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{"sheet":"Español","index":0,"n_rows":114,"n_cols":38,"rows_kept":114,"cut":false,"hidden":false,"merged":[[95,0,95,37],[97,0,97,37],[98,0,98,37],[77,20,77,27],[78,20,78,27],[79,20,79,27],[80,20,80,27],[81,20,81,27],[78,5,78,19],[79,5,79,19],[70,28,70,37],[69,28,69,37],[68,0,68,37],[74,20,74,27],[70,0,70,19],[71,0,71,19],[72,0,72,19],[73,0,73,19],[74,0,74,19],[69,20,69,27],[70,20,70,27],[63,20,63,27],[64,20,64,27],[65,20,65,27],[64,0,64,19],[56,20,56,27],[65,0,65,19],[63,28,63,37],[64,28,64,37],[65,28,65,37],[59,28,59,37],[60,28,60,37],[62,0,62,16],[62,28,62,37],[43,16,44,19],[43,29,44,37],[31,30,31,36],[40,16,40,27],[36,0,36,16],[36,28,36,37],[40,28,40,37],[37,17,37,27],[37,0,37,16],[37,28,37,37],[25,0,25,37],[3,10,3,12],[3,8,3,9],[3,6,3,7],[21,13,21,37],[3,31,3,37],[17,0,17,37],[23,14,23,37],[24,0,24,37],[33,18,33,35],[36,17,36,27],[87,29,87,37],[89,0,89,37],[72,28,72,37],[73,28,73,37],[74,28,74,37],[77,28,77,37],[78,28,78,37],[79,28,79,37],[48,13,48,14],[49,13,49,14],[48,17,48,23],[86,7,86,15],[73,20,73,27],[48,27,48,31],[49,27,49,31],[62,20,62,27],[80,5,80,19],[72,20,72,27],[53,0,53,37],[54,0,54,37],[85,0,85,37],[86,29,86,37],[80,28,80,37],[81,28,81,37],[58,0,58,19],[59,0,59,19],[60,0,60,19],[63,0,63,19],[39,28,39,37],[42,0,42,37],[39,0,39,15],[40,0,40,15],[39,16,39,27],[71,28,71,37],[50,13,50,14],[50,27,50,31],[55,20,55,27],[57,28,57,37],[58,28,58,37],[56,0,56,19],[57,0,57,19],[56,28,56,37],[50,17,50,23],[104,29,104,37],[14,29,14,37],[104,3,104,27],[101,12,101,25],[101,29,101,36],[91,19,91,31],[49,17,49,23],[57,20,57,27],[58,20,58,27],[88,16,88,18],[88,0,88,6],[91,32,91,37],[92,32,92,37],[55,0,55,19],[55,28,55,37],[59,20,59,27],[60,20,60,27],[86,19,86,27],[87,19,87,27],[88,19,88,27],[88,7,88,15],[87,7,87,15],[96,6,96,36],[88,29,88,37],[90,0,90,18],[90,19,90,31],[90,32,90,37],[92,19,92,31],[91,0,91,18],[92,0,92,18],[87,0,87,6],[0,31,0,37],[1,31,1,37],[0,0,1,8],[0,9,1,30],[86,16,86,18],[87,16,87,18],[69,0,69,19],[71,20,71,27],[67,0,67,37]],"flags":["formulas_cached_only"]}
[{"$nulls":9},"FORMATO UNICO DE VINCULACIÓN PARA \nPROVEEDORES, CLIENTES Y USUARIOS",{"$nulls":21},"Código: FOR-GAF-007"]
[{"$nulls":31},"Versión: 001-2012-10-11"]
[]
["Fecha diligenciamiento: ",{"$nulls":13},"REGISTRO:",{"$nulls":5},"ACTUALIZACIÓN:  ",{"$nulls":7},"CODIGO INTERNO  ____________________________"]
[]
["Indique con una X la modalidad en que se inscribe.",{"$nulls":15},"CLIENTE",null,null,null,"PROVEEDOR",{"$nulls":7},"USUARIO"]
[]
["Indique con una X su actividad según la siguiente clasificación:"]
[]
["Línea Naviera",{"$nulls":13},"Piloto práctico",{"$nulls":10},"Provisiones y suministros"]
["Importador",{"$nulls":13},"Agente de Carga Internacional"]
["Exportador",{"$nulls":13},"Empresa de Transportes"]
["Agencia de Aduana",{"$nulls":13},"Operador Portuario",{"$nulls":10},"Otro"]
["Agente Marítimo",{"$nulls":13},"Suministro de Personal"]
["Operador de Transporte Multimodal",{"$nulls":13},"Remolcador",{"$nulls":10},"Descripción:"]
[]
[]
["IDENTIFICACION"]
[]
["Tipo de Persona:",{"$nulls":12},"Persona Natural",{"$nulls":5},"Persona Jurídica",{"$nulls":8},"Entidad Pública"]
[]
["Razón Social / Nombre  (completo):"]
