EFTA01387989.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details 'o' out: csi Individual's Name: Date of Birth Country of Residence Country of Of ze-sh o Has cent rescieo cutsce of his' her country of Address of primary nationality for 5 years or Dyes ••,. No residence- more? Professor+, Occupat ion N A Tax ID: SSN Current Employer: N A Position/Title: Rank N A Address of employer: N A Does the person work as senior executive of a DB-recognized regulated entity in he financial industry? or a entity listed on a OB-ratogn ised exchange? (Not Dyes kw/. No pplicable for operating entities wr No ...4 Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) N/A Dyes To the best of your knowledge, is the individual related to an employee of the DB 0 Family 0 Friendship P3 None groupWit Family or Friendship, describe) NIA 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 Dyes .... La No source, supplier of goods or services)?(if Yes,describe ) NIA If applicable, indicate which bank officers have met Indicate where and when the client meetings) took place the person: Client Oient Place Bank Officer Name(s) Bank Office: Private Other Location (soecity! Date of Business Domicile: 0 D 0 • 0 0 D 0 0 nWealth Details for this individual are rot filled ri because they are :he same as for the following person. 38. Wealth Details (Only for parties recur, ng source of weaTh oesc—pticr as ind ceed in Section 21 Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: DBusness Owner 0 Salary/Earnings • Investment LiInhentance/Gifts JOther. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091292 CONFIDENTIAL SDNY GM_00237476 EFTA01387989