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INVESTOR TRANSACTION CODE:
DOCUMENTATION ENCLOSED
*** CORPORATE ENTRY ***
DATE: March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&er
RE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#aO))"r!(#!$
UNDERSTANDING THE RULES OF THE ROAD AFFIDAVIT REQUESTING INFORMATION CLIENT INFORMATION SHEET LETTER OF EXCLUSIVITY LETTER OF INTENT CORPORATE RESOLUTION LETTER OF CEASE & DESIST CONFIRMATION SOURCE OF FUNDS AFFIDAVIT
LETTER OF NON-SOLICITATION & REQUEST AUTHORIZATION TO VERIFY FUNDS CONFIRMATION OF BANK OFFICER PASSPORT(S) PROOF OF FUNDS
ATTACHMENTS -I+ NEEDED. LETTER OF LIAISON AND COMMUNICATIONS
AUTHORITY
E-mail, facsimile copies or photocopies of documentsor agreements pertaining to this subject are declaredand regarded as valid and equal to the original,
provided they are represented by proper signatories.Originals may be obtained upon request
APPLICANT INITIALS /////////// PAE 1 O+ 26
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UNDERSTANDIN THE RULES O+ THE ROAD
N"(e " !he c!"'ar$ !a(dard a(d )rac!#ce !ha! a))$ !" ("r'a,c"(*e(!#"(a 3#(e, #(*e!#(& a(d 4(a(ce a))#e !" )r#*a!e (d#(&)r"&ra'5 I! # a )r#*#e&e !" 3e #(*#!ed !" )ar!#c#)a!e #( a Pr#*a!e Pace'e(! Tra(ac!#"( Pr"&ra', ("! a r#&h!5 The !rad#(& ad'#(#!ra!"r a(d 'a(a&erha*e a *#r!a$ e(de ))$ " 4(a(c#a$ 7a#4ed a))#ca(!5 A !h#(&c"(#dered, !he !rad#(& ad'#(#!ra!"r a(d !he#r 3a(8 9# a*"r !he a))#ca(!9h" )r"*#de !he 3e! )a)er9"r85 A( a))#ca(! h"d (e*er (dere!#'a!e9ha! !he !rad#(& e(!#!#e 8("9ed&e a3"! h#'5 +a#re !" )r"*#de
d#c"re 9# d#7a#$ !he d##(&e("5 C#e(! '! 4r! )r"*e !ha! !he$are 7a#4ed, ("! !he "!her 9a$ ar"(d5 U(!# !he c#e(! # acce)!ed 3$C"')#a(ce, !he Trader, a(d Trad#(& a(8, (" )ace'e(! ca( "ccr5 The U5S5Pa!r#"! Ac! ha #(!r"dced "3#&a!"r$ c"')#a(ce )r"cedre5 +ace;!";ace#(!er*#e9 9#!h c"')#a(ce "
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S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE B O+ 26
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A++IDAVIT REUESTIN IN+ORMATION
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), !he (der#&(ed, "( '$ "9( 3eha, d" here3$ a
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I, (NAME), (der )e(a!$ " )er=r$, 9#!h COMPANG re)"(#3##!$, here3$#rre*"ca3$, c"(4r' !ha! (e#!her '$e, ("r a($"(e ee a"c#a!ed 9#!h '$"r&a(#a!#"(, '$ c"r)"ra!#"(, "r !he COMPANG #(*e!"r are 9"r8#(& "r a($A&e(c#e " a($ "*er('e(!5 I r!her !a!e (der )e(a!$ " )er=r$ !ha! Ia' ("! #(*"*ed #( a($ "*er('e(! e(!ra)'e(! ")era!#"(5
I, (NAME), (der )e(a!$ " )er=r$, 9#!h COMPANG re)"(#3##!$, here3$#rre*"ca3$, c"(4r' !ha! (e#!her '$e, ("r a($"(e ee a"c#a!ed 9#!h '$"r&a(#a!#"( "r c"r)"ra!#"( ha*e 3ee( c"(*#c!ed " a e"($, e#!her 9#!h#( !heU(#!ed S!a!e "r a($9here #( !he 9"rd 9here !ha! cr#'e 9"d 3ec"(#dered e7a !" a US e"($5 T" !he 3e! " '$ 8("9ed&e I a' ("! ("rare a($ " '$ a"c#a!e c"(#dered !" 3e !err"r#! "r "( a($ 9a!ch #! 9#!h!he U(#!ed S!a!e De)ar!'e(! " H"'ea(d Secr#!$5
I, (NAME), a&ree !ha! a e'a# a(d ac#'#e !ra('#!!ed d"c'e(! ha 3e!rea!ed a "r#(a d"c'e(!5 I r!her a&ree !ha! #( a cae 9here )ra'#&h! a))$ 9here #(&ar !e(e # ed #! # " a))#ed5
I, (NAME), here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " (NAME OF COMPANY)
