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Formato para el conocimiento de contrapartes
Individual
Legal entity
Individual
Date
City
*
Department
*
Names
*
First surname
*
Second surname
*
Type of identification
*
Enter ID type
CC – Cédula de ciudadanía
CE – Cédula de extranjería
PA – Pasaporte
NIT – Número de Identificación Tributaria
TI – Tarjeta de identidad
ID No.
*
Place of issuance
Afganistán
Albania
Alemania
Andorra
Angola
Anguila
Antigua y Barbuda
Antártica
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaiyán
Bahamas
Bangladesh
Barbados
Baréin
Belize
Benín
Bermudas
Bielorrusia
Bolivia
Bonaire, San Eustaquio y Saba
Bosnia y Herzegovina
Botsuana
Brasil
Brunéi
Bulgaria
Burkina Faso
Burundi
Bután
Bélgica
Cabo Verde
Camboya
Camerún
Canadá
Chad
Chile
China
Chipre
Ciudad del Vaticano
Colombia
Comoras
Congo
Corea del Norte
Corea del Sur
Costa Rica
Costa de Marfil
Croacia
Cuba
Curazao
Dinamarca
Dominica
Ecuador
Egipto
El Salvador
Emiratos Árabes Unidos
Eritrea
Eslovaquia
Eslovenia
España
Estados Unidos
Estonia
Etiopía
Fiji
Filipinas
Finlandia
Francia
Gabón
Gambia
Georgia
Ghana
Gibraltar
Granada
Grecia
Groenlandia
Guadalupe
Guam
Guatemala
Guayana Francesa
Guernsey
Guinea
Guinea Ecuatorial
Guinea-Bisáu
Guyana
Haití
Honduras
Hong Kong
Hungría
India
Indonesia
Iraq
Irlanda
Irán
Isla Bouvet
Isla Norfolk
Isla de Man
Isla de Navidad
Islandia
Islas Aland
Islas Caimán
Islas Cocos (Keeling)
Islas Cook
Islas Feroe
Islas Georgias del Sur y Sandwich del Sur
Islas Heard y McDonald
Islas Malvinas (Falkland)
Islas Marianas del Norte
Islas Marshall
Islas Salomón
Islas Turcas y Caicos
Islas Ultramarinas Menores de los Estados Unidos
Islas Vírgenes EE.UU.
Islas Vírgenes Británicas
Israel
Italia
Jamaica
Japón
Jersey
Jordania
Katar
Kazajistán
Kenia
Kirguistán
Kiribati
Kosovo
Kuwait
Laos
Lesoto
Letonia
Liberia
Libia
Liechtenstein
Lituania
Luxemburgo
Líbano
Macao
Madagascar
Malasia
Malaui
Maldivas
Mali
Malta
Marruecos
Martinica
Mauricio
Mauritania
Mayotte
Micronesia
Moldava
Mongolia
Montenegro
Montserrat
Mozambique
Myanmar
México
Mónaco
Namibia
Nauru
Nepal
Nicaragua
Nigeria
Niue
Noruega
Nueva Caledonia
Nueva Zelanda
Níger
Omán
Pakistán
Palau
Palestina
Panamá
Papúa Nueva Guinea
Paraguay
Países Bajos
Perú
Pitcairn
Polinesia Francesa
Polonia
Portugal
Puerto Rico
Reino Unido
República Central de África
República Checa
República Dominicana
República de Macedonia
Reunión
Ruanda
Rumanía
Rusia
Sahara Occidental
Saint Kitts y Nevis
Samoa
Samoa Americana
San Bartolomé
San Marino
San Martín (parte francesa)
San Martín (parte holandesa)
San Pedro y Miquelón
San Vicente y las Granadinas
Santa Elena, Ascensión y Tristán de Acuña
Santa Lucía
Santa Sede
Santo Tomé y Príncipe
Saudí Arabia
Senegal
Serbia
Seychelles
Sierra Leona
Singapur
Siria
Somalia
Sri Lanka
Suazilandia
Sudáfrica
Sudán
Sudán del sur
Suecia
Suiza
Surinam
Svalbard y Jan Mayen
Tailandia
Taiwán
Tanzania
Tayikistán
Territorio Británico del Océano Índico
Territorios Australes Franceses
Timor Oriental
Timor Oriental
Togo
Tokelau
Tonga
Trinidad y Tobago
Turkmenistán
Turquía
Tuvalu
Túnez
Ucrania
Uganda
Uruguay
Uzbekistán
Vanuatu
Venezuela
Vietnam
Wallis y Futuna
Yemen
Yibuti
Zambia
Zimbabue
Country of residence
*
Selecciona el país de residencia
Afganistán
Albania
Alemania
Andorra
Angola
Anguila
Antigua y Barbuda
Antártica
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaiyán
