxes =
TOTAL Shipping Container (40ft)
D. Describe how the Funds were earned or obtained by you

as an individual or the corporate entity you represent?
E. Are the Cash funds beneficially owned by the undersigned? Yes No
F. Are the cash funds free and clear with no liens or encumbrances or governing restrictions? Yes No
Yes No
G. Are the cash funds governed and/or restricted by any “Depository Agreement(s)” that would
affect its implementation in a currency Exchange/Swap opportunity?
H. I, (NAME) OR (NAME, FOR AND ON BEHALF OF CORPORATION) as authorized signatory and beneficial
owner/trustee, hereby grant the TRANSACTING PRINCIPALS including their Compliance Department full
permission and authority as part of the compliance and verification process in assessing my/our submission, to
verify, confirm, and reconfirm said information presented in my submission. This includes but is not limited to
verification of account information with bank officers, verify cash funds by email, phone and on a bank-to-bank
basis, and conduct standard background checks of the cash funds and the corporate entity owning such.
I. I (NAME) OR (NAME, FOR AND ON BEHALF OF CORPORATION) warrant and attest that I have not
authorized any other party to place these cash funds and/or asset(s) into a Trade or Buy/Sell program.
J. NON SOLICITATION STATEMENT
I, (NAME) OR (NAME, FOR AND ON BEHALF OF CORPORATION), 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 currency program 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 misrepresentation of a material fact or any loss of asset value or any act
(legal or not) of a bank or other financial institution, governing authority or agency, the Federal Reserve or an
official or other insider of any such entity.

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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.
K. I, (NAME) OR (NAME, FOR AND ON BEHALF OF CORPORATION), warrant and attest, with full personal and
corporate responsibility that as the beneficial owner/trustee/authorized signatory, I have full legal title and
authority with no governing restrictions over the herein described cash funds and am also acknowledged as
such by my secure depository/financial institution.
I declare under penalty of perjury that the information given above is accurate and true to the best of my
knowledge.
For and on behalf of (name) or (NAME OF COMPANY), IQD Provider
Signature: __________________________________ SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
Date of Issue: Date of Expiry:
Country of Issue:

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STATEMENT OF NON SOLICITATION OF FUNDS

I, (NAME) as Asset Owner, Beneficial Owner/Trustee, Legal Authorized Signatory, do hereby confirm that I have
requested of you and your organization, specific confidential information and documentation on behalf of
ourselves regarding currently available Project funding to serve only my interest, education, and not for further
distribution.
I hereby agree that all information received form you is in direct response to my request, and is not in any way
considered or intended to be a solicitation of any sort, or any type of offering, and for my general knowledge only.
I hereby affirm under penalty of perjury, that I have requested this information from you and your organization of
my choice and free will and further, and that you have not solicited me in any way.
I understand that the contemplated transaction is strictly one of private placement, and is in no way relying upon,
or relating to, the United States Securities Act of 1933, as amended, or related regulations, and does not involve
the sale of securities.
Further, I hereby declare that you have disclosed that you are not a licensed Security trader, attorney, bank
officer, certified public accountant or financial planner. Any information, work or service conducted hereunder is
that of a private individual and that this is a project funding transaction that is exempt from the Securities Act and
not intended for the general public but Private Use only.
This facsimile transmission of this document shall be considered a binding and enforceable instrument, treated as
original copy. Original may be obtained upon request.
Signed this day October 18, 2019
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

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LETTER OF EXCLUSIVITY

Dear Sirs,
I, (NAME) as Asset Owner, Beneficial Owner/Trustee, Legal Authorized Signatory, do hereby confirm under
penalty of perjury and with individual and/or full corporate responsibility here by grant to YOUR PROGRAMME
Exclusivity of our Cash fund assets for the off- market Private Currency Exchange/Swap .
IRAQI DINARS (IQD)

