ACCOUNT OPENING REQUEST FOR

INDIVIDUALS RESIDING ABROAD

SERVICE REQUEST CROSS-BORDER IRREVOCABLE TRUST ACCOUNT

BENEFICIARY INFORMATION

FIRST NAME (S) AND LAST NAME

MAILING ADDRESS

Street Name & Number:

City: State: Zip Code:

CONTACT

Phone Number: E-mail Address:

I do agree to receive notifications related to my CitiBanamex account through e-mail ⃞ YES ⃞ NO

IDENTIFICATION

⃞ Driver´s ⃞ Department of
⃞ Birth Certificate ⃞ Social Security Card ⃞ Passport ⃞ Other
License Defense ID

Identification No.: ID Expiration Date

Gender: ⃞F ⃞M

LEGAL REPRESENTATIVE INFORMATION

FIRST NAME (S) AND LAST NAME

MAILING ADDRESS

Street Name & Number:

City: State: Zip Code:

CONTACT

Phone Number: E-mail Address:

This document implies the acknowledgement that the beneficiary decided autonomously to make this request. The beneficiary hereby authorizes
Citibanamex to use the registered data to carry out the opening of the Irrevocable Trust Account and the presentation of the requested services. The
beneficiary hereby declares to have provided Citibanamex correct and complete information. The beneficiary knows and accepts the terms and
conditions of the common investment funds by Citibanamex that may operate through the account, which are described in the respective management
regulations (general clauses and particular clauses) and can access to at any time through the website www.banamex.com. The beneficiary
acknowledges and accepts that he/she can opt to receive notifications or account summary at his/her mailing address pursuant to previous notification
to Citibanamex on whichever option is selected. This request is considered accepted by Citibanamex in case that Citibanamex proceeds with the
opening of the account. Beneficiary can revoke this request within 3 business days pursuant to the execution of this request.
SIGNATURES

BENEFICIARY NAME AND SIGNATURE LEGAL REPRESENTATIVE NAME AND SIGNATURE