Dukascopy Form

In accordance with Article 27 of the Agreement on the Swiss banks' code of conduct...

Account Holder/Client:

TIPAN

Account Number:

120905690739

Account Type:

Corporate

Last Name(s), First Name(s) / Swiss Name:

TIPAN CHANDRA DAS

swissCode:

9782200381460144

Date of Birth / Date of Incorporation:

26/02/1984

Actual Residence Address / Registered Office Address:

NalitaBari Sherpur

Country of Residence / Incorporation:

Bangladesh

Citizenship:

Bangladeshi

TIN Number:

Waiting

NID Number:

282 636 5021

Passport Number:

Waiting

Email:

tipenchandra065@gmail.com