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CLIENT LETTERHEAD FULL ADDRESS TEL. FAX. EMAIL

CLIENT INFORMATION SHEET

In accordance with Articles two (2) through five (5) of the Due DiligenceConvention and the Federal Banking Commission Circular of December 1998,

concerning the prevention of money laundering, and Article 305 of the SwissCriminal Code, the following information may be supplied to banks and/or otherfinancial institutions for the purpose of verification of identity and activities of theinvesting Member, and the nature and origin of the funds that are to be utilized.All parties have an obligation to respect professional secrecy and to take allappropriate precautions to protect the confidentiality of the information eachholds in respect of the others activities. This legal obligation shall remain in fullforce and effect at all times.

1. Project Name : Form Filling ( USD$ 1.00

Per Form)2. Monthly Slot : 25000 Forms Monthly

(22 days)3. Contract Period : 3 Years4. Amount Of consultancy : USD$1200

(Rs.49,000/-)5. Consultant Name : B.S.BHANDARI6. Consultant Bank : Slandered Chartered

Bank7. A/C Name : B.S.BHANDARI8. A/C No. : 243-1-022145-89. Branch : Lokhandwala-Mumbai10. Name of The Company :11. Client Name (Signatory) :12. Country of Residence :13. Date and Place of Birth :14. Home Address :15. Home Telephone Number :16. Home Fax Number :

17. Mobile Tel Number :18. Clients Email Address :19. Do you speak English? :20. Business Name :21. Business Address :

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22. No.Of Computer :23. No.Of Employee :24. Registered Office Domicile :25. Business Tax ID Number :

26. Years in Business :27. Registration Number :28. Country / State of Incorporation:29. Business Telephone Number :30. Business Fax Number :31. Address for Mail Delivery :32. Address for Courier Delivery :33. Bank Name :

Branch: :Bank Address: :

Account Number :Account Name :Account Signatory (1) :Account Signatory (2) :

Clients Account where payment are to be PaidName of Bank :Address :Account No. :

Account Name :SWIFT CODE :Bank Telex :Bank Fax :

Declaration: I/we swear under penalty of perjury, theinformation given above is both true and accurate. I amthe signatory on the aforementioned bank account. Allmonies engaged in this transaction are derived fromnon-criminal origin: and are good cleared. The origin offunds is in compliance with Anti-Money-LaunderingPolicies as set forth by the Financial Action Task Force(FATF) 6/01.

In Faith:

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DATE: Month: ___________ Day:____, 20____________________

Name:Passport No.:

Country of Issue:Sworn to and subscribed before

me this _____ day of_________________ 20__.

(SEAL)

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