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ne box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi
DECLARATION OF STATUS FOR ISRAELI INCOME TAX PURPOSES (This declaration should he completed only by Non-Israeli Residents and Israeli Brokers.) You arc receiving this form "Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal va
ne box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi
DECLARATION OF STATUS FOR ISRAELI INCOME TAX PURPOSES (This declaration should he completed only by Non-Israeli Residents and Israeli Brokers.) You arc receiving this form "Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal va
ne box may be applicable): (please print full name) K Corporation (or Limited Liability Company) K Individual K Trust O Partnership O Other K Bank O Broker O Financial Institution 3. For individuals only: 4. For all other Shareholders Date of birth: / / Country of incorporation or organi
DECLARATION OF STATUS FOR ISRAELI INCOME TAX PURPOSES (This declaration should he completed only by Non-Israeli Residents and Israeli Brokers.1 You arc receiving this form "Declaration of Status for Israeli Income Tax Purposes" us a holder of Ordinary Shares, nominal va
Entities connected to both K Bank and Non-Israeli Residents