EFTA01372857.pdf

715:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all pa ) Indrviduars Name: Date of Birth: Country of Resdence: Country of Citizenship: Has client resided outside of hrsiher country of nationality for Yes I No Address of primary residence: 5 years or more' Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior executive of a DB.recognized regulated entity in the financial ndustry> or an entity listed on a DB-recognised exchange> (Not applicable for operating enbties ves 1 rto Is the individual a Politically Exposed Person (PEP)?(K Ye; desaibe) i , yet No To the best of your knowledge, is the individual related to an employee of the DB grouP701FOCI* . Family : Fnendship tre None a Friendsh(, dente) To the best of your knowledge, is the individual party to a non -banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or servrcesp(f yes Yeas's/bee) Indicate where and when the client metting(s) took place: If applicable, indicate which bank officers have met the person: Client Private dent Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: LJ . Wealth Details for this individual are not filled in, because they are the same as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth fo each of the sources: (e.g. For truss, how did senior accumulate wealth> For inheritance, how did family accumulate wealth>For business owners, how long in business, how many employees, level of profitability> Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income($): Estimated amount of Investable assets(S): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https:i/dbforcepb.my.salestorce.com/servletservlet integration7ild=01N30000000D9Di&eid=5006000000kzNty&ic=1&linkTokensVmpFPSzNakFATI... 1025 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066756 CONFIDENTIAL SDNY GM_00212940 EFTA01372857