Identification of the BARE OWNERS. ● If one of the holders is a minor, please attach the "Authorisation securities account for a minor" form to this agreement. ● If one of the holders is a protected adult, please attach the "Authorisation securities account for a protected adult" form to this agreement. 🗆 Mr. 🗆 Ms Last name ............................................................. First name ......................................................................... Maiden name ..................................................................................................................................................... Birthdate .............................. Birthplace .......................................................................................................... Dept/State/Etc. ................................................ Country . ............................................................................... Address (place of taxation) ...............................................................................................................................
Appears in 3 contracts
Sources: Usufruct & Bare Ownership Securities Account Agreement, Usufruct & Bare Ownership Securities Account Agreement, Usufruct & Bare Ownership Securities Account Agreement