EFTA Document EFTA01345198

KYC Print Page 5 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Secdon 2. Account Ownership Summary 30. Individual Details (for all parties) Individual's Name: Darren I ndyke - 00000486405 Date of Birth. 2 19 1965 Country of Residence USA Country of Citizenship. USA Address of primary residence- 2 Kean Court Livingston NJ 07039 United Slates Has client resided outside of his/her country of nationality for 5 years or more? O Yes V. Na Professor+, Occupation.