Account Application

NinjaTrader BACKUP WITHHOLDING and TRANSACTION REPORTING

REQUIREMENTS FOR W-8 CERTIFICATION

Jefferson Vladimir Huapaya Chavez

Name

Address Av. Lima 436 Chilca Gobierno Regional de Lima PE 15871

WARNING

If you fail to furnish us with an exemption certificate as a Foreign Person, we must generally withhold 20 percent of withdrawals and
payments from your account.

W-8 Section:
Foreign Person Exemption Initial here FML if this is the account of an EXEMPT FOREIGN PERSON meeting each of the following
requirements::

Name Jefferson Vladimir Huapaya Chavez

Street Av. Lima 436

City Chilca

Country PE

CERTIFICATION Under the penalties of perjury, I certify that the information provided on this form is true, correct, and complete for
Section W-8.

Signature Google:118058874698716729911:NTB ID: 2024500308

Title (when appropriate): Jefferson Vladimir Huapaya Chavez
Date Apr 10, 2024, 6:36:06 PM

✔I/we acknowledge that I/we have read and understand the foregoing and intend to rely upon it and that I/we intend to be bound thereby.
I/we understand and agree that my/our electronic signature is the equivalent of a manual signature and that NinjaTrader may rely upon it
as such.

Submitted By: Google:118058874698716729911:NTB Apr 10, 2024, 6:35:20 PM Page 1 of 1