S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE K O+ 26
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CLIENT IN+ORMATION SHEET
D#rec!#"(: Th# d"c'e(! '! 3e c"')e!ed #( 5 I a #(e #!e' d"e ("!)er!a#( !he( #(er! !he !er': N%A -("(a))#ca3e.5
Per"(a I("r'a!#"(
+#r! Na'e:M#dde Na'e:La! Na'e:e(der:Da!e " #r!h:
S"c#a Secr#!$ N'3er:C"(!r$ " C#!#e(h#):
Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:I#(& A!h"r#!$:
H"'e S!ree! Addre:C#!$:S!a!e:
C"(!r$:P"!a C"de:
Tee)h"(e N'3er:+a> N'3er:M"3#e N'3er:E'a# Addre:
La(&a&e % Tra(a!"r
La(&a&e:
D" $" )ea8 E(&#h:I N", Na'e " Tra(a!"r: Te N'3er:E'a# Addre:
C"r)"ra!e I("r'a!#"(
APPLICANT INITIALS /////////// PAE 6 O+ 26
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+ Na'e " C"r)"ra!#"(:S!ree! Addre:C#!$:S!a!e:C"(!r$:P"!a C"de: Tee)h"(e N'3er:+a> N'3er:M"3#e N'3er:E'a# Addre:
Le&a Ad*#"r
+ Na'e:C"')a($:Addre:C#!$:S!a!e:C"(!r$:P"!a C"de: Tee)h"(e N'3er:+a> N'3er:E'a# Addre:
a(8 I("r'a!#"( Peae a!!ach c")$ " acc"(! !a!e'e(! r"' 3a(8
a(8 Na'e -9here (d are crre(!$ "( de)"#!.:S!ree! Addre:C#!$:S!a!e:C"(!r$:P"!a C"de:
Acc"(! Na'e:Acc"(! N'3er:S"r! C"de AA N"5:S@I+T C"de:Acc"(! S#&(a!"r$ -1.:Acc"(! S#&(a!"r$ -2.:
a(8 O
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a(8 O N'3er:
C#e(! Acc"(! 9here Pr"4! !" 3e )a#d
a(8 Na'e:S!ree! Addre:C#!$:S!a!e:C"(!r$:P"!a C"de:
Acc"(! Na'e:Acc"(! N'3er:S"r! C"de AA N"5:S@I+T C"de:
a(8 O N'3er:
I(*e!'e(!
+(d a*a#a3e "r !h# !ra(ac!#"(:
T$)e " crre(c$:
Or#( " (d:
Are !hee (d ree a(d cear " a #e(, e(c'3ra(ce a(d !h#rd )ar!$#(!ere!:
I, (NAME), here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " (NAME OF COMPANY)
APPLICANT INITIALS /////////// PAE O+ 26
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S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE O+ 26
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LETTER O+ ECLUSIVITG
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 -NUMER., a!h"r#ed#&(a!"r$ " !he Acc"(! N" (ACCOUNT NUMBER) a! (NAME OF THE
BANK), "ca!ed a! (ADDRESS OF BANK), !he (der#&(ed, -here#(a!erreerred !" a !he INVESTOR., here3$ 9#!h , )er"(a a(d e&are)"(#3##!$ (der )e(a!$ " )er=r$ " a9, re)ree(!, 9arra(! a(d a!!e!!ha!:
I, !he (der#&(ed, ha*e e&a !#!e, r#&h!, #(!ere!, c"(!r" a(d a!h"r#!$!" c"''#! a(d #(*e! !hee (d a(d ha*e ch"e( !" d" " " !he#r "9( ree9# a(d "e dec##"( 9#!h"! a($ "#c#!a!#"( "r #(e(ce r"' !he !radead'#(#!ra!"r5
I, !he (der#&(ed, )r#(c#)a )ar!$ #(*"*ed #( !h# !ra(ac!#"( d" ("! ha*e
a($ "!her )ar!$ 9"r8#(& 9#!h "r a!h"r#ed !" 9"r8 9#!h !hee (da"ca!ed "r a3"*e'e(!#"(ed reere(ce c"de, ("r ha*e a($ "!her )ar!#e3ee( a!h"r#ed !" #(*e! !hee (d, ("r ha*e "!her (d r"' '$e "r!he c"r)"ra!#"( 3ee( )aced 9#!h "!her )ar!#e "r a #'#ar #(*e!'e(!5+r!her I a!!e! !ha! I ha*e e(! Ceae F De#! N"!#ce !" a($ "!her#(!er'ed#ar#e "r !rade &r") !ha! ha*e had acce !" "r )a)er9"r8 #( !he)a!5
I, !he (der#&(ed, here9#!h &ra(! Pr"&ra' Ma(a&er, e>c#*e r#&h! a"r "e a&e(! "r B M"(!h a(d 1 Da$ -Three M"(!h a(d O(e Da$. a(d%"r!he )er#"d " !he c"(!rac! 9h#che*er # a!er #(cd#(& a($ )r"ceed " !he
#(*e!'e(! # re#(*e!ed, r"' !he a3"*e da!e, !" e(!er !hee (d "r 'e,"r !he C"r)"ra!#"( #(!" !he 3e! a*a#a3e #(*e!'e(!
