EFTA Document EFTA01381918

li. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide thefollowing information: a. Name and Title of Natural Pramn Ofrgning Account' 7: PA- --t ‘. . C-t ri-eOA1 Sat (tk.‘_,...46 -4 V b r.,,sru a of t. cog t nOty. Type 7 f 02,1: E Iry iS BelgOpne. Ts. oskj 4-4 t; at, 1, 4 r (.04.0.ecuAl 610 O k.kock Oucork•er g 3 Visa 4 a.s, L.1SQ ta5i. c. The fogov.log information for eath indivklue1/4 if any. WhO, diret;dy or indirectl