Bahamas
Bangladesh
Barbados
Baréin
Belize
Benín
Bermudas
Bielorrusia
Bolivia
Bonaire, San Eustaquio y Saba
Bosnia y Herzegovina
Botsuana
Brasil
Brunéi
Bulgaria
Burkina Faso
Burundi
Bután
Bélgica
Cabo Verde
Camboya
Camerún
Canadá
Chad
Chile
China
Chipre
Ciudad del Vaticano
Colombia
Comoras
Congo
Corea del Norte
Corea del Sur
Costa Rica
Costa de Marfil
Croacia
Cuba
Curazao
Dinamarca
Dominica
Ecuador
Egipto
El Salvador
Emiratos Árabes Unidos
Eritrea
Eslovaquia
Eslovenia
España
Estados Unidos
Estonia
Etiopía
Fiji
Filipinas
Finlandia
Francia
Gabón
Gambia
Georgia
Ghana
Gibraltar
Granada
Grecia
Groenlandia
Guadalupe
Guam
Guatemala
Guayana Francesa
Guernsey
Guinea
Guinea Ecuatorial
Guinea-Bisáu
Guyana
Haití
Honduras
Hong Kong
Hungría
India
Indonesia
Iraq
Irlanda
Irán
Isla Bouvet
Isla Norfolk
Isla de Man
Isla de Navidad
Islandia
Islas Aland
Islas Caimán
Islas Cocos (Keeling)
Islas Cook
Islas Feroe
Islas Georgias del Sur y Sandwich del Sur
Islas Heard y McDonald
Islas Malvinas (Falkland)
Islas Marianas del Norte
Islas Marshall
Islas Salomón
Islas Turcas y Caicos
Islas Ultramarinas Menores de los Estados Unidos
Islas Vírgenes EE.UU.
Islas Vírgenes Británicas
Israel
Italia
Jamaica
Japón
Jersey
Jordania
Katar
Kazajistán
Kenia
Kirguistán
Kiribati
Kosovo
Kuwait
Laos
Lesoto
Letonia
Liberia
Libia
Liechtenstein
Lituania
Luxemburgo
Líbano
Macao
Madagascar
Malasia
Malaui
Maldivas
Mali
Malta
Marruecos
Martinica
Mauricio
Mauritania
Mayotte
Micronesia
Moldava
Mongolia
Montenegro
Montserrat
Mozambique
Myanmar
México
Mónaco
Namibia
Nauru
Nepal
Nicaragua
Nigeria
Niue
Noruega
Nueva Caledonia
Nueva Zelanda
Níger
Omán
Pakistán
Palau
Palestina
Panamá
Papúa Nueva Guinea
Paraguay
Países Bajos
Perú
Pitcairn
Polinesia Francesa
Polonia
Portugal
Puerto Rico
Reino Unido
República Central de África
República Checa
República Dominicana
República de Macedonia
Reunión
Ruanda
Rumanía
Rusia
Sahara Occidental
Saint Kitts y Nevis
Samoa
Samoa Americana
San Bartolomé
San Marino
San Martín (parte francesa)
San Martín (parte holandesa)
San Pedro y Miquelón
San Vicente y las Granadinas
Santa Elena, Ascensión y Tristán de Acuña
Santa Lucía
Santa Sede
Santo Tomé y Príncipe
Saudí Arabia
Senegal
Serbia
Seychelles
Sierra Leona
Singapur
Siria
Somalia
Sri Lanka
Suazilandia
Sudáfrica
Sudán
Sudán del sur
Suecia
Suiza
Surinam
Svalbard y Jan Mayen
Tailandia
Taiwán
Tanzania
Tayikistán
Territorio Británico del Océano Índico
Territorios Australes Franceses
Timor Oriental
Timor Oriental
Togo
Tokelau
Tonga
Trinidad y Tobago
Turkmenistán
Turquía
Tuvalu
Túnez
Ucrania
Uganda
Uruguay
Uzbekistán
Vanuatu
Venezuela
Vietnam
Wallis y Futuna
Yemen
Yibuti
Zambia
Zimbabue
City of residence
*
Address
*
Email address
*
Phone:
*
Comercial a cargo
Declaration of origin and use of funds
I declare that all the resources and/or assets I possess as an individual and/or legal entity come from lawful activities directly related to the development of my economic activity and are carried out within the corresponding legal and regulatory framework. Additionally, I declare that the use the company makes of its resources has a lawful purpose and is not used for any criminal activity related to money laundering, terrorism financing, or the financing of the proliferation of weapons of mass destruction. Having made this declaration, we commit to implementing measures aimed at preventing our