0001193125-06-171081 Sample Contracts

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FORM OF POWERSHARES DB US DOLLAR INDEX [ ] FUND1 PARTICIPANT AGREEMENT
Fund Participant Agreement • August 11th, 2006 • DB US Dollar Index Master Trust • New York

The undersigned, each a duly authorized officer of DB Commodity Services LLC, a Delaware limited liability company, the managing owner (the “Managing Owner”) of PowerShares DB US Dollar Index Trust (the “Trust”), a Delaware statutory trust with separate series, including PowerShares DB US Dollar Index [ ] Fund (the “Fund”), and pursuant to Section 13(d) of the PowerShares DB US Dollar Index [ ] Fund Participant Agreement (the “Agreement”), dated as of 200 , by and among the Managing Owner, the Fund and (the “Authorized Participant”), hereby certify that:

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