EFTA01372894.pdf

DataSet-10 1 page 399 words document
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7'15.2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Indrvkluars Name: Date of Birth: Country of Residence: USA Country of Citizenship: Russia Has client resided outside of hisher country of nationality (or yes rrf No Address of primary residence: 5 years or more> Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the penal work as Senior executive of a 06-recognized regulated entity in the financial ndusby> or an entity feted on a DO-recognised exchange> (Not applicable for operating entities . Yes I No Is the individual a Politically Exposed Person (PEP)?(//f Ye; dente) Yes I No To the best of your knowledge, Is the individual related to an employee of the DB groupliFirmifY ' Family 1....- Friendship 1 None a - Friendship, deso(e) To the best of your knowledge, is the individual party to a noffibanking relationship wth Deutsche u it No Bank (e.g., external legal counsel, client referral source, supplier of goods or serrices)70/ Yes Yesdesolbe) Indicate where and when the dent meeting(s) took place: If applicable, indicate which bank officers have met the person: Client Private Client Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: (3 ii Wealth Details for the Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated in Secton 2) Nature of the Indwoduars Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds> Summarize Source of Wealth: • . Business Owner Salary/F-amings . Investment • Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settler 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 motor activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets(f): Estimated Net Worth($): Amount of assets planned to invest wth PWM($): Other Known F. ancial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe://dbl0rCepb.My.salesforce.comiserylet'servlet Integration?'id =01N30000000D9D4eici=5003200001EHPplo8tiO=r1edinkToken= VrnpFPSx Na kF4T 12.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066798 CONFIDENTIAL SDNY GM_00212982 EFTA01372894
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2f64354bf3b7f85b306dd73e3606013facb87b1404bd466640e1912224a43345
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EFTA01372894
Dataset
DataSet-10
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document
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1

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