EFTA01408572.pdf

Deutsche Bank Wealth Management DBSl High Risk Media Communication Sheet I-AccountNumber(s): Type of Account Change: Address of Record Telephone Number Type of Asset Movement: / USDWiRE NON-USDWIRE ACH DTC/EUROCLEAR E-maii CHECK JOURNAL Reg E Wire (If marked, complete and attach additional documentation required.) Standing Instructions (select one); Initial Setup Pre-Established II - DocuSign (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.) Ill - Non-DocuSign—Verification of Contact with Client—By signing below, I am certifying the following; ❑ I recognized the Client's voice based on prior conversations. OR ❑ I confirmed accurate responses to three authentiMtion questions Callback Determination/Rationale—Circle—YESormO arKycheck the appropriate rationale adjacent (each YES or NO response must be accompanied bVcbetJking the applicable rationale) NO Reason I 1 Callback is not required for pre-established standing instructions on file [/I Callback is not required for same name internal asset transfers [-1 USD Domestic Funds/Asset transfer <$50K (Verbal Instructions) YES Reason L I Initial standing instructions n Non-USD FX transactions I I Funds/asset transfer to International locations I I USD Domestic funds/asset transfer <$50K (Written LOA or email instructions) ❑ USD Domestic funds/asset transfers >$50K n Account changes such as, address, phone, email IV -1 confirm • Signer(s) is/are authorized to act on account • I have reviewed this transaction for consistency with Client's historical/expected account activity • I have completed signature verification (non-DocuSign only) • Indemnification language is on file (non-DocuSign only) . $6,000,000 V - Additional information Asset movement amount: Same Name Internal Telephone number used for the Callback or EFTA01408572 outbound call (DocuSign only) Name of the person(s) spoken with Date and time of Callback or inbound/outbound call A 1/10/19 Liam O'Sullivan R^nati^ of Employee who received the original Instructions Eignature of Employee Completing authentication Print name Liam O'Sullivan Print name Date 1/10/19 Date Signature of the Employee performing independent callback Print name Date 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. * The term "Client" refers to the account holder or any individual who has been authorized by Client to transfer assets or provide change of contact information. Please refer to the High Risk Media Policy—Deutsche WM Americas, USA, WM DBSl for more information: hups://dbpolicyportal.intranet.db.com/gpag/pdf/- 0901e5be802fl2d6/filename is null.pdf 2 For Internal Use Only 02017 Deutsche Bank AG. All rights reserved. WM179268 014536.110617 EFTA01408573