operations from being used as instruments for the concealment, management, investment, or utilization in any way of money or other assets derived from illicit activities, or to provide an appearance of legality to such activities. In this regard, I acknowledge and accept that LATAM FINTECH LENDING LP may unilaterally and immediately terminate the existing business relationship without any compensation obligation. This shall apply when the individual or legal entity, their direct or indirect partners with a participation equal to or greater than 25% in the share capital, or their executives or agents in such capacity, at any time have been or may become: i) convicted by the competent authorities for the crime of money laundering, predicate offenses thereof, including crimes against public administration, or the crime of terrorism financing or financing the proliferation of weapons of mass destruction; ii) administratively sanctioned for violations of any anti-corruption regulation; iii) included in lists administered by any national or foreign authority for the control of money laundering and/or terrorism financing and/or corruption in any of its forms; iv) linked to any type of investigation, judicial or administrative process, conducted by the competent national or foreign authorities, for the alleged commission of crimes or infractions related to money laundering, predicate crimes of money laundering, including crimes against public administration, and/or terrorism financing or the management of resources related to terrorist activities and/or the financing of the proliferation of weapons of mass destruction. Likewise, this shall apply in the event of failure to comply with the obligation to update information established by LATAM FINTECH LENDING LP.
Declaration of the information provided
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam nisi mi, sagittis non varius eget, volutpat a turpis. Ut nec gravida tortor. Maecenas varius, est facilisis semper gravida, sapien augue malesuada elit, eget hendrerit justo justo eu risus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia curae; Maecenas fringilla enim sollicitudin, congue massa non, placerat dolor. Proin mauris mi, pretium in facilisis nec, efficitur non neque. Nam ultrices dui quis eros lobortis varius. Mauris sodales tincidunt urna at volutpat.
I declare and certify that I have read and fully understood the Limited Partnership Agreement, the Private Placement Memorandum (PPM), and the Subscription Agreement, which describe in detail the legal, technical, and commercial conditions, as well as the risks associated with the investment. I understand that this investment carries a high degree of risk and that the total loss of the invested capital is possible.
Declaration / authorization for the processing of personal data
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam nisi mi, sagittis non varius eget, volutpat a turpis. Ut nec gravida tortor. Maecenas varius, est facilisis semper gravida, sapien augue malesuada elit, eget hendrerit justo justo eu risus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia curae; Maecenas fringilla enim sollicitudin, congue massa non, placerat dolor. Proin mauris mi, pretium in facilisis nec, efficitur non neque. Nam ultrices dui quis eros lobortis varius. Mauris sodales tincidunt urna at volutpat.
