EFTA01583236.pdf

J.P. Morgan Over The Counter Derivatives Approval Form for Equity Options and Structured Products B. ARBITRATION; CONSENT TO 3URISOICTION; SERVICE OF PROCESS (cont.) SHALL BE • I AGREE THAT THE TERMS OF ANY SETTLEMENT, OR ANY AWARD DETERMINED BY ARBITRATION, CONFIDENT/AL AND SHALL NOT BE DISCLOSED BY X.MS OR ANY OTHER J,P. MORGAN AFFILIATE UNDER ANY CIRCUMSTANCES, UNLESS REQUIRED BY APPLICABLE LAW, JUDICIAL PROCEEDING OR SRO RULE. C. Pre-Dispute Arbitration and Acknowledgement level as indicated above, (2) I Shall promptly By signing this Agreement, I aeknowledge that: (I) I requested the options approval clraarstances and options Investment objectives, advise J.P. Morgan Securities MC, In writing, or any material changes In my (Iinane:MI and (3) in accordance with above, tam agreeing In advance to artittnete any controversies that may arise In connection with me a unto with J.P. Morgan Securities Ile. D. Signatu to sign below) 1 JEFFREY E. EPSTEIN A." 5 Date Name (Print) Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature J.P. Morgan Use Only including: investment objectives, Investment Approvals: I have reviewed the above information concerning the dent's suitability, experience, and rtnandal condition Date R-4 CI )7,) JPM RR Signature 1Phi ROSFP Signature Date 1PM S-ROSFP Signature (Structured Products and Eq Options Levets 5 & 6) The SPN CAS l.P. Morgan Use Only Sanker/lirtadar W13 U51074 Page 2 of 2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062871 EFTA01583236