INCOMPLETE APPLICATION PACKAGES CANNOT BE PROCESSEDDirectly Registered Share Account Agreement • February 1st, 2021
Contract Type FiledFebruary 1st, 2021 INDIVIDUAL ACCOUNT or JOINT ACCOUNT (complete the information below) Mr. Ms.Last name Maiden name _____________________________________Birthdate ___________________Birthplace ______ Country ___________________________________________Address (place of taxation) _________________________Postal code _ _ _ _ _ _ _ _ City Mobile tel. (1) E-mail(2) Minor Adult under protection (complete this agreement and the attached account form) _ _ First name ________________________________________________________________________ _ _ _ _ _ Dept/State/Etc. ____ _ _____________________________________________________________________________________________ _ _ _ _ _ _ __ Country _________________________________________________________(guardianship - trusteeship - judicial protection, etc.)