I, !he (der#&(ed, (der!a(d, a(d I a' $ a9are !ha! !h# !ra(ac!#"( 9#3e re!ered 9#!h a 'a="r 9"rd 3a(8 a(d%"r !he +edera Reer*e a(d !he3'#!!ed )r#*a!e a(d c"(4de(!#a )a)er9"r8 9# 3e "r9arded "r !he "e)r)"e " e!a3#h#(& (ecear$ d"#er de d##&e(ce a(d ceara(ce "r!h# !ra(ac!#"(5
APPLICANT INITIALS /////////// PAE 10 O+ 26
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I, !he (der#&(ed (der!a(d a(d ac8("9ed&e !ha! !he Pr"&ra' Ma(&er-here#(a!er reerred !" a !he Trade C""rd#(a!"r. 9# #(#!#a$ 3ae !he)ace'e(! " !h# !ra(ac!#"( "( !he ace *ae re)ree(!a!#"( a(dd"c'e(!a!#"( )ree(!ed, a(d !ha! a($ '#re)ree(!a!#"( 'a$ 3ec"(#dered cr#'#(a 3a(8 rad5 I, !he (der#&(ed here3$ #(de'(#$ !he Trade C""rd#(a!"r a&a#(! a($ '#re)ree(!a!#"(5
+ac#'#e "r eec!r"(#ca$ !ra('#!!ed d"c'e(! are dee'ed a e&a$3#(d#(& a de#*ered "r#(a5
I, (NAME), here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " (NAME OF COMPANY)
S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE 11 O+ 26
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LETTER O+ INTENT
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), !he (der#&(ed, here3$ c"(4r' (der )e(a!$ " )er=r$, '$ c"''#!'e(! a(d a&ree'e(! !" )ar!#c#)a!e #( a( #(*e!'e(! "))"r!(#!$,
3=ec! !" '$ acce)!a(ce " !he !er', c"(d#!#"( a(d )r"cedre !ha! ha3e "!#(ed #( !he Pr#*a!e Pace'e(! Pr"&ra'5
+r!her'"re, I here3$ 9arra(! a(d re)ree(! !ha! I ha*e a*a#a3e "r)ace'e(! #(!" !he )r")"ed #(*e!'e(!, !he ' " (SPELL AMOUNT)U(#!ed S!a!e D"ar ($_____!!!!!!"!! USD) " cea(, cear (d, ree " a($ e*$, #e( "r e(c'3ra(ce a(d " ("(cr#'#(a "r#(, a(d here9#!ha!!ach d"c'e(!ar$ e*#de(ce " a'e5 I here3$ 9arra(! a(d re)ree(! !ha!!he Re " +d#c"re ha e!a3#hed !hee (d 9ere e&a$ "3!a#(edr"' ("(cr#'#(a 3#(e "r ac!#"(5 I r!her c"(4r' !ha! I a' !he3e(e4c#a "9(er " !hee cah (d, !ha! I ha*e #&(a!"r$ a!h"r#!$ a(d
c"(!r" !here", a(d !ha! ch (d are a*a#a3e "r #''ed#a!e )ace'e(!a! '$ "e d#cre!#"(5
I c"(4r' a(d ac8("9ed&e, 9#!h re)"(#3##!$, !ha! (e#!her $"rc"')a($ ("r a($"(e 9"r8#(& "( $"r 3eha ha "#c#!ed 'e? !ha! !hed"c'e(! !ha! I ha rece#*e ha ("! 3e dee'ed !" 3e a "#c#!a!#"( " (d #( c"((ec!#"( 9#!h a( #(*e!'e(! )r"&ra'? a(d, !ha! I a' a))r"ach#(&$" *"(!ar#$ "r !he )r)"e " ecr#(& )ar!#c#)a!#"( #( a 3"(a 4de SecrePr#*a!e Pace'e(! Pr"&ra'5
I a' )re)ared !" #(!rc! '$ 3a(8 !" ac! )"( !he (d a re7#red )ra(!
