Agreement and Terms for Opening an Account with a Stock Exchange Member Meitav Dash TradeAccount Opening Agreement • November 27th, 2016
Contract Type FiledNovember 27th, 2016Part A – details of account holders First and last name ID/Passport/Co mpany no. Country of birth Year of birth M/F Nationalities 1. 2. 3. Full residential address Zip code Home phone Work phone Mobile phone 1. 2. Electronic Mail address (email) Part B – (check the appropriate)Self-management by the ClientManagement by a proxy/external portfolio manager other than an employee of Meitav Dash Trade (mark), name: Part C - Bank account details to transfer fundsAccount number: , Bank: , branch number (if applicable): IBAN: , Routing Number: , SWIFT: Part D – Authorized signatories / proxies (circle the appropriate) First and last name ID/Passport/ Company no. Address Mobile phone Signature