EFTA Document EFTA01375862
KYC Print Page 15 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Gordon, Bnce M. - Date of Birth: 1/4/1961 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 49 Zorro Ranch Rd Stanley 87056 United States Has client resided outside of his/her O country of nationality for 5 years or more? Yes ck No Profession/Occupation: Manager Tax
Summary
KYC Print Page 15 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Gordon, Bnce M. - Date of Birth: 1/4/1961 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 49 Zorro Ranch Rd Stanley 87056 United States Has client resided outside of his/her O country of nationality for 5 years or more? Yes ck No Profession/Occupation: Manager Tax
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