!" !he )ec#4c " !h# )r"&ra'5 I( !he cae " "c8ed +(d, #! # '$(der!a(d#(& !he (d 9# 3e 3"c8ed a(d "r reer*ed. #( !he acc"(! a(d!he$ 9# re'a#(, a! a !#'e, ("(caa3e5
I here3$ re7e! #("r'a!#"( r"' $" c"*er#(& !he !er', c"(d#!#"( a(d)r"cedre " a ecred #(*e!'e(! a(d ""8 "r9ard !" c"''e(c#(& !he!ra(ac!#"(, )"( '$ acce)!a(ce " !he a&ree'e(!5
APPLICANT INITIALS /////////// PAE 12 O+ 26
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E'a#, ac#'#e c")#e "r )h"!"c")#e " d"c'e(! "r a&ree'e(!)er!a#(#(& !" !h# 3=ec! are decared a(d re&arded a *a#d a(d e7a !" !he"r#(a, )r"*#ded !he$ are re)ree(!ed 3$ )r")er #&(a!"r#e5 Or#(a 'a$3e "3!a#(ed )"( re7e!5
I, (NAME), here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " (NAME OF COMPANY)
S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE 1B O+ 26
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CORPORATE RESOLUTION
INVESTOR TRANSACTION CODE:
A " !he d#rec!"r " -COMPANG NAME. 3e"9 #!ed 9ere #( a!!e(da(ce, #()er"( "r 3$ !ee)h"(e c"(ere(ce5 e(era d#c#"( 9a !he( hedc"(cer(#(& !he #e, a(d a a)ec! " !he a'e, 9ere $ e>)a#(ed #(de!a# !" !he a!#ac!#"( " !he 3"ard 'e'3er5
DIRECTOR Na'e%T#!e:Pa)"r! N"5:
DIRECTOR Na'e%T#!e:Pa)"r! N"5:
DIRECTOR Na'e%T#!e:Pa)"r! N"5:
SECRETARG Na'e%T#!e:Pa)"r! N"5:
The "ard " D#rec!"r " -COMPANG NAME., a C"')a($ #(c"r)"ra!ed "(-DATE. #( -LOCATION. #( -COUNTRG., 9#!h Re!ered O
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I! # re"*ed !ha! a! !h# 'ee!#(& " !he "ard " D#rec!"r !ha! "r Tra(ac!#"(a Ma(a(& Me'3er a(d #( ac! -NAME. ac! "r -COMPANGNAME. 9#!h re&ard !" !he a"re a#d 4(a(c#a #(*e!'e(!5
RESOLUTION B:I! # re"*ed !ha! -NAME. # here3$ a!h"r#ed !" ac! a "r +#(a(c#a D#rec!"r"r a"re a#d )r)"e5
RESOLUTION J:I! # re"*ed !he "ard " D#rec!"r " -COMPANG NAME. here3$ a!h"r#ed-NAME. !" a'e a a!h"r#!$, )"9er, d!#e, #&(a!"r$ r#&h! a(dre)"(#3##!#e "( "r 3eha5
RESOLUTION K:I! # re"*ed !ha! -NAME. # here3$ a!h"r#ed !" ")e( a )er"(a, c"r)"ra!e,!rad#(&, !r! a(d%"r c!"d#a acc"(! #( a($ 3a(8, d"'e!#c "r "re#&( a(d!" #&( ch re"!#"( a 'a$ 3e re7#red 3$ ch 3a(8 !" acc"')#h !he"3=ec!#*e-. a !a!ed here#( a(d !" *e #rre*"ca3e #(!rc!#"( !" a#d3a(8-. "( "r 3eha5
RESOLUTION K:I! # re"*ed !ha! -NAME. h"d Ad'#(#!ra!#*e A!h"r#!$ !" ac##!a!e a(darra(&e "r a&ree'e(!%c"(!rac! "( "r 3eha5
I, -NAME., here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " -NAME O+ COMPANG.