[]
["Objeto social o Actividad económica:"]
[]
[]
[]
["¿Certificado de Basc ?",{"$nulls":7},"NO",{"$nulls":4},"SI",null,null,null,"¿Certificado ISO  ?",{"$nulls":6},"NO",{"$nulls":4},"SI",null,null,null,"VERSION",null,null,null," "]
[]
[]
["Documento de Identificación:",{"$nulls":9},"NIT, Cédula de Ciudadanía o Extranjería, Pasaporte, etc., según corresponda"]
["Tipo documento:",{"$nulls":6},"C.C.",{"$nulls":5},"C.E.",null,null,"NIT.",{"$nulls":4},"PASAPORTE",{"$nulls":6},"OTRO:"]
[]
["Documento:",{"$nulls":12},"-",null,null,"de:"]
[]
[]
["Dirección Oficina Principal ",{"$nulls":16},"País / Ciudad",{"$nulls":10},"Teléfono"]
[]
[]
["Apartado Aéreo",{"$nulls":15},"Correo electrónico",{"$nulls":11},"Fax"]
[]
[]
["RESPONSABILIDADES TRIBUTARIAS"]
["Código CIIU  (si es aplicable):",{"$nulls":19},"Tarifa ICA  (si es aplicable):"]
[" (CIIU:  Clasificación Industrial Internacional Uniforme)"]
[]
["Calidad Tributaria:",{"$nulls":13},"Régimen Común",{"$nulls":5},"Régimen Simplificado"]
[]
["¿Es Gran Contribuyente?",{"$nulls":9},"NO",null,null,"Sí",null,null,"Resol#: ",{"$nulls":8},"Fecha:"]
["¿Es Auto-retenedor?",{"$nulls":9},"NO",null,null,"Sí",null,null,"Resol#: ",{"$nulls":8},"Fecha:"]
["¿Exento de Impuesto a la Renta?",{"$nulls":9},"NO",null,null,"Sí",null,null,"Resol#:",{"$nulls":8},"Fecha:"]
[]
[]
["  INFORMACIÓN SOCIAL "]
["Socios o Accionistas (con participación mayor al 30%)"]
["Nombres y Apellidos",{"$nulls":19},"Identificación",{"$nulls":7},"% Participación"]
[]
[]
[]
[]
[]
[]
["Representante(s) Legal(es)",{"$nulls":19},"Identificación",{"$nulls":7},"Dirección y teléfono"]
[]
[]
[]
[]
["MIEMBROS  DE JUNTA  DIRECTIVA "]
[]
["Nombres y Apellidos",{"$nulls":19},"Identificación",{"$nulls":7},"% Participación"]
[]
[]
[]
[]
[]
[]
["DATOS DE LAS PERSONAS QUE REALIZAN Y/O REALIZARAN LA OPERACION"]
[{"$nulls":20}," Identificación ",{"$nulls":7},"E-mail / Teléfono"]
["Contacto Comercial:"]
["Contacto Operativo:  "]
["Contacto Tesorería: "]
[]
[]
[]
[" REFERENCIAS"]
["Referencias Bancarias"]
["Banco ",{"$nulls":6},"No. Cuenta ",{"$nulls":8},"Tipo",null,null,"Sucursal ",{"$nulls":8},"Teléfono ","Contacto "]
[]
[]
["Referencias Comerciales"]
["Nombre o Razón social ",{"$nulls":18},"Contacto ",{"$nulls":12},"Teléfono "]
[]
[]
[]
["DECLARACION DEL ORIGEN DE FONDOS"]
["Yo declaro, bajo la gravedad de Juramento, manifiesto que nuestra empresa y sus empleados conocen bien las normas referentes a la Prevención del Lavado de Activos y Financiación del Terrorismo, que ponemos el mayor empeño en evitar que nuestra empresa se convierta en instrumento de violación de las normas a este régimen, que no he pertenecido ni pertenezco a ningún tipo de grupos ilegales al margen de la Ley, no les he auxiliado o colaborado en el desarrollo de sus actividades ilícitas, como tampoco he realizado actividades de lavados de activos en Colombia o Fuera de ella, que los bienes que conforman mi patrimonio han sido adquiridos  por vías legales en desarrollo de mi profesión o actividad"]
["económica principal"]
