EFTA Document EFTA01356731

KYC Print Page 6 of 35 OMItsheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details or all parties) Individual's Name: Juan Fernando Belmont Anderson - Date of Birth. Country of Residence' Peru Country of Citizenship. Peru Address of primary residence- Lima 27 Peru Has client resided outside of his/her country of nationality for 5 years or more? 0 Yes ,4 No Professon, Occupation: Founder & Owner Tax ID SSN Current Empl