EFTA01372899.pdf

DataSet-10 1 page 395 words document
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715.2019 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: Country of Citizenship: Has client resided outside of his/her 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 DB-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 incividual 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 group-WM/77"Y ' Family 1....- Friendship 1 None a - Friendship, desofbe) 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: pomkile: 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 Indnoduars 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 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(S): Estimated amount of investable assets(S): Estimated Net Worth($): Amount of assets planned to invest wth PWM($): Other Known F. anal Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe://dbf0rCepb.my.salesforce.comisendet'servlet IntegratiorOlid=01N30000000D9D4ffid=5003200001EHPpb&ictl 8,linkToken=VmpFPSxNakF4T 18.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066804 CONFIDENTIAL SDNY GM_00212988 EFTA01372899
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574ffc23e77d2e6bdfa5131c0e0f6b80505d337cac84a5928f8797645d1e4031
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EFTA01372899
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DataSet-10
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document
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1

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