["De la misma manera, declaro que no tengo vínculos de parentesco con personas que estén o hayan estado incluidas en listas públicas como sospechosos de Lavado de Activos/Financiación de terrorismo o las empresas de las cuales sean accionistas, o que desarrollen o hayan desarrollado, apoyado o financiado cualquiera de las actividades descritas en el párrafo precedente."]
["Manifiesto que:                                                                                                                                                                                                                    . I).-  todos los datos aquí consignados y los documentos anexos a él, son ciertos, que la información que adjunto es veraz y verificable, y autorizo su verificación ante cualquier persona natural o jurídica, privada o pública, sin limitación alguna, desde ahora y mientras subsista alguna relación comercial con cualquiera de las entidades que pertenezcan a Sociedad Portuaria Terminal de Contenedores de Buenaventura S. A. – TC BUEN S. A. o con quien represente sus derechos, y me comprometo a actualizar la información y/o documentación al menos una vez al año o cada vez que se amerite. Así mismo, autorizo a Sociedad Portuaria Terminal de Contenedores de Buenaventura S. A. – TC BUEN S. A., o a quien represente sus derechos, en forma permanente e irrevocable, para que con fines estadísticos  y de información financiera o comercial, consulte, informe, reporte, procese o divulgue, a las entidades de consulta de bases de datos o Centrales de Información y Riesgo, todo lo referente a mi comportamiento como cliente en general."]
[]
[]
["Nombre del Representante Legal:",{"$nulls":27},"Firma:"]
[]
[]
["Solicitado por:",{"$nulls":27},"Fecha:"]
[]
["Por favor señale los documentos entregados"]
[]
["* RUT  (Registro único tributario)",{"$nulls":19},"* Extractos bancarios últimos 3 meses"]
["* Certificado de Cámara de Comercio menor a 2 meses",{"$nulls":19},"* 2 Certificaciones comerciales"]
["* Estados Financieros al ultimo corte fiscal",{"$nulls":19},"* Mandato poder para la A.A. ACI y OTM (autenticado)"]
["* Fotocopia Declaración de Renta último año",{"$nulls":19},"* Resolución Dian Autorización Actividades a Realizar"]
["* 1 Certificaciones bancarias",{"$nulls":19},"* Copia certificado ISO y/o Basc"]
["* Fotocopia cédula Representante Legal",{"$nulls":19},"* Certificado de Composición Accionaria (opcional)"]

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[{"$nulls":9},"FORMATO UNICO DE VINCULACIÓN PARA \nPROVEEDORES, CLIENTES Y USUARIOS",{"$nulls":20},"Código: FOR-GAF-007"]
[{"$nulls":30},"Versión: 001-2012-10-11"]
[]
["Update Date:",{"$nulls":13},"INITIAL:",{"$nulls":5},"UPDATE:",{"$nulls":7},"INTERNAL CODE:"]
[]
["Put an X in the form in which it belongs:",{"$nulls":15},"CUSTOMER",null,null,null,"PROVIDER",{"$nulls":7},"USER"]
[]
["Put an X its activity according to the following classification:"]
[]
["shipping agents",{"$nulls":13},"Practical pilot",{"$nulls":10},"Provisions and supplies"]
["Importer",{"$nulls":13},"International Freight"]
["Exporter",{"$nulls":13},"Transport Company"]
["Customs Brokerage Company",{"$nulls":13},"Port Operator",{"$nulls":10},"Other"]
["Maritime agent",{"$nulls":13},"Provision of personnel"]
["Multimodal Transport Operator",{"$nulls":13},"Tug",{"$nulls":10},"Description:"]