Likewise, freely, expressly, voluntarily, unequivocally, and duly informed, I declare the following: 1. I authorize LATAM FINTECH LENDING SPV-1 LP, through its employees or contractors, to process and manage the personal data previously provided or to be provided in the future, both mine and that related to the partners, shareholders, and other personnel of the company. 2. I expressly authorize LATAM FINTECH LENDING SPV-1 LP to process such personal data for the following purposes: (i) To maintain LATAM FINTECH LENDING SPV-1 LP’s partner registry; (ii) To collect or pay for products or services provided; (iii) To send me information related to LATAM FINTECH LENDING SPV-1 LP’s products; (iv) To monitor the different interactions I may have by any means; (v) To comply with national or foreign law and with orders from judicial, administrative, or private authorities in the exercise of public services; (vi) In case LATAM FINTECH LENDING SPV-1 LP contracts web-based technology platforms, the data may be transferred to the countries where the provider’s data centers are located; (vii) To issue certifications related to the Data Subject’s relationship with LATAM FINTECH LENDING SPV-1 LP; (viii) To deliver Personal Data to third parties entrusted with its Processing; (ix) In general, for the proper execution of the commercial relationship; (x) To perform third-party due diligence in accordance with LATAM FINTECH LENDING SPV-1 LP’s current manuals and procedures; (xi) To check restrictive lists of money laundering and terrorism financing, in accordance with LATAM FINTECH LENDING SPV-1 LP’s Manual. 3. I expressly and irrevocably authorize LATAM FINTECH LENDING SPV-1 LP, its representatives, or any future creditor, to consult, report, update, request, share, and disclose to credit bureaus and/or any other entity that manages or administers databases with the same purposes, all my information regarding credit behavior.
Declaration of accuracy of the information
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam nisi mi, sagittis non varius eget, volutpat a turpis. Ut nec gravida tortor. Maecenas varius, est facilisis semper gravida, sapien augue malesuada elit, eget hendrerit justo justo eu risus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia curae; Maecenas fringilla enim sollicitudin, congue massa non, placerat dolor. Proin mauris mi, pretium in facilisis nec, efficitur non neque. Nam ultrices dui quis eros lobortis varius. Mauris sodales tincidunt urna at volutpat.
I declare that the information contained in this Form is true, complete, and provides reliable and updated details, for which I authorize it to be validated by LATAM FINTECH LENDING SPV-1 LP or the entity delegated to carry out such work.
*
I accept the above declarations and sign electronically by means of this checkbox.
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Legal entity
Date
City
*
Department
*
Company name
*
Tax identification
*
Name of the legal representative
*
First surname of the legal representative
*
Second surname of the legal representative
*
Type of identification of the legal representative
*
Enter the type of identification of the legal representative
CC – Cédula de ciudadanía
CE – Cédula de extranjería
PA – Pasaporte
NIT – Número de Identificación Tributaria
TI – Tarjeta de identidad
ID number of the legal representative
*
Place of issuance
Afganistán
Albania
Alemania
Andorra
Angola
Anguila
Antigua y Barbuda
Antártica
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaiyán
Bahamas
Bangladesh
Barbados
Baréin
Belize
Benín
Bermudas
Bielorrusia
Bolivia
Bonaire, San Eustaquio y Saba
Bosnia y Herzegovina
Botsuana
Brasil
Brunéi
Bulgaria
Burkina Faso
Burundi
Bután
Bélgica
Cabo Verde
Camboya
Camerún
Canadá
Chad
Chile
China
Chipre
Ciudad del Vaticano
Colombia
Comoras
Congo
Corea del Norte
Corea del Sur
Costa Rica
Costa de Marfil
Croacia
Cuba
Curazao
Dinamarca
Dominica
Ecuador
Egipto
El Salvador
Emiratos Árabes Unidos
Eritrea
Eslovaquia
Eslovenia
España
Estados Unidos
Estonia
Etiopía
Fiji
Filipinas
Finlandia
Francia
Gabón
Gambia
Georgia
Ghana
Gibraltar
Granada
Grecia
Groenlandia
Guadalupe
Guam
Guatemala
Guayana Francesa
Guernsey
Guinea
Guinea Ecuatorial
Guinea-Bisáu
Guyana
Haití
Honduras
Hong Kong
Hungría
India
Indonesia
Iraq
Irlanda
Irán
Isla Bouvet
Isla Norfolk
Isla de Man
Isla de Navidad
Islandia
Islas Aland
Islas Caimán
Islas Cocos (Keeling)
Islas Cook
Islas Feroe
Islas Georgias del Sur y Sandwich del Sur
Islas Heard y McDonald
Islas Malvinas (Falkland)
Islas Marianas del Norte
Islas Marshall
Islas Salomón
Islas Turcas y Caicos
Islas Ultramarinas Menores de los Estados Unidos
Islas Vírgenes EE.UU.
