EFTA Document EFTA01356693

KYC Print Page 20 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) I I I I Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Address of primary residence: Has client resided outside of his/her country of nationality for 5 years or more? Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work as