Epstein Secrets

cable, indkate which bank off' met the person: Indicate where and Wien the tient meeting(5) took place: Bank Officer Name(s) Bank Office: Client Prrvate Domicile: (bent Place of Business: Other Location (specify): Date: O O • O O • O O O • Wealth Details for this indlelual are not fille

regulated entity in the financial ndusUy? or an entity listed on a DB-recognised exchange> (Not appicable for operating entities O Yes g No Is the IndPadua' a Pokkally Exposed Person (PEP)' (it Yes, descnbe) No • Yes 2 To the best of your knowledge, is the individual related to an employee of the 00

icable, indicate which bank off' me the person: Indicate where and seen the dent meeting(s) took place: Bank Officer Name(s) Bank Office: Client Prrvate Domicile: Client Place of Business: Other Location (specify): Date: O O • ID O • O O O • Wealth Details for this Individual are not fi

regulated entey in the financial ndustry? or an entity listed on a De-recognised exchange? (Not appkable for operating entities O Yes g No Is the IndPadua' a Politically Exposed Person (PEP)'(Il Yes, descnbe) No • Yes la To the best of your knowledge, is the individual related to an employee of the 0

plicable, indkate which bank off' net the person: Indicate where and Wien the clent meeting(s) took place: Bank Officer Name(s) Bank CHke: (bent Prrvate Domicile: Client Place of Business: Other Location (specify): Date: O O • O O • O O O • Wealth Details for this incliblual are not fil

regulated entity in the financial ndusUy? or an entity listed on a DB-recognised exchange> (Not appicable for operating entities O Yes g No Is the IndPadua' a Pokkally Exposed Person (PEP)' (it Yes, descnbe) No • Yes 2 To the best of your knowledge, it the individual related to an employee of the 00