EFTA Document EFTA01372889

715.2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Indrvkluars Name: Date of Birth: Country of Residence: USA Country of Citizenship: USA of primary residence: Has client resided outside of his her country of nationality for 5 years or more> yes # No Address Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work