[]
["ID"]
[]
["Person type:",{"$nulls":12},"Natural Person",{"$nulls":5},"Legal Person",{"$nulls":8},"Public Entity"]
[]
["Name / Company Name (in full):"]
[]
["Company formed for the purposes of:"]
[]
[]
[]
["¿Basc Certificate?",{"$nulls":7},"NO",{"$nulls":4},"YES",null,null,null,"¿ISO Certificate ?",{"$nulls":6},"NO",{"$nulls":4},"YES",null,null,null,"VERSION",null,null,null," "]
[]
[]
["Identification number:",{"$nulls":9},"Certificate of Citizenship or Immigration, Social Security, Passport, etc., as appropriate."]
["(Please include the place of dispatch if ID or the country of origin if passport)"]
[]
["Number ID:",{"$nulls":12},"-",null,null,"From:"]
[]
[]
["Main Adress",{"$nulls":16},"Country / City",{"$nulls":10},"Phone Number"]
[]
[]
["Apartado Aéreo",{"$nulls":15},"Email",{"$nulls":11},"Fax"]
[]
[]
[" SOCIAL  INFORMATION"]
["Partners"]
["Name and Surname",{"$nulls":19},"Identification Number",{"$nulls":7},"% Share"]
[]
[]
[]
[]
[]
[]
["Legal Representative Names",{"$nulls":19},"Identification Number",{"$nulls":7},"Adress and Phone Number"]
[]
[]
[]
[]
[]
["CONTACTS"]
[{"$nulls":20},"Identification Number",{"$nulls":7},"E-mail / Phone Number"]
["Bussines Contact:"]
["Operational Contact:"]
["Treasury Contact:"]
[]
[]
[]
[]
["REFERENCES"]
["Bank References"]
["Bank  ",{"$nulls":6},"No. Account",{"$nulls":8},"Type",null,null,"Office",{"$nulls":8},"Phone Number","Contact"]
[]
[]
["Trade References"]
["Company Name",{"$nulls":18},"Contact",{"$nulls":12},"Phone Number"]
[]
[]
[]
["ORIGIN OF FOUNDS"]
["I declare that our company and its employees are familiar with the rules concerning to detect practices associated to asset laundering, we place utmost effort to ensure that our company is not used for such purposes."]
[]
[]
["I hereby swear under penalty of perjury, that the information provided herein and the documents attached are accurate and true, and authorize verification of any other person or entity, public or private, without limitation, for now and while exists any relationship with any of the entities belonging to Sociedad Portuaria Terminal de Contenedores de Buenaventura S. A. – TC BUEN S. A. or who represents their rights, and agree to update information and / or documentation at least once a year or whenever warranted.\n\nI further attest that the funds and/or products / merchandise engaged in this exchange transaction are derived from non-criminal origin, and are clean and cleared.  The origin of funds or goods is in compliance with the Patriot Act of 2002 and Anti-Money-Laundering Policies as set forth by the Financial Action Task Force (TATF) 6/01.\n\nAlso, authorize TC BUEN S. A., or who represent their rights, permanently and irrevocably, for statistical purposes and for financial information or trade, consult, inform, report, process or disclose to entities query databases, and Risk Information Centers, everything about my behavior as a client in general."]
[]
[]
[]
["Legal Representative Name:",{"$nulls":27},"Signature:"]
[]
[]
[]
[]
["Requested by:",{"$nulls":27},"Date:"]
[]
["Please complete the entire form and attach the following documents:"]
[]
["State Certificate"]
["Corporative Registration"]
["Federal ID."]