Banco Rendimento

Registration form Natural person


Personal Information




Spouse Personal Information




Bank references




Others Bank references





Commercial references




I declare that the information provided is an expression of the truth. I authorize the Banco Rendimento S/A, headquartered at Av. Brigadeiro Faria Lima, nº 2092 - 19th floor, registered under the CNPJ/IMF (taxpayers Identification Number) number 68.900.810/0001-38, to provide or consult data or information consolidated in the Central Bank of Brazil, as well as the Credit Risk Central (in terms of responsabilities according to the provisions of the Resolution Nº2.724 of 05.31.2000), to the Brazilian Credit Protection Central Service (SCPC) and the Credit Reporting Agency - SERASA or other bodies of registration information, in order to address the law in force and allow an adequate and consistent analysis of the credits conceived or to be conceived.

Through this instrument, we inform that the representatives listed below are our current representatives. However, they do not represent regarding any document or any obligation with Banco Rendimento S/A. We also inform that the persons listed below (natural and legal) declare as true their identifying information and their condition as a non politically exposed person, in accordance with the concept established by Circular Letter issued by the Central Bank of Brazil (Circular Letter 3,461/09 – Article 4, Paragraph 1 – Politically exposed persons are government agents that perform, or have performed in the last five years, positions, employment or relevant functions in the government, in Brazil or in other countries, territories or foreign dependencies, as well as their family members and other persons of close relationship). We also declare that they are aware of their obligation when updating their registration to declare to Banco Rendimento any changes in their condition, especially if they come to be a politically exposed person (for the purposes of this registration, a politically exposed person is anyone who holds a public office or position).

DECLARATION OF THE PURPOSE OF THE CLIENT'S RELATIONSHIP WITH THE INSTITUTION In accordance with Circular Letter 3461 of the Central Bank of Brazil, the client declares and the financial institution accepts the purposes of the relationship described below, indicating: In Column 1, only one option for the main relationship, and in Column 2, as many options as required for potential/temporary relationships.


Relationship

Main

Potential / Temporary




_______________________________________ Signature



__________________________________________________________ Bonus __________________________________________________________

We assume any responsibility for the accuracy of the provided information, on demand of the originals of the Identification card, CPF (Individual Taxpayer Number) / CNPJ (Taxpayers Identification Number) documents and other evidences of additional elements presented, under the penalty application of the provision in the Article sixty Four of the Law nº8.383, from 12.30.91

____/____/_____ ____________________________________ Date Signature of the Account Manager


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