ifor.pa ght . Wfibr h:WirrAtin alltar‘er a.,W4Witargagrar - ?MI* r 'et: , • . I kiiihrcrr 4koi fp• Prn• N it i Cr 48 ."'" gfi lci".r heat rtsI 4M Fvr liti elefA r ba l lrea ° MaI S7ritA NIP " 4 ipe i;•aP•• 4.% • al • (' k • S4' $!.. 00, Oats Date afig :7st' Vpis 4 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of OBTCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in your account(s) and your business relationship with OBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that h is your responsibility to fulfill any tax ebligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountls) and your business relationship with DIITCA. Furthermore. you confirm that the necessary information (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s), beneficiarybes), partner(s). etc. to enable hirrJher/ them to fulfill any respective tax obligations that may arise for himrher/ them in connection with