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

## **Exhibit 19**

VISTRA V

## 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: ALLIED CAPITAL GLOBAL LIMITED | | | | |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------|---------------------|----------------------------|---------------| | Nature of Business: (please 'v' as appropriate) | | | | | | (i) | V Investment Holding | | C Consultancy | Import/Export | | Trading<br>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 | | | | | | 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 | | | | | Occupation:<br>(1) | MANAGER | | | | | Please attach: (1) a certified copy* of Current Passport or Identity Card; | | | | | | and (2) One of the following:<br>- 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<br>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: | 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


## 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 4 24124 2017

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YU FIONA KA WING Barrister, Hong Kong SAR