EFTA Document EFTA01387988

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 30. Individual Details 'or all part es. Individual's Name: Date of Birth, Country of Residence Country of Ofizensho Address of primary residence- Has client resided out sce of his/her country of nationality for 5 years or Dyes! . No more? Professor, Occupat ion N A Tax ID .' SSN Current Employer: N A Position/Title' Rank NSA Address of employer: N A Does the person work as sen