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efta-01372859DOJ Data Set 10Other

EFTA01372859

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Unknown
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DOJ Data Set 10
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efta-01372859
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1
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
715:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all pa ) Indrvkluars Name: Date of Birth: Country of Rest:fence: Country of Citizenship: Address of primary residence: Has client resided outside of hrsiher country of nationality for 5 years or more' Yes I No Profession/Occupation: Tax ID / SSW Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior executive of a DB.recognized regulated entity in the financial ndustry> or an entity listed on a DB-recognised exchange> (Not applicable for operating enbties ves 1 rto Is the individual a Politically Exposed Person (PEP)?(K Ye; desaibe) i , yet No To the best of your knowledge, is the individual related to an employee of the DB grouP701 FOCI* cr Friendsh(, dente) . Family : Fnendship :I None 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 servrcesp(f Yeas's/bee) Yes If applicable, indicate which bank officers have met the person: Indicate where and when the client metting(s) took place: Bank Officer Name(s) Bank Office: Client Private Do mole: dent Place of Business: Other Location (specify): Date: LJ r—, . 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 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: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth fo each of the sources: (e.g. For truss, how did settlor accumulate wealth> For inheritance, how did family accumulate wealth>For business owners, how long in business, how many employees, level of profitability> Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income($): Estimated amount of Investable assets(S): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: County: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https:ildbforcepb.my.sa lesforce. comiseNlet,serviet nteg ration7i id =01 N 30000000D9th&eid=5006000000kz Nty&ic=1&finkTokenz:Vmp F PSx N a kF 4T I 12. >5 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066758 SDNY GM_00212942 EFTA01372859

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