CIS-GEN |

YOUR CLIENT INFORMATION SHEET

Your Client Information Sheet is all of your data in one place, and is used to create legal documents in financial transactions, and enhanced due dilligence prior to transacting. Alitheia will forward this document to all Platform Companies, Consultants, and Financial Institutions during your transaction. You will also be able to send this document from your admin panel to anyone outside of the Alitheia Ecosystem you might be transacting with.

***THIS DOCUMENT IS NOT SENT EARLY IN THE NEGOTIATION PROCESS.***

1
Personal Information
2
KYC INFO
3
Your Contact Information
4
Your Holding Company & NFT
5
Step 5
6
Banking Information

1/6

Personal Information

Your name (First Name, Last Name, Middle Initial)

DOB

Place of Birth (city)

Place of Birth (state)

Your Email

KYC INFO

Nationality

ID Type

Issued By

ID Number

Issue Date

Expiration Date

20%

KYC INFO

Nationality

ID Type

Issued By

ID Number

Issue Date

Expiration Date

40%

Your Holding Company & NFT

Holding Company Name (your Ecosystem UserName)

Office Address

Address 2

Registered Office City

Registered Office State

Registered Office Zip

Company Phone Number

Company Fax

Company Email

Describe your ideal holdings and investments you are seeking to invest in.

60%

Your Legal Representation

Law Firm Name (if you do not have an attorney, you will need one promptly)

Firm Mailing Address

Address2

Firm City

Firm State

Firm Zip

Firm Phone

Firm Fax

Attorney of Record

80%

Banking Information

Bank Name

Mailing Address

Address 2

City

State

Zip

Bank Phone

Bank Fax

Banker Name (First Name, Last Name)

100%