SOURCE OF INITIAL DEPOSIT Required Documents for Client • 2 forms of government issued ID • ProofofAddress(Not olderthanthree months) • FATCA and CRS FORM • Authority Indemnity Form • Declaration Source of Funds Form • Joint Form (If relevant) • In-Trust Form • Investment Policy Statement Form

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BANKING INFORMATION

DISCLAIMER CAPITA may provide your private personal information or your other information as defined under the Barbados Data Protection Act to its affiliates, (sub) contractors, data carriers, processors, agents, professional advisors or other third parties (“ Third Parties”) who have agreed to ,signed and entered into Non-Disclosure Agreements containing provisions meeting or equal to the required privacy and data sharing restrictions and obligations and other privacy requirements contained in the Barbados Data Protection laws or under common law principles that safeguard confidentiality and privacy of client information. By signing this document you acknowledge that you have read this agreement including this specific clause relating to client information sharing and privacy arrangements with Third Parties and have accepted the terms of this agreement. The Applicant (s) hereby warrants that the information herein provided is true and correct and I/we have disclosed to the Corporation all information relevant to the determination of my /our credit responsibility or credit worthiness. The Corporation is hereby authorized to disclose the above and/or any information concerning the Applicant (s) obtained by it in the course of business to any credit reporting agency, financial institution or agent acting on the Corporation’s behalf. CAPITA reserves the right to request updated/additional information as they may require. The Applicant (s) by his/her/their signature hereto authorizes the release to the Corpora- tion by any third party of any information and/or records concerning the undersigned.