Islas Vírgenes Británicas
Israel
Italia
Jamaica
Japón
Jersey
Jordania
Katar
Kazajistán
Kenia
Kirguistán
Kiribati
Kosovo
Kuwait
Laos
Lesoto
Letonia
Liberia
Libia
Liechtenstein
Lituania
Luxemburgo
Líbano
Macao
Madagascar
Malasia
Malaui
Maldivas
Mali
Malta
Marruecos
Martinica
Mauricio
Mauritania
Mayotte
Micronesia
Moldava
Mongolia
Montenegro
Montserrat
Mozambique
Myanmar
México
Mónaco
Namibia
Nauru
Nepal
Nicaragua
Nigeria
Niue
Noruega
Nueva Caledonia
Nueva Zelanda
Níger
Omán
Pakistán
Palau
Palestina
Panamá
Papúa Nueva Guinea
Paraguay
Países Bajos
Perú
Pitcairn
Polinesia Francesa
Polonia
Portugal
Puerto Rico
Reino Unido
República Central de África
República Checa
República Dominicana
República de Macedonia
Reunión
Ruanda
Rumanía
Rusia
Sahara Occidental
Saint Kitts y Nevis
Samoa
Samoa Americana
San Bartolomé
San Marino
San Martín (parte francesa)
San Martín (parte holandesa)
San Pedro y Miquelón
San Vicente y las Granadinas
Santa Elena, Ascensión y Tristán de Acuña
Santa Lucía
Santa Sede
Santo Tomé y Príncipe
Saudí Arabia
Senegal
Serbia
Seychelles
Sierra Leona
Singapur
Siria
Somalia
Sri Lanka
Suazilandia
Sudáfrica
Sudán
Sudán del sur
Suecia
Suiza
Surinam
Svalbard y Jan Mayen
Tailandia
Taiwán
Tanzania
Tayikistán
Territorio Británico del Océano Índico
Territorios Australes Franceses
Timor Oriental
Timor Oriental
Togo
Tokelau
Tonga
Trinidad y Tobago
Turkmenistán
Turquía
Tuvalu
Túnez
Ucrania
Uganda
Uruguay
Uzbekistán
Vanuatu
Venezuela
Vietnam
Wallis y Futuna
Yemen
Yibuti
Zambia
Zimbabue
Country of residence
*
Selecciona el país de residencia
Afganistán
Albania
Alemania
Andorra
Angola
Anguila
Antigua y Barbuda
Antártica
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaiyán
Bahamas
Bangladesh
Barbados
Baréin
Belize
Benín
Bermudas
Bielorrusia
Bolivia
Bonaire, San Eustaquio y Saba
Bosnia y Herzegovina
Botsuana
Brasil
Brunéi
Bulgaria
Burkina Faso
Burundi
Bután
Bélgica
Cabo Verde
Camboya
Camerún
Canadá
Chad
Chile
China
Chipre
Ciudad del Vaticano
Colombia
Comoras
Congo
Corea del Norte
Corea del Sur
Costa Rica
Costa de Marfil
Croacia
Cuba
Curazao
Dinamarca
Dominica
Ecuador
Egipto
El Salvador
Emiratos Árabes Unidos
Eritrea
Eslovaquia
Eslovenia
España
Estados Unidos
Estonia
Etiopía
Fiji
Filipinas
Finlandia
Francia
Gabón
Gambia
Georgia
Ghana
Gibraltar
Granada
Grecia
Groenlandia
Guadalupe
Guam
Guatemala
Guayana Francesa
Guernsey
Guinea
Guinea Ecuatorial
Guinea-Bisáu
Guyana
Haití
Honduras
Hong Kong
Hungría
India
Indonesia
Iraq
Irlanda
Irán
Isla Bouvet
Isla Norfolk
Isla de Man
Isla de Navidad
Islandia
Islas Aland
Islas Caimán
Islas Cocos (Keeling)
Islas Cook
Islas Feroe
Islas Georgias del Sur y Sandwich del Sur
Islas Heard y McDonald
Islas Malvinas (Falkland)
Islas Marianas del Norte
Islas Marshall
Islas Salomón
Islas Turcas y Caicos
Islas Ultramarinas Menores de los Estados Unidos
Islas Vírgenes EE.UU.
Islas Vírgenes Británicas
Israel
Italia
Jamaica
Japón
Jersey
Jordania
Katar
Kazajistán
Kenia
Kirguistán
Kiribati
Kosovo
Kuwait
Laos
Lesoto
Letonia
Liberia
Libia
Liechtenstein
Lituania
Luxemburgo
Líbano
Macao
Madagascar
Malasia
Malaui
Maldivas
Mali
Malta
Marruecos
Martinica
Mauricio
Mauritania
Mayotte
Micronesia
Moldava
Mongolia
Montenegro
Montserrat
Mozambique
Myanmar
México
Mónaco
Namibia
Nauru
Nepal
Nicaragua
Nigeria
Niue
Noruega
Nueva Caledonia
Nueva Zelanda
Níger
Omán
Pakistán
Palau
Palestina
Panamá
Papúa Nueva Guinea
