EFTA01454074.pdf

Deutsche Bank Private Wealth Management Structured Products Agreement and Approval Form Please Complete All Sections Account No. Account Type: O Individual OJoint ['Trust ❑Pannership ['Limited Liability Company OCorporation O IRA OERISA Other Account and Owner Information (Provide requested inlomiation for each account owner (-Client"). Attach supplement to this Agreement if necessary.) *Tt1911 MOW* SIM • NES VMS Name(s) of person(s) other than account ownerls) authorized to place orders for the account: Client(s) Financial Information V. r1.3 .: Anotoereete Nei Wail, 1,1,10 Nat Wain Excluding Pnnetcal At:soden«, El O Less than 550.000 $50.000 - $99.999 Salary/Bonus % O Less than $50,000 O Less than $50,000 Interest/Dividends % O St 00,000 - $249.999 O $50,000 - $99,999 • $50,000 - $99,999 Other (specify): • $250,000-5499,999 O $10(1.000 - $249,999 O S100,000- $249,999 • $500,000 - $999.999 % O $250,000 - $499,999 • S250.000 - 5499.999 • $1.000000 - $2,499,999 % O $500.000 - $999,999 O $500,000 - 5999,999 E $2.500,000 - S4,999.999 oh, O $1,000,000 - $2,499,999 • $1,000,000 - $2,499,999 O $5,000,000 and over O $2,500,000 - $4,999,999 O $2,500,000 - 54.999.999 O $5.000.000 and over • $5,000,000 and over Investment Experience of Account Owner(s) • O O Sat Other (Specify) Investment Objectives for the Client Account: ❑Capital Preservation ❑ Income O Growth O Aggressive Growth Deutsche Bank Private Bank: O Reserve Cash Management O Growth O Fixed Income O Client-Defined Objectives (specify below) O Income O Maximum Growth O Growth and Income III IIIIIIIIIIIII SF 09.PWM-0128(05/111 0084050.051611 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0111996 CONFIDENTIAL SDNY_GM_00258180 EFTA01454074