S#&(a!re: ////////////////////////////////// SEAL O+ COMPANG
Na'e % T#!e:C"')a($:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE 1K O+ 26
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[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
S#&(a!re: //////////////////////////////////
Na'e % T#!e: Secre!ar$C"')a($:Pa)"r! N'3er:Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE 16 O+ 26
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[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
LETTER O+ CEASE F DESIST CON+IRMATION
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 (NUMBER), d$ a!h"r#ed
*e ("!#ce !" ha*e Ceae a(d De#! a(d a($%"!her &r") )re*#" &r")a))r"ached #( !he )a! re&ard#(& "r%'$ 4e
I, (NAME), 'a8e a cear !a!e'e(! a(d c"(4r' (der r#8 a(d )e(a!$ " )er=r$ ("! !" ha*e a($ "!her e(!#!#e, a"c#a!#"(, 4(a(c#a #(!#!!#"(,a
8/19/2019 KYC CORPORATE FORM-1.doc
18/26
[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
SOURCE O+ +UNDS A++IDAVIT
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 -NUMER., d$ a!h"r#ed d""e'($ 9ear%a!!e! !he ""9#(& !a!e'e(! !" 3e !re5
I, (NAME), decare (der )e(a!$ " )er=r$ a(d 9#!h )er"(a a(d e&are)"(#3##!$ (der !he I(!er(a!#"(a C"r! " La9 !ha! I e&a$ h"d !he '" (SPELL AMOUNT) U(#!ed S!a!e D"ar ($_____!!!!!!"!! USD) a(d #!# de)"#!ed #( Acc"(! N" (ACCOUNT NUMBER) a! (NAME OF THEBANK), "ca!ed a! (ADDRESS OF BANK)5
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I ha*e a(d c"')e!e, e&a "9(erh#) ", a(d !he (re!r#c!ed r#&h! a(da!h"r#!$ !" )ed&e "r "!her9#e !##e !hee (d5 The (d are read$ "r!ra(er "r reeae )"( '$ #(!rc!#"(5
Thee (d are a!he(!#c a(d *er#4a3e5 I a' ("! a9are " a($ 'a!!er9h#ch c"d "r '#&h! cae !he ("(*a#da!#"( " !hee (d a(d I here3$#(de'(#$ !he Pr"&ra' Ma(a&er a(d%"r a#&(ee, #(!er'ed#ar#e, "r "!her
)ar!#e #(*"*ed, a&a#(! a($ ca#', de'a(d, c#*# a(d%"r cr#'#(a #( (a!re,a(d #a3##!#e, da'a&e, "r e>)e(e #(cd#(& 9#!h"! #'#!a!#"( a($a!!"r(e$ ee 9h#ch 'a$ ar#e, 9he!her #( 9h"e "r #( )ar!, caed 3$rea"( " re#a(ce )"( !h# 9"r( decara!#"(5
E'a#, ac#'#e c")#e "r )h"!"c")#e " d"c'e(! "r a&ree'e(!)er!a#(#(& !" !h# 3=ec! are decared a(d re&arded a *a#d a(d e7a !" !he
APPLICANT INITIALS /////////// PAE 1 O+ 26
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"r#(a, )r"*#ded !he$ are re)ree(!ed 3$ )r")er #&(a!"r#e5 Or#(a 'a$3e "3!a#(ed )"( re7e!5
I, (NAME), here3$ 9ear (der )e(a!$ " )er=r$, !ha! !he #("r'a!#"()r"*#ded here#( # accra!e a(d !re a " !h# da!e: March 16, 2016
+"r a(d "( 3eha " (NAME OF COMPANY)
S#&(a!re: ////////////////////////////////
Na'e:Pa)"r! N'3er:
Da!e " Ie:Da!e " E>)#r$:C"(!r$ " Ia(ce:
-THIS DOCUMENT MUST E NOTARIED.
