Petroperu

Is this a state-owned company?

Yes

Does the company have a Board of Directors?

Yes

Name or Corporate Name

Country of Constitution

Start date of activities (Year)

Tax Address

Email Address Your email address will be used to keep you informed and to facilitate your transactions on the platform.

Economic Activity

Manager

First Last Name

Second Last Name

Names

Type of Document

Document No.

Nationality

Profession or Trade

Shareholder

Shareholder Type

First Last Name

Second Last Name

Names

Identity Document

Type of Document

Document No.

Nationality

Profession or Trade

Name or Corporate Name

Country of Constitution

Year of Constitution

Tax Address

Holding %

Director

First Last Name

Second Last Name

Names

Identity Document

Type of Document

Document No.

Nationality

Declaration of Legality of Funds: I declare that the funds used for the transactions and operations that I have carried out or will carry out with Petróleos del Perú - PETROPERÚ S.A. are of lawful origin and do not derive from money laundering, terrorism financing, or related crimes.:

Yes

Attached Documents

Maximum total size: 10 MB · Allowed format: PDF

Copy of identity document of the declarant

Do you have the requested document?

Yes

Justify Lack of Information or Other Observation

Justify lack of information or other observation

Signer's Declaration

I declare that I am aware of and accept my obligation to update my personal information annually, as well as to immediately communicate and document any change in information to PETROPERÚ S.A. during the term of the business relationship. I further DECLARE THAT THE INFORMATION I HAVE PROVIDED IS ACCURATE IN ALL RESPECTS AND I SIGN THIS DOCUMENT.

I have read and confirm the above.

“Know Your Customer” Form Legal Person

Identity Document

Identity Document