EXAMPLE GRID USING 100T Notes
NEW ZIM QUANTITY PER ZIM TOTAL SECURITY

CURRENCY DENOMINATION AMOUNT DEPOSITORY & SKR
DENOMINATION BUNDLE/Box/Ship
ping Container
100Trillion Note 0,000,000,000
50 Trillion Note
TOTAL 0,000,000,000
GRAND TOTAL 0,000,000,000
COMPULSORY
PLEASE ATTACH EXCEL FILE LISTING ALL LOOSE NOTES series/serial numbers
PLEASE LIST ALL BOX NUMBERS
PLEASE LIST ALL SHIPPING CONTAINER NUMBERS
PLEASE ATTACH ANY SHIPPING DOCUMENTS, PACKING LISTS, INVENTORY LISTS
Please refer to the Complete Provenance Documentation (e.g., Receipts) and Details Break-down and Cross-
Reference provided in the Set of Supporting Files Submitted for Compliance.
I further confirm that supporting Bank Statements and/or SKRs and/or Bills of Sale, Exchange and/or Receipts for
the currency listed above are included in this submission, marked Appendix A,B,C,D etc., or as accompanying
separate files

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Facsimile documents, when properly endorsed are hereby declared as originals, and originals may be obtained
upon request.
Signed this day October 18, 2019
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

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PASSPORT PAGE
Please insert clear colour copy of Signatory/Asset owner passport
ENLARGED – “COPY OF PASSPORT”
REQUIRED: 8 ½ x 11 LASER COLOR COPY

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INDEMNIFICATION AND ATTESTATION


I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), located a t (ADDRESS), hereby affirm, attest and certify,
under penalty of perjury, that the funds/asset held in (NAME OF THE SECURITY FACILITY) and (ADDRESS) are
authentic, valid and available for immediate use in the proposed transaction. The funds were lawfully earned through
commercial enterprise of non-criminal origin being free and clear of any and all liens and encumbrances and I am authorized
to offer it for use as collateral the currency program.
I also I also affirm, attest and certify that the proceeds derived from any use of the funds shall be utilized in a legal manner
for either commercial or charitable purposes at my election.
I further acknowledge that the Program Manager /Coordinator, with its Directors, as well as their respective officers,
directors, partners, shareholders, associates, affiliates, employees, partners and assigns, has no direct knowledge that the
funds are legal or valid and Program Manager / Coordinator, is relying upon the representations and warranties of the
undersigned.
I further affirm, attest and certify that I am not affiliated, associated or employed, either directly or indirectly, with any
governmental agency, either officially or unofficially, or under duress. I further affirm, attest and certify that my actions,
either directly or indirectly, with respect to the funds/asset are not a part of any governmental investigation, covert or
otherwise. I understand that my failure to disclose such information shall not prevent me from participation in the transaction
contemplated, if the purpose is to participate, as would any other private citizen or entity.
However, should subsequent knowledge of the passing of said information, to any such authority(ies) by me against the
Program Manager, partners, affiliates, associates, or related entities (“Parties”) in any way, I understand I shall be severally
and wholly liable for such loss to the aggrieved Party.
WHEREAS; The President of the United States of America did sign H. R. 3723 on October 11, 1996 thus protecting all
transactions conducted in currency of the United States of America by allowing Corporations the right to declare their
Contracts, Clients, Internal Procedures, Information, and the transactions in which they engage, to be classified as
Corporate, or Trade Secrets fully protected under the Economic and Industrial Espionage Laws of the United States of
America and the International Economic Community.
IN AS MUCH, as the names, identities, bank coordinates and other identifying information of persons or entities that are
a party to this transaction, or subsequent similar transaction(s), or learned hereafter, shall be considered Corporate / Trade
Secrets and shall not be disseminated other than as provided for herein, or as allowed under law. Any unauthorized
disclosure of all transaction(s) parties to, or other material fact of, such transaction(s) shall subject the violator to criminal
prosecution.

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IN AS MUCH, as any document passed through the hands, or electronic equipment of any person, Broker,
Intermediary or Entity not signatory to this / these transaction(s), or authorized by said signatories, and
any material fact provided to any person, Broker, Intermediary, or Entity not signatory to any transaction, allowed
herein, or as required by applicable law, will immediately VOID the transaction and subject the violator to criminal
prosecution.
FURTHER, the undersigned signatories do hereby attest and warrant to the fact that no Specially Designated National,
Blocked Person, Entity, or Embargoed Country, State, Nation or Entity, as recognized by the Government of the United
States, are now, or will hereafter be party to, or share in, or benefit from, any, and all, transaction(s) by and between said
Parties. Further, no Party involved in the transactions, nor funds, or instruments utilized in, or generated by, the
transactions as are contemplated, shall be used to provide funds, instruments or any support to any terrorist activity or
act(s) of war.
By signing this document, the undersigned takes full responsibility and hereby indemnifies and holds harmless Program
Manager / Coordinator, as well as, where applicable, his respective officers, directors, partners, shareholders, associates,
affiliates and employees against any and all improprieties or misrepresentations or omissions arising out of or relating to the
funds.
The undersigned further undertakes to guarantee that all facts and information, written and/or verbal which has been rendered
regarding the funds/asset, are accurate, correct and true, and can be relied upon completely, fully and totally.
I, (NAME), hereby swear under penalty of perjury that the information provided herein is accurate and true as of
this date: October 18, 2019
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

