Common use of Corporate Entities Clause in Contracts

Corporate Entities. Subscription on behalf of any corporate entity (or an alternative entity such as a trust) must be signed by an individual duly authorized to act in that capacity. If the subscription form is signed on the basis of authorization, this authorization or a duly certified copy thereof must be enclosed with the subscription form (trust deed, management authorization). Subscriber acting on its own behalf Subscriber acting on behalf of third parties Company objective Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of incorporation Legal form Identification ID card Passport N° If applicable Identification ID card Passport N° Companies listed on official stock exchanges and regulated professionals from the financial sector acting on behalf of third parties and having their residence in a FATF country2 can skip the following section and go to c). Unlisted corporate entities and alternative entities acting on behalf of third parties must disclose the identities of their final beneficial owners and the following identification information concerning such beneficiary/beneficiaries: 2 FATF Countries - Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, Hong Kong, China, Iceland, India, Ireland, Italy, Japan, Netherlands, Luxembourg, Mexico, New Zealand, Norway, Portugal, Republic of Korea, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of birth Place of birth Source of invested capital Savings  Property income  Inheritance  Game winnings  Other  details : Political mandate or public office No  Yes  details : Identification ID card Passport N° Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of birth Place of birth Source of invested capital Savings  Property income  Inheritance  Game winnings  Other  details : Political mandate or public office No  Yes  details : Identification ID card Passport N° * TIN – Tax / National / Personal Identification Number

Corporate Entities. Subscription on behalf of any corporate entity (or an alternative entity such as a trust) must be signed by an individual duly authorized to act in that capacity. If the subscription form is signed on the basis of authorization, this authorization or a duly certified copy thereof must be enclosed with the subscription form (trust deed, management authorization). Subscriber acting on its own behalf Subscriber acting on behalf of third parties Company objective Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of incorporation Legal form Identification ID card Passport N° If applicable Identification ID card Passport N° Companies listed on official stock exchanges and regulated professionals from the financial sector acting on behalf of third parties and having their residence in a FATF country2 can skip the following section and go to c). Unlisted corporate entities and alternative entities acting on behalf of third parties must disclose the identities of their final beneficial owners and the following identification information concerning such beneficiary/beneficiaries: 2 FATF Countries - Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, Hong Kong, China, Iceland, India, Ireland, Italy, Japan, Netherlands, Luxembourg, Mexico, New Zealand, Norway, Portugal, Republic of Korea, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States Contact Xxxxxxx Xxxxxx xxxxxxx@xxxxx.xxx Xxx Xxxxxxxx xxxxxxxxx@xxxxx.xxx xxxxxxxxxxxxx@xxxxx.xxx Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of birth Place of birth Source of invested capital Savings  Property income  Inheritance  Game winnings  Other  details : Political mandate or public office No  Yes  details : Identification ID card Passport N° Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  Religious financial institution  Charity  Diamond merchant, lapidary  Real estate agency  Art dealership  Date of birth Place of birth Source of invested capital Savings  Property income  Inheritance  Game winnings  Other  details : Political mandate or public office No  Yes  details : Identification ID card Passport N° * TIN – Tax / National / Personal Identification NumberNumber Contact Xxxxxxx Xxxxxx xxxxxxx@xxxxx.xxx Xxx Xxxxxxxx xxxxxxxxx@xxxxx.xxx xxxxxxxxxxxxx@xxxxx.xxx

Corporate Entities. Subscription on behalf of any corporate entity (or an alternative entity such as a trust) must be signed by an individual duly authorized to act in that capacity. If the subscription form is signed on the basis of authorization, this authorization or a duly certified copy thereof must be enclosed with the subscription form (trust deed, management authorization). Subscriber acting on its own behalf Subscriber acting on behalf of third parties Company objective Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  🞎 Religious financial institution  🞎 Charity  🞎 Diamond merchant, lapidary  🞎 Real estate agency  🞎 Art dealership  🞎 Date of incorporation Legal form Identification ID card Passport N° If applicable Identification ID card Passport N° Companies listed on official stock exchanges and regulated professionals from the financial sector acting on behalf of third parties and having their residence in a FATF country2 can skip the following section and go to c). Unlisted corporate entities and alternative entities acting on behalf of third parties must disclose the identities of their final beneficial owners and the following identification information concerning such beneficiary/beneficiaries: 2 FATF Countries - Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, Hong Kong, China, Iceland, India, Ireland, Italy, Japan, Netherlands, Luxembourg, Mexico, New Zealand, Norway, Portugal, Republic of Korea, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States Contact Xxx Xxxxxxxx xxxxxxxxx@xxxxx.xxx and Xxxxxxxx Xxxxxxxxxx xxxxxxxxxxxxx@xxxxx.xxx Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  🞎 Religious financial institution  🞎 Charity  🞎 Diamond merchant, lapidary  🞎 Real estate agency  🞎 Art dealership  🞎 Date of birth Place of birth Source of invested capital Savings  🞎 Property income  🞎 Inheritance  🞎 Game winnings  🞎 Other  🞎 details : Political mandate or public office No  🞎 Yes  🞎 details : Identification ID card Passport N° Profession Economic sector If your activity falls within one of the following sectors, please tick the appropriate box : Casino, games  🞎 Religious financial institution  🞎 Charity  🞎 Diamond merchant, lapidary  🞎 Real estate agency  🞎 Art dealership  🞎 Date of birth Place of birth Source of invested capital Savings  🞎 Property income  🞎 Inheritance  🞎 Game winnings  🞎 Other  🞎 details : Political mandate or public office No  🞎 Yes  🞎 details : Identification ID card Passport N° * TIN – Tax / National / Personal Identification NumberNumber Contact Xxx Xxxxxxxx xxxxxxxxx@xxxxx.xxx and Xxxxxxxx Xxxxxxxxxx xxxxxxxxxxxxx@xxxxx.xxx