Client Registration Form for Compliance
Uploaded by
ScribdTranslationsClient Registration Form for Compliance
Uploaded by
ScribdTranslationsCLIENT REGISTRATION
XXXXXXX XXX XXX, adhering to the compliance with the law for data management and commercial references and in order to
to carry out a good management of your clients, you are requested to fill out and sign the following form:
RECEIPT DATE
CLIENT INFORMATION UPDATE NEW CLIENT
GENERAL CLIENT INFORMATION
Company Name:
TYPE ID NIT CC Foreign ID another which number
Address
Neighborhood City Dept Country
Web Page
GENERAL INFORMATION OF THE LEGAL REPRESENTATIVE
Name Last Name 1 Last name 2
Type ID CC CE Another Which one? Number
Email Telephone Ext.
TREASURY CONTACT INFORMATION
Name Last Name 1 Last Name 2
Type ID CC CE Another Which one? Number
Email Telephone Ext.
PURCHASING CONTACT INFORMATION
Name Last name 1 Last name 2
Type ID CC CE Another Which one? Number
Email Telephone Ext.
TAX INFORMATION
Concept Mark YES or NO
Great Contributor ICA retainer
Withholding Tax Agent of Income Tax Indicate in which Municipality
Is there any type of tax exemption?
REQUIRED ANNEXES
Copy of the legal representative's ID
Copy of Chamber of Commerce certificate with validity Copy of the RUT
no more than 30 days Two bank references
Updated Financial Statements
Income Tax Declaration
AUTHORIZATIONS
1. Do you certify that the money used in the business specified in this form comes from legal activities that are properly registered with the entities?
corresponding government: YES ___ NO ___
2. Based on the legal norms and other regulatory provisions that govern the matter, I/we expressly, permanently, and irrevocably authorize XXXXXXX or to
who represents their rights or abstains in the future the status of creditor, so that they can consult, circulate, request, process, report, and disclose information to the Credit Bureaus
Financial Sector, the Real Sector and/or any other Entity that manages a Database, or that is established in the future for this purpose with the same ends,
birth, modification, addition or extinction of obligations incurred previously or that may be incurred, in one's own name, or in the name of the company or
society I represent, or on behalf of the guarantor or co-debtor, with said society. The previous powers shall remain fully valid as long as the credits exist.
acquired with the company, or any commercial relationship or outstanding obligation on my part, acquired in my own name, or in the name of the company or society I represent, or
in the name of guarantor or co-debtor, or in any concept and in any quality. The reported information will remain in the mentioned Databases during the time
that establish the rules that regulate the matter and in accordance with the terms and conditions defined by them. Exemption from any responsibility for the inclusion of such
data both to XXXXXXX XXX XXX., and to the entity that produces the corresponding file.
3. Declaro de manera libre, expresa, inequívoca e informada, que AUTORIZO a XXXXXXX XXX XXX, para que en los términos de la ley 1581 de 2012 y el decreto 1337 de 2013,
carry out the collection, storage, use, circulation, suppression, and in general, processing of personal data, including sensitive data that I have
provided voluntarily in the capacity of client or supplier, so that such processing is carried out exclusively for any relevant purposes and
necessary, such as advancing the execution of the signed contract or commercial agreement, this is among others, for the purpose of advancing the respective financial analysis for
granting of credit in case it is requested, verification in risk centers, preparation of contracts, signing of promissory notes and letters of instructions
or any other guarantee, as well as the creation and entry as a new customer or supplier within the information system, and for the advancement of accounting management.
billing and payments of it. Likewise, I declare that I am aware of the Company's Information Treatment Policies, which were made available to me.
knowledge.
Company Legal Representative
Identification of
