New Account Questionnaire

For Corporate Applicants

The purpose of this form is to understand your needs and the economic purpose of the account in order to comply
with international Know Your Customer (KYC) regulations. Please provide detailed information to ensure your
application and future activity are processed in a timely manner.

Full Name Date

Section 1: Acknowledgement

▢ I have read your Fees & Charges pertaining to this account.

▢ I have read the Required Documentation needed to complete this application.
▢ I can fund my account with the minimum initial deposit within the first 30 days of account activation.

Section 2: Personal Background

Please provide a description of all current and past sources of income for all expected account holders (please include
names for all corporate entities):

Please provide a summary of professional training and working history, or include a CV if preferred, for all expected
account holders:

May 2021
Please list all countries in which the account's beneficial owners or signatories currently maintain residence, citizenship, or
conduct business activities:

Does any person associated with the account have any current or previous associations with any government or political
organizations?

▢ Yes ▢ No

Section 3: Company Background

Is this company a start-up (incorporated within the last year)?

▢ Yes ▢ No

Does this company already have existing business activities?

▢ Yes ▢ No

Does the company have a website?

▢ Yes ▢ No

If yes, please provide the website(s): _____________________________________________________________________________________

Please provide a detailed overview of the business activities being conducted by the company (this should include specific
information such as number of employees, description of a typical work case, fee or commission structure, etc.):

Please list all countries in which the company conducts business activities (this would include customers, suppliers,
branches, contractors, regular travel, or other possible business connections):

May 2021
Please provide a short summary of how the company acquires its customers, achieves new business, or conducts its
marketing:

Please provide an approximate percentage range for the company's sales which are conducted in physical cash:

Please provide the specific trading address from where the company's physical operations are being primarily conducted
(please note this is not the same as the corporate jurisdiction where the company was formed):

Section 4: Economic Purpose

Please provide a summary of the primary purpose for which the account is being opened and how it will be used:

Please list all currencies which would be expected for the account:

Will the account be used primarily for business inside your home jurisdiction or outside your home jurisdiction?

▢ Inside home jurisdiction ▢ Outside home jurisdiction

Please explain and support why an international account is being pursued in place of a domestic bank account:

May 2021
If applicable, please provide a short summary why an international corporate jurisdiction was chosen for your company
rather than a domestic incorporation:

Section 5: Related Entities

Will the account be used to transact with any related entities or accounts (this would include other companies or accounts
with which any account holder could be considered as a director, signatory, or as having beneficial ownership)?

▢ Yes ▢ No

If Yes, please provide a summary:

Section 6: Bank Card Usage

Do you intend to purchase a debit card with the account?

▢ Yes ▢ No

If Yes, please provide a short summary of the expected card usage including amounts expected for point of sale
transactions, as well as cash withdrawals:

Section 7: Account Usage

Will the account be used to purchase any of the bank's investment related products or services?

▢ Yes ▢ No

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If Yes, please provide a summary of expected Euro Pacific-related investment transactions:

Please provide a detailed summary of all expected incoming transactions to the account (this should include names of
companies or individuals, source countries, size, frequency, and purpose):

Please provide a detailed summary of all expected outgoing transactions from the account (this should include names of
companies or individuals, destination countries, size, frequency, and purpose):

Please provide a description of the total amount of funds expected to be received into the account within an average year:

Please provide a description of the expected to balance to be left in the account within an average year:

Section 8: Additional Details

Please provide any other details or information that you would like the bank to be aware of upon reviewing the
application:

May 2021