One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details 'or all part es.
Individual's Name: Date of Binh:
Country of Residence Country of Citizenship:
s client resided outside
f his/her country of
Address of primary
ationality for 5 years or O yes :hi No
residence- ore?
Professon, Occupation N A Tax ID I SSN
Current Employer: N A Position/Title: Rank
Address of employer: N A
Does the person work as senior executive of a DB-recognized regulated entity in
he financial Industry? or an entity listed on a OB-ratogn ised exchange? (Not ElYes kw/. No
pplicable for operating entities
Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) N/A O Yes ...4 No
r
To the best of your knowledge, is the individual related to an employee of the DB O Family O Friendship g None
groupWit Family or Friendship, describe) NIA
To the best of your knowledge, is the individual party to a non-banking
relationship with Deutsche Bank (e.g., external legal counsel, client referral IDYes .w"
4 No
source, supplier of goods or services)?(if Yes,describe ) NIA
If applicable, indicate which bank officers have met Indicate where and when the client meetings) took place
the person:
Client
Oient Place
Bank Officer Name(s) Bank Office: Private of Business Other Location (soecityi Date
Domicile:
O ❑ O
• O O
D O O
nWealth Details for this individual are rot Mel ri because they are the Sate as for the following person.
38. Wealth Details (Only for parties recur, ng source of weaTh oesc—ptsr as rad need in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/source of Funds?
Primary industry of source of Wealth/Source of
Funds?
Summarize Source of Wealth:
DEtuartess Owner O Salary/Earnings • Investment LiInhentance/Gifts
JOther.
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091288
CONFIDENTIAL SDNY GM_00237472
EFTA01387987