EFTA Document EFTA01431183

All Unique Case Number(populated by Lavastorm) Client-ID Matching Engine Private Name Last Name First Name DOB/DOI Nationality (n/a LE) Address Country of registered address (mail adress) Domicile (LE country of incorporation) Role (e.g. AH, PoA, BO) Account ID Account Holder Name Account Holder First Name Client Relationship Manager Question I (for all accounts) Is the account used as a pay-through account? Question I (for all accounts) Has the client signed DB's tax self-