Paraguay
Países Bajos
Perú
Pitcairn
Polinesia Francesa
Polonia
Portugal
Puerto Rico
Reino Unido
República Central de África
República Checa
República Dominicana
República de Macedonia
Reunión
Ruanda
Rumanía
Rusia
Sahara Occidental
Saint Kitts y Nevis
Samoa
Samoa Americana
San Bartolomé
San Marino
San Martín (parte francesa)
San Martín (parte holandesa)
San Pedro y Miquelón
San Vicente y las Granadinas
Santa Elena, Ascensión y Tristán de Acuña
Santa Lucía
Santa Sede
Santo Tomé y Príncipe
Saudí Arabia
Senegal
Serbia
Seychelles
Sierra Leona
Singapur
Siria
Somalia
Sri Lanka
Suazilandia
Sudáfrica
Sudán
Sudán del sur
Suecia
Suiza
Surinam
Svalbard y Jan Mayen
Tailandia
Taiwán
Tanzania
Tayikistán
Territorio Británico del Océano Índico
Territorios Australes Franceses
Timor Oriental
Timor Oriental
Togo
Tokelau
Tonga
Trinidad y Tobago
Turkmenistán
Turquía
Tuvalu
Túnez
Ucrania
Uganda
Uruguay
Uzbekistán
Vanuatu
Venezuela
Vietnam
Wallis y Futuna
Yemen
Yibuti
Zambia
Zimbabue
City of residence
*
Address
*
Email address
*
Phone:
*
Comercial a cargo
Beneficiarios finales
Name of the Beneficiary
*
Type of identification of the legal representative
*
Enter the type of identification of the legal representative
CC – Cédula de ciudadanía
CE – Cédula de extranjería
Company name or full name
*
ID number
*
% of ownership
*
Address
*
Añadir
Eliminar
Declaration of origin and use of funds
I declare that all the resources and/or assets I possess as an individual and/or legal entity come from lawful activities directly related to the development of my economic activity and are carried out within the corresponding legal and regulatory framework. Additionally, I declare that the use the company makes of its resources has a lawful purpose and is not used for any criminal activity related to money laundering, terrorism financing, or the financing of the proliferation of weapons of mass destruction. Having made this declaration, we commit to implementing measures aimed at preventing our operations from being used as instruments for the concealment, management, investment, or utilization in any way of money or other assets derived from illicit activities, or to provide an appearance of legality to such activities. In this regard, I acknowledge and accept that LATAM FINTECH LENDING LP may unilaterally and immediately terminate the existing business relationship without any compensation obligation. This shall apply when the individual or legal entity, their direct or indirect partners with a participation equal to or greater than 25% in the share capital, or their executives or agents in such capacity, at any time have been or may become: i) convicted by the competent authorities for the crime of money laundering, predicate offenses thereof, including crimes against public administration, or the crime of terrorism financing or financing the proliferation of weapons of mass destruction; ii) administratively sanctioned for violations of any anti-corruption regulation; iii) included in lists administered by any national or foreign authority for the control of money laundering and/or terrorism financing and/or corruption in any of its forms; iv) linked to any type of investigation, judicial or administrative process, conducted by the competent national or foreign authorities, for the alleged commission of crimes or infractions related to money laundering, predicate crimes of money laundering, including crimes against public administration, and/or terrorism financing or the management of resources related to terrorist activities and/or the financing of the proliferation of weapons of mass destruction. Likewise, this shall apply in the event of failure to comply with the obligation to update information established by LATAM FINTECH LENDING LP.
