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Full KYC Questionnaire

1. Corporate Details

Incorporation Date Country

Registered Street Address

Post Code

Town / City

Telephone Number Fax Number

Mobile Number

E-Mail Address

Website/ Home Page

2. Company Identification Details

Attached

2.1 Certificate of Incorporation

2.2 Memorandum / Articles of Association

2.3 Names of Directors

2.4

2.5 Bank Reference Letter

3. Banking

Principal Bankers

Bank Branch Address Details

Bank City & Country

Bank Account Name

In keeping with International Business Standards it is important you provide the following background information. This will ensure we have a clear understanding of the proposed business relationship.

Full Name of Individual / Full Registered Company Name

Passport Number / Company Registration

Number

Physical Address of Head Office

Please provide copies of the below documents. These documents should be provided in the English Language or with an English Translation. If the company is publicly listed, please proceed directly to 4.6.

Names and shareholding percentage of Beneficial Owners

Please provide full banking details to which payments will be made. Please note, Petromoc International does NOT Make Payments to Third Party Bank Accounts.

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Bank Account Number

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4. Business Activity

4.1

4.2 Principal activity of Counterparty

4.3

4.4

4.5 Immediate Parent Company

4.6 Ultimate Parent Company / Beneficial Owner

5. Trade Under Consideration

5.1

5.2 What are the envisaged trade details?

5.2.1 Specify the product or goods

5.2.2 Specify the quality or grade

5.2.3 Specify the volume or quantity

5.2.4 From To

5.3 Envisaged INCO and Payment Terms

5.3.1 Inco terms

5.3.2 Bank Guarentee

Open Account**

Date:

Position

Please provide answers and details, as required, to all of the below questions.

What is the nature of the transaction with Counterparty? i.e. Trading Counterparty, Ship Owner, Supplier of Goods & Services

Is Counterparty publicly listed? If Yes, on which exchange and under which symbol?

Is Counterparty a ship owner? If Yes, ensure a copy of the charterparty and Q88 document are attached

Please provide answers and details, as required, to all of the below questions. If the response to 5.1 is both, sections 5.2 and 5.3 should be completed twice.

Proposed Business for Petromoc:

Is Petromoc

Buying OR Selling

Specify the delivery period

Payment Terms:

Letter of Credit

Prepayment*

Name of Petromoc person completing this Questionnaire (Print)