Money wire Details

Name of the Company- EFI

 The form can be sent to ESOP Sunday through Thursday between 08:00 - 17:00 (Israeli
Time) by Fax: 972-3-7602636 or by E-mail: esop-helpdesk@esop.co.il .

 You must verify the receipt of the form by phone No. 1700 – 70 – 3767 (phone outside of
Israel: 972-3-7536823). In case you will not verify receipt of this form ESOP will not
execute your instruction.

 Please note that you must send your request before or together with the transaction
order. A request that will be sent at a later date may not apply to existing orders and may
only apply to future trades.

Currency choice

For your attention: you should choose whether you wish to receive the net proceed in NIS or in US
dollar. Please note that the wire commission for USD will be charged in USD.

Please mark only one alternative:

I would like to receive the I would like to receive the

payment in NIS payment in US dollar

* * *

Bank account details

For your attention:

ESOP Management and Trust Services will transfer the payment due by a bank wire to the bank
account according to the details that will be provide by you. Therefore, please fill all the necessary
bank details to which the net proceed should be wired.

** It is your responsibility to make sure that the bank account you chose can receive the
proceeds in the currency you chose. You will be responsible for any commission or fee that
will occur as a result of not providing complete and correct details.
Employee’s details:

First name: __________________ Surname: ____________________

I.D./Passport #: _______________ Date of birth: ____________________

Mobile: ______________________ E-mail: __________________________

Bank account details:

Full name of the bank: _______________________ Bank number: _____________

Branch name: __________________ Branch number: ___________________

Bank name: __________________ Bank account #: __________________

Account name: _______________________________________________________

Full address of the bank: ________________________________________________

_______________________________________________

In case the bank is out of Israel –

Swift code: ____________________ ABA#: __________________________

Please Attach:
(a) a copy of I.D. certificate / Passport.
(b) a proof re your bank details (copy of a check or any bank statement containing your bank
details).

Without submitting the above, your instruction will not be valid.

______________ _______________ _____________ _____________

Signature I.D. Full Name Date

Please note, the last details provided in this form will be the default for your next
transactions. In case you wish to have different wire details in the future, please provide us
with an updated form in the future.