Text extracted via OCR from the original document. May contain errors from the scanning process.
715.2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
3A. Individual Details (for all parties)
Indrvkluars Name:
-
Date of Birth:
Country of Residence:
Country of Citizenship:
Address of primary residence:
Has client resided outside of
his/her country of nationality for
5 years or more>
yes # No
Profession/Occupation:
Tax ID / SSN:
Current Employer:
Position/Title/Rank:
Address of employer:
Does the person work as Senior executive of a DB-recognized regulated entity in the financial
ndusby> or an entity feted on a DO-recognised exchange> (Not applicable for operating entities
.
I
No
Yes
Is the incividual a Politically Exposed Person (PEP)?(//f Ye; dente)
Yes
I No
To the best of your knowledge, Is the individual related to an employee of the DB group-WM/77"Y
a - Friendship, desofbe)
' Family
1....- Friendship
1 None
To the best of your knowledge, is the individual party to a noffibanking relationship wth Deutsche
Bank (e.g., external legal counsel, client referral source, supplier of goods or serrices)70/
Yesdesolbe)
u Yes
it No
If applicable, indicate which bank officers have met the person:
Indicate where and when the dent meeting(s) took place:
Bank Officer Name(s)
Bank Office:
Client Private
pomkile:
Client Place of
Business:
Other Location (specify):
Date:
(3
ii
Wealth Details for the Individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parties requiring source of wealth description as indicated in Secton 2)
Nature of the Indnoduars Business:
Primary Country of source of wealth/source of Funds>
Primary industry of source of Wealth/Source of Funds>
Summarize Source of Wealth:
'
. Business Owner
Salary/F-amings
. Investment
• Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate wealth> For inheritance, how did
family accumulate wealth>For business owners, how long in business, how many employees, level of profitability> Indicate type of business, countries of major
activities, important business partners.)
Estimated Annual Income(S):
Estimated amount of investable assets(S):
Estimated Net Worth($):
Other Known F. anal Institutions:
Amount of assets planned to invest wth PWM($):
Institution:
Country:
Est. Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
httpe://dbf0rCepb.my.salesforce.comisendet'servlet IntegratiorOlid=01N30000000D9D4ffid=5003200001EHPpb&ictl 8,linkToken=VmpFPSxNakF4T
18.43
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0066804
SDNY GM_002 12988
EFTA01372899