EFTA Document EFTA01356698

KYC Print Page 26 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all part es) 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 senior exec