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BUSINESS NAME: ________ DATE: ________

BUSINESS ACCOUNT NUMBER:

BUSINESS NAME:

Country of lncorporation and Date Type of account opening: Deposit

US/Foreign Tax Number: Operating Countries:

Entity Principal Address: (NO PO BOX):

Other Business locations:

Current Number of employees and Hours of operation:

Main Contact name: Primary Phone Number:

Business Email: Business Website:

Entity Type: Line of Business/lndustry:

Annual Sales: Annual lncome:

Company Assets: Main Source of lncome:

Profit/Loss: Control Person:

Annual Expenses: Company's last Audit Date: (MM/DD/YYYY)

Referred By: Total Net worth:

Category/ type of Company/Business

(Please Check Most Appropriate Box)

O Sole Proprietorship O Government Non-Financia! Corporation O Government Non-Financia! Ü Third Bank

O Partnership and Association O National Government Local Q NGO/NPO Foundation O Rural Bank

O Private Financia! Corporation O Government unit - City O Central Bank O Trust Financia! lntermediary

O Private Non- Financia! Corporation O Local Government unit - Municipality O Universal bank Q OBU (Offshore Bank)

O Government Financia! Corporation O Local Government unit - Provincial O Commercial bank

Size of Company Based on Capital

O Micro (Less than $10,000.00 USD) O Small (Less than $100,000.00 USD) O Other (USD)

O Medium (Less than $1,000,000.00 USD) O Large (More than $10,000.00 USD)

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BUSINESS NAME: ________ DATE: ________

Reason and purpose for opening this account:

lnitial deposit information (provide the amount, type of transaction, Bank name, and source of funds)

Beneficial Ownership: Please list any individuals or entities that own 10% or more of the company.
Please use additional sheets as necessary.

Full Legal Name % Permanent Physical Address Date of B irth US/Foreign Country of
(NO PO BOX) (MM/DD/YYYY) Tax Number: Citizenship
/Dual Citizenship

List of Directors/Officers

Full Legal Name Permanent Physical Address Date of B irth US/Foreign Country of
(NO PO BOX) (MM/DD/YYYY) Tax Number: Citizenship
/Dual Citizenshi :>

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BUSINESS NAME: ________ DATE: ________

Full Legal Name:

Date of Birth (MM/DD/YYYY): US/Foreign Tax Number:

(1) ID Number: Type: Country: lssued Date Expiration Date

(MM/DD/YYYY): (MM1/DD/YYYY):

(2) ID Number: Type: Country: lssued Date Expiration Date

(MM/DD/YYYY): (MM1/DD/YYYY):

Permanent Physical Address (NO POX BOX):

Country of Residence/Citizenship:

US STATUS:

Total Annual lncome (USD): Total Net Worth (USD):

Employer: Title: Country:

Profession: lndustry: Years in Industry:

Bank Bank Name: Type of Account: Country:

Relationship(s):

Cel I Phone(s):

Contact Email(s):

Relationship to other signers (lf any):

LET US KNOW YOU BETTER

Describe your personal background, education, work history, financia! activities, industry and profession,
sources of income and wealth, and any other financia! or personal information.

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BUSINESS NAME: ________ DATE: ________

Expected Account Activity

MONTHLY EXPECTED ACTIVITY (No Ranges; Round up)

Transaction Type # Wires Dollar ($) Comments (Country, lndustry,

Amount Purpose of payment, etc.)

lncoming Wire
Transfers

Outgoing Wire
Transfers

lnternal Transfer
Credits

lnternal Transfer
Debits

OTHER BANK RELATIONSHIPS

Bank Name City/ Country Type of account

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BUSINESS NAME: ________ DATE: ________

TOP 10 CLIENTS (CREDITS) (if you are expecting transactions for more than 10 clients, please use
an additional sheet)

Name Country Line of Business

TOP 10 SUPPLIERS (DEBITS) (if you are expecting transactions for more than 10 clients, please use
an additional sheet)

Name Country Line of Business

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BUSINESS NAME: ________ DATE: ________

1 am authorized to act on behalf of this company and the information provided

in this form is true to the best of my knowledge.

1 authorize Euro Exchange lnternational Bank to handle my personal information.

lnitials 1 accept Euro Exchange lnternational Bank's Privacy Policy as presented to me at
account opening.

1 understand that I am voluntarily requesting the opening of an account at Euro

Exchange lnternational Bank and accept the Bank's terms, conditions, disclo­
sures, and fees as presented to me at account opening. 1 also understand that
the account and supporting documentation provided is subject to review and
approval by Euro Exchange lnternational Bank prior to the opening of an ac­
count and submission of such information and documentation does not guaran­
tee an account with Euro Exchange lnternational Bank.

Signature of Authorized Person Full Name Title

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BUSINESS NAME: ________ DATE: ________

USER 4,Please attach a copy of the IDs

of the new user along wlth thls form.

Name Cellphone + area code Corporate email

Address 1 Address 2 City Country ZP

ID Type ID Number lssued By Expiration

ID Type ID Number lssued By Expiration

Authorization Level Assigned Read Only Draft Full Access

Company tile within the business Time with the business

COMMUNICATIONS: Thls user is responsible for responding to EEIB communicatlons and fulfilling any requests for lnformation or
d ocumentatlon. Thls form requires the lncluslon of a copy of the user's IDs.

Name Cellphone + area code Corporate email

Address 1 Address 2 City Country ZP

ID Type ID Number lssued By Expiration

ID Type ID Number lssued By Expiration

Authorization Level Assigned Communications-view only

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