Account Tjile and JointAi opli nCCatio Information Inds, Name int Joint Applicant . Oast name, 11 (last rime. fi'st name, middle Initial) s7ciersia' &lcu AffirTr . Perm tn. 49 4or Social Security Number or Taxpayer ID Number Address C ty, Stern end Zip Code Nome Telephone Number Business Telephone Number ()stoat arm Nis Mine Name of Employer Address Named Employer Not epidkabi• City. Suite and Zip Code Notice of Customer Identification Policy Address tint, ram snalii—Rode Important Information To help the government fight the fundkig of terrorism end money laundering activities, Federal law requires all financial institutions to obtain, verify. and record information that identifies each person who establishes en account investment or other business relationship with a financial institution. This means that we will ask for your name, address. end other information that will allow us to identify you. We may also ask to see identifying documents such as a certificate of formation or good standing (legal entities) or e passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering end terrorist financing: these rules call for an active involvement of both asset management fiims and their clients. For new and existing clients we Currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and. if necessary, legal representatives. euthonzed signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti.money laundering requirements require that should any of the above personal or institutional information change, our clients would be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verity these changes. Telephone, Facsimil