EFTA01363763.pdf

DBSI High Risk Media Communication Sheet . I - Account Number( Type of Account Change: Address of Record Telephone Number E-mail Type of Asset Movement: USD WIRE NON-USD WIRE ACH CHECK JOURNAL DTCJEUROCLEAR Reg E Wire (If marked, complete and attach additional documentation required.) Standing Instructions (select one): Initial Setup Pre-Established II . DocaSign (all amounts)—Proceed to Section IV once complete I processed the request via the Knowledge Based Authentication (KBA) I recognized Client's voice and verbally provided the Access Code via outbound call to a phone number on file (Complete the details of the outbound call below.) III- Non-DocuSign—Verification of Contact with Client—By signing below. lam certifyino the following: L I recognized the Client's voice based on prior conversations, OR confirmed accurate responses to three authent questions Callback Determination/Rationale—Circle—YES'', NO andfcheck the appropriate rationale adjacent (each YES or NO response must be accompanied asking the applicable rationale) NO Reason Callback is not required for pre-established standing instructions on tile Callback is not required for same name internal asset transfers USD Domestic Funds/Asset transfer s$50X (Verbal Instructions) YES Reason Initial standing Instructions Non-USD FX transactions Funds/asset transfer to International locations USD Domestic funds/asset transfer 450K (Written LOA or email instructions) USD Domestic funds/asset transfers 450K € Account changes such as, address, phone, email IV- I confirm • Signer(s) is/are aumortzeci to act on account • I have completed signature verification (non-DOCuSign only) • I have reviewed this transaction for consistency • Indemnitication language is on file (non-DocuSIgn only) with Client's historical/expected account activity V - Additional information $6 Asset movement amount: ,°°°,000 Same Name Internal ro.ree nor penionitil spolart voth Teter he-7.t ondmr veld roi the Callback or Date and leo,. el Colltfoci or outbound call (DocuSign ortyl lnboundhoutbaund rte Liam oiSullIvan Mom Of Etrearrett veto wen/rape onzinal entrtairris Pr:-.1zia.r•e Liam O'Sullivan Dirtieon9 „Signature Employee Completing euthenbralith Pent mete Cute Signawre el the Employ*a performing intleveredent callback th,ot nom,' Dote . NIB Branch Management Approval is evidenced in NetX in accordance with HRM Policy. BSO Approval (if necessary) Is evidenced in NetX in accordance with HRM Policy. IMO • The term "Client" refers to the account holder or any individual who has been authorized by Client to transfer assets or Mee aaa= X provide change of contact information. Please refer to the High Risk Media Policy--Deutsche WM Americas, USA. c0 WM ()BSI for more information: htips:lidlopolicyportalintranet.db.comigpagiodf/0G0leSbe802112d6/filenarnejs_nulivil =Igo r.:- -.s =Mr fa 201) Do•Aeleta Stet AG. An rights reserved. WtAV032fAt 014S36 110517 For Internal Use Only CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0054024 CONFIDENTIAL SDNY_GM_00200208 EFTA01363763