---
type: court_doc
id: "court_ctb_1797_27"
court: "CTB"
case_no: "22-50073"
doc_number: 1797
doc_type: "EXHIBIT"
filed_date: null
lang: "zh"
url: "https://mubeitech.com/court/court_ctb_1797_27"
json_url: "https://mubeitech.com/api/court/court_ctb_1797_27"
---
# Exhibit 27 এ



> 原始法庭文件为英文；下方为英文全文，顶部为中文摘要。

## **Exhibit 27**

এ

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## BRITISH VIRGIN ISLANDS

Form: DDBVI - P2

Due Diligence Verification of Identity Form for Individual Clients

The information below is required to comply with the Anti-Money Laundering Laws of the relevant jurisdiction, and to eliminate the risk that the legal operation of your company is affected in the future.

|                                                                                                                                                                                      | Name of Company: ROSY ACME VENTURES LIMITED                                        |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| Nature of Business: (please V as appropriate)                                                                                                                                        |                                                                                    |
| (i) [ Property Investment                                                                                                                                                            | V Investment Holding<br>O Import/Export<br>C Consultancy                           |
| Trading                                                                                                                                                                              | O Others (please specify):<br>C Manufacturing                                      |
|                                                                                                                                                                                      |                                                                                    |
| (ii) Please provide a brief description of Company's business activities: Finance Investment, Management                                                                             |                                                                                    |
|                                                                                                                                                                                      | Source of Funds: Assets of Beneficial Owner O Public Listing & VBorrowings/Loans   |
| O Others (please specify) : _ _ _ _ _ _ _ _ _ _ _                                                                                                                                    |                                                                                    |
| Beneficial Owner / Applicant for Business                                                                                                                                            |                                                                                    |
| (a) Full Name:                                                                                                                                                                       | Guo Mei                                                                            |
| (b) Business address:                                                                                                                                                                | Room 2106, Yardley Commercial Building, No 3 Connaught Road West,                  |
|                                                                                                                                                                                      | Sheung Wan, Hong Kong                                                              |
|                                                                                                                                                                                      | (c) Permanent Residential Address: 22 SOUTH BAY ROAD, LEVEL 1 (UNIT B1), HONG KONG |
|                                                                                                                                                                                      |                                                                                    |
| (d) Telephone:                                                                                                                                                                       | 2160 0816 / 2160 0888                                                              |
| (e) Fax:                                                                                                                                                                             | 2160 0808                                                                          |
| (f) Email:                                                                                                                                                                           | hk.company.secretary@gmail.com                                                     |
| (g) Date of Birth:                                                                                                                                                                   | 1989-01-28                                                                         |
| (h) Nationality:                                                                                                                                                                     | HONG KONG                                                                          |
| (i) Occupation:                                                                                                                                                                      | MANAGER                                                                            |
| Please attach: (1) a certified copy of Current Passport or Identity Card;                                                                                                            |                                                                                    |
| and (2) One of the following:                                                                                                                                                        |                                                                                    |
| - Residential address proof (e.g. original or certified copy* of utility bill / bank statement); or<br>- Reference from bank or qualified professional (see attached sample wording) |                                                                                    |
| * Copy may be certified by Lawyer/CPA/Bank in the attached format                                                                                                                    |                                                                                    |
| I / We confirm that the above information is true and accurate, and you are authorised to supply any or all of such                                                                  |                                                                                    |
| information for due diligence purposes to the Regulators if so requested by them. We also undertake to notify you of any<br>future changes to the above information.                 |                                                                                    |
| Client Signature:                                                                                                                                                                    | Print Name: Guo Mei                                                                |
|                                                                                                                                                                                      | Date:<br>2017-07-04                                                                |
|                                                                                                                                                                                      |                                                                                    |
|                                                                                                                                                                                      |                                                                                    |

Please return this form and attachments to: Compliance Department Vistra Hong Kong 19/F, Lee Garden One, 33 Hysan Avenue, Causeway Bay, Hong Kong

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## CERTIFIED TRUE COPY

I, the undersigned, hereby certify that this document is a true and complete copy of the original or a properly certified true copy of the original Dated A oury 2017

U

YU FIONA KA WING Barrister, Hong Kong SAR

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