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efta-efta01372903DOJ Data Set 10CorrespondenceEFTA Document EFTA01372903
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Unknown
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DOJ Data Set 10
Reference
efta-efta01372903
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7,15.2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
3A. Individual Details (for all parties)
Individual's Name:
Date of Birth:
Country of Residence:
USA
Country of Citizenship:
Address of primary residence:
Has client resided outside of
his,her country of nationality for
5 years or more>
yes sr No
Profession/Occupation:
Tax ID ; SSN:
Current Employer:
Position/Title/Rank:
Address of employer:
Does the person work as senior executive of a DB-recognised regulated entity in the financial
ndusby> or an entity Voted on a DO-recognised exchange> (Not applicable for operating entities
.
Yes
No
1
Is the individual a Politically Exposed Person (PEP)?(Yres describe)
Yes
1 . No
To the best of your knowledge, is the individual related to an employee of the DB group/(,Fd~
or Friendship, ~a)
'
Family
1....- Friendship
1 None
To the best of your knowledge, is the individual party to a non-banking relationship wkh Deutsche
Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?(/
Yesdesaibe)
ri y45
iitl No
If applicable, indicate which bank officers have met the person:
Indicate where and when the chent meeting(s) took place:
Bank Officer Name(s)
Bank Of0ce:
Client Private
pomkik:
Client Place of
Business:
Other Location (specify):
(3
0
U
Wealth Details for this Individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for pat requiring source of wealth description as indicated h Settron 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:
•
. Business Owner
Salary/F-amings
. Investment
• Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate wealth> For inheritance, how did
family accumulate weakh>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(3):
Estimated amount of investable assets(f):
Estimated Net Worth(;):
Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:
Est. Assets Under Mgt:
Institution:
Est. Assets Under Mgt:
Institution:
Est. Assets Under Mgt:
btips:ildblorcepb.my.salesforce.comiseryletservlet Integration>lidn0 I N30000000D9D4exl=5003200001EHPpb&icu 1 &linkToken=VMpFPSxNakF4T
24.43
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0066810
SDNY GM_00212994
EFTA01372903
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