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EFTA Document EFTA01384733
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efta-efta01384733DOJ Data Set 10Correspondence

EFTA Document EFTA01384733

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DOJ Data Set 10
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
HUBUS133 Alpha Group Capital SECTION A — SIMPLIFIED CUSTOMER DUE DILIGENCE Please complete the appropriate section below, otherwise full documentary evidence must be provided for Standard Due Diligence to be performed according to legal entity form. N.B. The below applies only to entities in a Low Risk jurisdiction (see list on page 5) cc CREDIT OR FINANCIAL INSTITUTIONS TRANSACTING ON THEIR OWN BEHALF. Please provide the following information if the investor is a Credit or Financial institution: Proof of Regulation Proof of Investment on Its own behalf Authorized Signatory List x COMPANIES LISTED ON A REGULATED MARKET. Please provide the following information if the investor is a Listed Institution: Name of Company Authorized Signatory List Name of Stock Exchange and Symbol or Listing ID x PUBLIC BODY. Please provide the following information if the investor is a wholly owned government entity: Name of Public Authorized Signatory List x PENSION FUND that can provide the following: Certificate of registration with a government; and Proof that the contributions are made by employer or by way deduction from an employee's wages, and Proof that the scheme rules do not permit the assignment of a member's interests under the scheme; and the investor is domiciled in a Low Risk jurisdiction Authorized Signatory List 7 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0085210 CONFIDENTIAL SDNY_GM_00231394 EFTA01384733

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