Declaration of the information provided
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I declare and certify that I have read and fully understood the Limited Partnership Agreement, the Private Placement Memorandum (PPM), and the Subscription Agreement, which describe in detail the legal, technical, and commercial conditions, as well as the risks associated with the investment. I understand that this investment carries a high degree of risk and that the total loss of the invested capital is possible.
Declaration / authorization for the processing of personal data
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Likewise, freely, expressly, voluntarily, unequivocally, and duly informed, I declare the following: 1. I authorize LATAM FINTECH LENDING SPV-1 LP, through its employees or contractors, to process and manage the personal data previously provided or to be provided in the future, both mine and that related to the partners, shareholders, and other personnel of the company. 2. I expressly authorize LATAM FINTECH LENDING SPV-1 LP to process such personal data for the following purposes: (i) To maintain LATAM FINTECH LENDING SPV-1 LP’s partner registry; (ii) To collect or pay for products or services provided; (iii) To send me information related to LATAM FINTECH LENDING SPV-1 LP’s products; (iv) To monitor the different interactions I may have by any means; (v) To comply with national or foreign law and with orders from judicial, administrative, or private authorities in the exercise of public services; (vi) In case LATAM FINTECH LENDING SPV-1 LP contracts web-based technology platforms, the data may be transferred to the countries where the provider’s data centers are located; (vii) To issue certifications related to the Data Subject’s relationship with LATAM FINTECH LENDING SPV-1 LP; (viii) To deliver Personal Data to third parties entrusted with its Processing; (ix) In general, for the proper execution of the commercial relationship; (x) To perform third-party due diligence in accordance with LATAM FINTECH LENDING SPV-1 LP’s current manuals and procedures; (xi) To check restrictive lists of money laundering and terrorism financing, in accordance with LATAM FINTECH LENDING SPV-1 LP’s Manual. 3. I expressly and irrevocably authorize LATAM FINTECH LENDING SPV-1 LP, its representatives, or any future creditor, to consult, report, update, request, share, and disclose to credit bureaus and/or any other entity that manages or administers databases with the same purposes, all my information regarding credit behavior.
Declaration of accuracy of the information
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I declare that the information contained in this Form is true, complete, and provides reliable and updated details, for which I authorize it to be validated by LATAM FINTECH LENDING SPV-1 LP or the entity delegated to carry out such work.
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