NOTARG:
APPLICANT INITIALS /////////// PAE 1 O+ 26
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LETTER O+ NONSOLICITATION F REUEST
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), !he (der#&(ed, here3$ c"(4r' !ha! I ha*e re7e!ed " $" a(d$"r "r&a(#a!#"( )ec#4c c"(4de(!#a #("r'a!#"( a(d d"c'e(!a!#"( "(
3eha " "re*e5 I here3$ decare !ha! I a' $ a9are " !he #("r'a!#"(rece#*ed r"' $" # #( d#rec! re)"(e !" '$ re7e!, a(d # ("! #( a($ 9a$c"(#dered "r #(!e(ded !" 3e a "#c#!a!#"( " (d " a($ "r!, "r a($ !$)e " "er#(&, a(d # #(!e(ded "r "r &e(era 8("9ed&e "($5 I here3$ a
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[INSERT APPLICANT LETTERHEAD IN THIS HEADER SPACE]
C"(!r$ " Ia(ce:
APPLICANT INITIALS /////////// PAE 21 O+ 26
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AUTHORIATION TO VERI+G +UNDS
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: A!h"r#a!#"( !" Ver#$
INVESTOR TRANSACTION CODE:
W("9 a 'e(, 3$ !hee !ha! I, (NAME), a! !he addre h"9( a3"*e, *e$" cear ("!#ce !ha! $" ha*e '$ d#rec! )er'##"( a(d a!h"r#!$ !" d"a 'a!!er (ecear$ !" c"(4r', *er#$, a(d a!he(!#ca!e '$ 3e(e4c#a$"9(ed cah (d a(d%"r a))#ca!#"( ae!-. a(d #! a"c#a!ed &""d!a(d#(& acc"(! !a!, #( a( a'"(! " (SPELL AMOUNT) U(#!ed S!a!e
D"ar ($_____!!!!!!"!! USD) "( a 3a(8 !" 3a(8 3a#5 The 3e"9!a!ed 3e(e4c#a$ "9(ed acc"(! # " &""d, cea(, a(d ceared cah (d"3!a#(ed *#a e&a 'ea(, a(d # crre(!$ a*a#a3e a! !he 3a(8 c""rd#(a!e3e"9:
Cah A'"(!: ($_____!!!!!!"!! USD)a(8 Na'e: (NAME OF THE BANK),a(8 Addre# (ADDRESS OF BANK)Acc"(! Na'e: (ACCOUNT NAME)Acc"(! N'3er: (ACCOUNT NUMBER)Acc"(! S#&(a!"r$: (ACCOUNT SIGNATORY)
a(8 O
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C5C5: -NAME O+ ANW AND ANW O++ICER.
LETTER O+ CON+IRMATION O+ ANW O++ICER
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:Dear S#r,
I, (NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 -NUMER., d$ a!h"r#ed d"
"e'($ 9ear%a!!e! 9#!h e&a re)"(#3##!$, !ha! !he ""9#(& (a'ed)er"( # '$ ac!a a(d )er"(a 3a(8 "
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PASSPORT
PROVIDE COLOR COPG ENLARED -1J0X. TO THIS SIE -Y 11 INCHES.5PICTURE MUST E CLEAR AND NOT DARW5 ENLARE F LIHTEN -USINPHOTO SETTIN.5 COLOR SCAN THE PASSPORT INTO GOUR COMPUTER AT AHIH RESOLUTION IN THE ZPE +ORMAT AND INSERT5
APPLICANT INITIALS /////////// PAE 2J O+ 26
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PROO+ O+ +UNDS
C U R R E N T B A N K S T AT E M E N T
CURRENT ANW STATEMENT OR RECENT THREE -B. DAGS TEAR SHEET IS THEREUESTED ACCEPTALE PROO+ O+ +UNDS5 CL, ANW LETTERS SINED G T@O -2. ANW O++ICER-S., CERTI+ICATE O+ ACCOUNT OR CON+IRMATION O++UNDS MAG E INCLUDED AS SUPPLEMENTAL ANWIN5 WINDLG INCLUDE UN;SANITIED CURRENT ANW STATEMENT OR TEAR SHEET @ITH GOURSUMISSION5 IN THE CASE O+ +INANCIAL INSTRUMENTS, TRANSMIT HIHUALITG, COLOR SCANS O+ REAL DOCUMENTS +RONT AND ACW5 THANW GOU5
APPLICANT INITIALS /////////// PAE 2K O+ 26
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LETTER O+ LIAISON AND COMMUNICATIONS AUTHORITG
DATE:March 16, 2016 TO: Trade A!h"r#!$ % Pr"&ra' Ma(a&erRE: Par!#c#)a!#"( #( S!rc!red Pr#*a!e +#(a(c#a O))"r!(#!$
INVESTOR TRANSACTION CODE:
Dear S#r,
I, (NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 (NUMBER), here3$ a!h"r#e(TRANSLATOR NAME), 3ear#(& (COUNTRY) Pa)"r! N"5 (NUMBER)
ha*#(& !he 3e"9 c"(!ac! de!a#, !" ac! a '$ "