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efta-01370539DOJ Data Set 10Other

EFTA01370539

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DOJ Data Set 10
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efta-01370539
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
By signing below, I hereby confirm that the representations made in this Structured Products Agreement and Approval Form are true to the best of my knowledge. Client signature block:" Titte of Account Sitratitre Signature Nar-e Name Date Date 'If this is a joint account, all joint account holders must sign. The following signature block should be used for a Trust, Partnership, Limited Liability Company or Corporate client. Tile of Account Signature Name Date i Title If this is a trust account check as appropriate I Trustee Q Co-Trustee For Deutsche Bank Office Use Only stir Signature Print Investment Specrakst Name Dole Manager Approval Signature Date Print Manager Name Please submit all completed and fully executed forms to Compliance via NetX360. "Deutsche Bank means Deutsche Bank AG and its affiliated companies. Deutsche Bank Wealth Management represents the wealth management activities conducted by Deutsche Bank AG or its subsidiaries. Brokerage services are offered through Deutsche Bank Securities Inc., a broker-dealer and registered investment adviser, which conducts investment banking and securities activities in the United States. Deutsche Bank Securities Inc. is a member of FINRA, NYSE and SIPC. © 2017 Deutsche Bank AO. AU rights reserved. WM179078 SPAR OBSI 011017.083017 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0063434 CONFIDENTIAL SDNY_GM_00209618 EFTA01370539

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