protected Page 11
ORIGIN AND HISTORY OF FUNDS AFFIDAVIT

IRAQI DINARS (IQD)CURRENCY
I _______________ having full legal corporate and/or personal authority and responsibility for this Origin / History
of Funds on behalf of (NAME OF COMPANY if a company) affirms all responses as follows as being accurate
and true:
IQD CURRENCY
Current Location of the Currency
Bank or Security Facility Name:
Or Private Custody Location
Address
City and Country
SKR Number/s
Volume of IQD
(If in multiple locations please list each location and the volume/quantum amount and details for each site)
HISTORY OF FUNDS:
Funds have been on deposit at (NAME & ADDRESS OF BANK) for a minimum of THREE (3) *years. *(or
shorter/longer stated amount of time)
Note: If the subject funds were not on deposit/held in secure facility for a minimum of THREE (3) years
applicant must state below the previous location of where the funds were held on deposit/stored and for how long.
IQD CURRENCY
Current Location of the Currency

Bank or Security Facility Name:
Or Private Custody Location
Address
City and Country
SKR Number/s
Volume of IQD
(If in multiple locations please list each location and the volume/quantum amount and details for each site)

protected Page 12
ORIGIN OF FUNDS: (Describe how funds were earned or obtained – be as specific as possible):
If providing supporting documents/separate document for this section, please reference it to this section.
CERTIFICATION:
1. Funds are legally earned, beneficially owned, taxed, and includes no independent third-party
management situation and/or any governing restrictions whatsoever.
2. All information supplied in the documentation submitted and the cash involved, are not in violation of the
Patriot Act of October 26, 2001, and amendments thereto, with its related financial crimes counterparts,
however interpreted, defined and enacted, whether within the United States its host jurisdiction of this
statement or internationally.
3. Subject cash funds have no liens, commercial obligations, or encumbrances of any kind pertaining to said
cash and is beneficially owned with free availability.
4. Cash Funds owner is not a party to a law suit or pending adverse legal action, further, there are no
pending contracts existing, or about to exist, that could affect said cash assets.
I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

protected Page 13
AUTHORIZATION TO VERIFY FUNDS

TO WHOM IT MAY CONCERN
I, (NAME), at the address shown above, with full legal authorization for and on behalf of myself ( or COMPANY
NAME) give you clear notice that you have my direct permission and full authority to do all matters necessary to
confirm, verify, and authenticate my/our beneficially owned cash funds and/or application asset(s) in an amount of
(SPELL AMOUNT) IRAQ legal currency (IQD____000,000,000.00) by your Compliance Officer, or bank
officers, with my Security Facility or Bank or me personally. The below stated beneficially owned assets are of
good, clean, and cleared cash funds obtained via legal means, and is currently available at the provided
coordinates below:
Cash Amount: (IQD____000,000,000.00)

Security Facility Name: (NAME OF THE SECURITY FACILITY)
Security Facility Address: (ADDRESS OF SECURITY FACILITY)
Account Name: (ACCOUNT NAME)
Account Number: (ACCOUNT NUMBER)
Account Signatory: (ACCOUNT SIGNATORY)
Security Facility Contact Person Phone/Fax/Email: (PHONE/FAX/EMAIL)
Security Facility Contact Person Name: (NAME)
SAFE KEEPING RECEIPT INFORMATION: (SKR NUMBER/S)
(PLEASE ATTACH A CLEAR HIGH QUALITY COLOUR SCAN OF ALL SKRS FOR ALL CURRENCY
REFERENCED IN THIS SUBMISSION)
COPY OF THIS AUTHORIZATION WILL BE LODGED AND PRESENTED TO MY BANK OFFICER/SECURITY

