EFTA Document EFTA01392656

• • , it t t ATM/Debil.SeSide. YettetPee'lhet retention of use O.1heATWD0bit Card constitutes acceptance of theierms and conditions of the: Cirdholday Aareihnintiaantlinedin'the Terrrisphd Ciiedliionobt Deposit Artaunta: Internet Banking' Service. if you have selected to receive Internet Banking:Services. You understand that you will be required to entorTinto a Separate:Internet Banking Services Agreement with DBTCA before you can actosactie Internet Banking Service. Acknciwledgeriierit of Receipt of Pfitgley NOtica: . . . tt,.signiiin bele* you acknowledge receipt of befeks"Piivaey Notice hicluded in the Application Package. In:div.104a.la:torOirmation• of Tax.en.dtprppliancellesponSib.ilities. abilDetidesend any eiher.rtvaeleterY reporting duties eePiieabie to you in.**.fibiviint gehtiitaikria :diet Mai** in Conntittleit'With easels.: income or trenSaetionelpielip aCCOUgi(S) entlyeertuitineettitileteetteNtiveth ogre& Non-US Otgahizationt:tonfintation 'of Tax and Compliance Responsibilities. Yee Confirm thil your resPernlibilitiriolultillsny tax ebligaiions and any other,icguiatory reporting dui* atipheeble . to it in argerelevantiuriedieliceitt that may arise in connection With assets.; income of transactions itryouyliceoimt(s) and your business relationship with eticA. Furthermore,.y60 ccinfini ttiat.me necesSenrinforniation.00 Pie best 01 yotir Cast/Menge and capibilidesl 6 made available-no lesS.than annUentle. the relevant beneficial Senile). settloSti); bar Site aryi es) Partrer(i).*etc. to:enable:hint/her/ them to fulfill any respective lei obligations that may arise 'SWIMS,/ thorn ineonnection with your business relationship Wen:08TCA. Please complete antiattach separate W;.8 or W-0 ciodUrooktatioO Terms; and Conditions and. Representations. . . . . Bysigning below, YOU acfracnetiddilleeiPt too:foirns . fokonioth)%04ounts0itectirilio eda .APphcatkin and agree to be bound: by. thorn: jOadditiori.'yoO agree to *Willy us anintisitaielY of sininifierial chapattis; the Information provided by you on this AppliCation. You represent' nd Warrant that all of the infoiinstibri Provided by you on tht NatrIkatia; ii katallie. The Terms and Conditions tort Deposit Accountserp sir • 1.10 change. littepto bS °ma. Aznaurit Holder. iNgna Jeintlictdodit Hdk14Y Signatunr For Na Data Accept 'Pao S149 Dolt hy.D8TCA, NOC 3 - att -7( S. 13-AwNi-0roi 013%3 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL D B-SD NY-0097916 SDNY_GM_00244100 EFTA01392656