EFTA01372814.pdf

7 5 2019 1\YCi Punt One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownersh Su rama r 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Has client resided outside of his/her country of nationality Yes if No Address of primary residence: for 5 years or more? Profession/Occupation: N/A Tax ID / SSN: Current Employer: N/A Posibon/Teleffiank: N/A Address of employer: NA Does the person work as senior executive of a 0B-recognized regulated entity in the financial ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities ' Yes A No Yes I No Is the individual a Politically Exposed Person (PEP)?(( Yes, desert e) N/A To the best of your knowledge, is the individual related to an employee of the DB group?(/ , Family Friendship A None Familyor Afendshlp, describe) N/A To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)? (if Ya,desaibe) N/A If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Client Private Client Placed Bank Officer Name(s) Bank Office: Domicile: Business: Other Location (specify): Date: Wealth Details for this individual are not filled in, because they are the same as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Indrviduars Business: Primary Country of source of wealth/source af Funds? Primary industry d source of Wealth/Source of Funds? Summarize Source of Wealth: Business Owner Salary/Earnings -... Investment 1...i Inheritance/Gfts Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. Fa Mists, how did settler accumulate wealth? For inhentance, how did family accumulate wealth7For business owners, hew long in business, how many employees, level of profitability? Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income($): Estimated amount of investable assets(;): Estimated Net Worth(f): Amount of assets planned to invest with PWM(S): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dblorcepb.my.salesforce.comiserviet/seivletIntegration?lid=01N30000000D9DiSeido5000e00001NOBxm&ic= SiiinkTokeneVmpFPSxNakEd. 2042 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0066698 CONFIDENTIAL SDNY GM_00212882 EFTA01372814