FACILITY
Signed facsimile and emailed copies of this Authorization to verify Currency Assets in the nominated Bank or
Security Storage Facility shall be construed equal to the original and deemed legal and binding.
In witness hereof I, (NAME), hereby swear under penalty of perjury, subscribe my name to this Authority to Verify
as the IQD Funds Owner, Beneficial Owner/Trustee, Legal Signatory and the information provided herein is
accurate and true as of this date: October 18, 2019
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:
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GLOBAL/INTERNATIONAL LETTER OF CEASE &

DESIST
CONFIRMATION
Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), with full legally authorization for and on behalf of
myself (or NAME OF COMPANY), give notice with immediate effect of this Cease and Desist notice issued to
any and all other groups previously 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 October 18, 2019
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.
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

protected Page 15
PROOF OF LIFE (POL) SECTION -

Please insert or attach and mark as Appendix A, B, C D, etc.
IF CURRENCY IS STORED IN A FACILITY OTHER THAN A BANK OR SECURITY WAREHOUSE AND

THERE ARE NO SUPPORTING SAFE KEEPING RECEIPTS, PROOF OF LIFE PICTURES must be provided.
If Currency is stored in a Security facility and Proof of Life pictures are available in addition to Safe Keeping
Receipts, including such photos adds expediency to the submission.
Options - Clear Colour Photo’s Enlarged to 8.5” x 11”.
1. At least one Photo must show Cash Asset Owner’s face in full view (with seller passport, newspaper
header (NOT OLDER THAN 10 DAYS FROM SUBMISSION DATE) with the assets
2. Photo/s of the actual Currency in pallets, boxes, bound currency, packing list, etc close up of notes front
and back picture of actual note/s (with seller passport, newspaper header (NOT OLDER THAN 10 DAYS
FROM SUBMISSION DATE) DO NOT OPEN SEALED BOXES OF CURRENCY.
3. If cash assets are in Secure storage or private/Secure Bank Vault , photo of seller with SKR/s newspaper
header and passport is also acceptable. (IMAGES MUST BE NO OLDER THAN 10 DAYS FROM
SUBMISSION DATE)
4. Currency must be in a facility with SKR for closing. Closing location: Zurich, Switzerland.
5. Currency not in Zurich is required to be deposited into SKR in Zurich (after successfully
completing compliance). SGS, Brinks , etc recommended to handle the transfer of funds, as they
deliver to the FREE TRADE ZONE in Zurich where authorities will provide assistance to ensure
safe passage and lodgment). Instructions will be provided by the Buyer once file has been
submitted and successfully passed compliance.
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

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POL IMAGES/SAFE KEEPING RECEIPTS/SUPPORTING

DOCUMENTS INCLUDING BUT NOT LIMITED TO SKRS,
PROVENANCE, OWNERSHIP, RECEIPTS ETC
PLE AS E I NS E RT CLE AR COL O UR CO PIE S HE RE O R AT TACH AS APPE NDIX TO MAIN
S UB MISS IO N DO CUME NT. S IZ E – DO NO T E XCEE D 20MB FIL E S
PL E ASE RE FE RE NCE ANY AT TACH ME NT S APPE NDIX A,B ,C,D E T C

protected Page 17
CORPORATE RESOLUTION
(COMPULSORY IF IQD PROVIDER IS A CORPORATION,
BUSINESS, FOUNDATION OR GOVERNMENT ENTITY)
All of the directors of (COMPANY NAME) below listed were in attendance, in person or by telephone
conference. General discussion was then held concerning the issue, and all aspects of the same, were fully
explained in detail to the satisfaction of the board members.
DIRECTOR Name/Title:
Passport No.:
Passport No.:
Passport No.:
SECRETARY Name/Title:
Passport No.:
The Board of Directors of (COMPANY NAME) an International Business Company incorporated on (DATE) in
(LOCATION) in (COUNTRY), with Registered Offices at (ADDRESS) in a meeting held on this the (Day) Day of
(MONTH), (YEAR), adopted the following resolutions.
RESOLUTION 1:
It is resolved that the Board of Directors of (COMPANY NAME) hereby authorizes: (NAME) holder of Passport
Number (NUMBER) issued on (DATE).
As our Managing Member, as the (President-CEO etc) who assigned authority, on our behalf stay and name, to
instruct, negotiate, arrange, monitor, execute, manage and sign any and all agreements and/or necessary
contracts with third parties pertinent to all financial transactions with bank instruments (securities/derivatives), or
currency exchange.
RESOLUTION 2:
It is resolved that at this meeting of the Board of Directors that our Managing Member and in fact (NAME) acts for
(COMPANY NAME) with regards to the aforesaid financial investment.
RESOLUTION 3:
It is resolved that (NAME) is hereby authorized to act as our Financial Director for afore said purpose.
RESOLUTION 4:
It is resolved the Board of Directors of (COMPANY NAME) hereby authorized (NAME) to assume all authority,
powers, duties, signatory rights and responsibilities on our behalf.
RESOLUTION 5:
It is resolved that (NAME) is hereby authorized to open a personal, corporate, trading, trust and/or custodial
account in any bank, domestic or foreign and to sign such resolutions as may be required by such bank to
accomplish the objective(s) as stated herein and to give irrevocable instructions to said bank(s) on our behalf.

