EFTA01372902.pdf

DataSet-10 1 page 394 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) Indwkluars Name: Date of Birth: Country of Residence: USA Country of Citizenship: USA Has client resided outside of hisher country of nationality for yes # 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 0S-recognized regulated entity in the financial ndustsy, or an entity feted on a DO-recognised exchange> (Not applicable for operatingentities . Yes 1 No Is the individual a Politically Exposed Person (PEP)liretg J. Yes I No To the best of your knowledge, Is the individual related to an employee of the DB groupliFismfee ' Family 1.-- Friendship 1 None a - Friendship, *sate) To the best of your knowledge, is the individual party to a nombanking relationship with Deutsche u it No Yes Bank (e.g., external legal counsel, client referral source, supplier of goods or services)70/ Yesdesolbe) Indicate where and when the dent mceting(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: Domkile: Business: (3 ii Wealth Details for this Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parks requiring source of wealth description as indicated in Secton 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: • . 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 settlor accumulate wealth> For inheritance, how did family accumulate weakh>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(S): Estimated amount of investable assets(S): Estimated Net Worth($): Amount of asses planned to invest wth PWM($): Other Known F. anal Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe://dbforcepb.my.salesforce.comiserylet'servlet Integration>lic>O1N30000000D9D4eci=5003200001EHPpb&ict l&linkToken.VmpFPSxNakF4T 22.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066808 CONFIDENTIAL SDNY GM_00212992 EFTA01372902
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2fef59d92a78bcd52cd1de6ab69d4202420afadf1f400b5e0175b0797d0a391f
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EFTA01372902
Dataset
DataSet-10
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document
Pages
1

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