EFTA Document EFTA01387980

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details (for all parties) Individual's Name: Date of Birth. Country of Residence' Country of Citizenship Has client resided outsice of ha/her country of Address of primary nationality for 5 years or residence- more? 0 yes .i. No Profession, Occupation: Tax ;D SSN Current Employer: N/A Position/Title/Rank: N A Address of employer: N/A Does the person work as senior ex