protected Page 18
For and on behalf of (NAME OF COMPANY)
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:
Signature: __________________________________
Name / Title: SECRETARY

Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

protected Page 19
LETTER OF LIAISON AND COMMUNICATIONS AUTHORITY


Dear Sir,
I, (NAME), bearing (COUNTRY) Passport No. (NUMBER), for and on behalf of myself ( or NAME OF
COMPANY), with full personal and/or corporate authority hereby appoint Mr J M van Kapel as my official liaison in
all 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.
First Point of Contact for all correspondence/communications:
Name of Compliance Officer: Mr J M van Kapel, Licensed Compliance Officer

Hong Kong SAR
Telephone Number: Hong Kong: + 852 9259 4767
Secure Email Address: cglcompliance@cryptoheaven.com
and Mr Carlos A Galarza, Seller Client Liaison
I, (NAME), hereby swear under penalty of perjury that the information provided herein is accurate and true as of
Name / Title:
Company:
Passport Number:
Date of Issue:
Date of Expiry:
Country of Issue:

protected Page 20

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ON APPLICANT’S (ZWD PROVIDER) LETTERHEAD

ZWD Provider Transaction Code:

BUYING ENTITY OFFICIAL COMPLIANCE & INTAKE DOCUMENT

DATE: October 18, 2019

CLIENT INFORMATION SHEET

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

Details of Signatory to Contract – if applicant is a Corporation

Title Within the Corporation/Company

Do you speak English? Yes No

1. Security Facility Name as per SKR/Custodial Receipts

A. Has the funds owner ever presented their ZIM (IQD)

B. Describe Corporate Activity: (IF A Corporate

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

D. Describe how the Funds were earned or obtained by you

E. Are the Cash funds beneficially owned by the undersigned? Yes No

J. NON SOLICITATION STATEMENT

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

STATEMENT OF NON SOLICITATION OF FUNDS

TO: Currency Exchange/Swap Program Manager

ATTN: Compliance Officer

Signed this day October 18, 2019

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

TO: Currency Exchange/Swap Program Manager

IRAQI DINARS (IQD)

NEW ZIM QUANTITY PER ZIM TOTAL SECURITY

GRAND TOTAL 0,000,000,000

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

Signed this day October 18, 2019

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

ATTN: Compliance Officer

Please insert clear colour copy of Signatory/Asset owner passport

ENLARGED – “COPY OF PASSPORT”

REQUIRED: 8 ½ x 11 LASER COLOR COPY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

INDEMNIFICATION AND ATTESTATION

TO: Currency Exchange/Swap Program Manager

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

ORIGIN AND HISTORY OF FUNDS AFFIDAVIT

TO: Currency Exchange/Swap Program Manager

ATTN: Compliance Officer

Current Location of the Currency

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

COMPLIANCE USE ONLY: Registered: SHMDCGFB-ZWD - xxxxxxxxxx

AUTHORIZATION TO VERIFY FUNDS

TO WHOM IT MAY CONCERN

Cash Amount: (IQD____000,000,000.00)

SAFE KEEPING RECEIPT INFORMATION: (SKR NUMBER/S)

COPY OF THIS AUTHORIZATION WILL BE LODGED AND PRESENTED TO MY BANK OFFICER/SECURITY

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider

Signature: __________________________________ SEAL OF COMPANY

GLOBAL/INTERNATIONAL LETTER OF CEASE &

For and on behalf of (name) or (NAME OF COMPANY), IQD Provider