Guo Wengui / Miles Guo — bankruptcy case · EXHIBIT · ECF #1797-19

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: ALLIED CAPITAL GLOBAL LIMITED

Nature of Business: (please 'v' as appropriate) (i) V Investment Holding C Consultancy Import/Export

C Manufacturing O Others (please specify):

(ii) Please provide a brief description of Company's business activities: Finance Investment, Management Source of Funds: Personal Assets of Beneficial Owner O Public Listing & Borrowings/Loans

Beneficial Owner / Applicant for Business

(b) Business address: Room 2106, Yardley Commercial Building, No 3 Connaught Road West,

(c) Permanent Residential Address: 22 SOUTH BAY ROAD, LEVEL 1 (UNIT B1), HONG KONG

(f) Email: hk.company.secretary@gmail.com

Occupation:

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 - 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 future changes to the above information.

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

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 4 24124 2017 YU FIONA KA WING Barrister, Hong Kong SAR