Common use of CLIENT’S DECLARATION Clause in Contracts

CLIENT’S DECLARATION. I confirm that I have carefully read the content of this questionnaire and that I have provided all the required information which concerns me/the Legal Entity and I hereby declare and confirm that this information is true and correct and that I have not withheld any relevant or substantial information. Furthermore, I undertake to immediately inform the Company in writing of any change of this information. I confirm that I have delivered all that is required in accordance with Section 7 above and that these are genuine and authentic, and their content is true and correct. Full name: Signature: Date: Appendix B DERIVATIVE FINANCIAL INSTRUMENTS Eurivex Ltd Regulated by the Cyprus Securities and Exchange Commission, License #: 114/10 WHEREAS the Company and the Client, named hereunder, have entered into an Agreement for the provision of Investment and Ancillary Services on (the “Agreement”) and it has been agreed that this Appendix for the provision of Investment Services in regards to transactions in Derivative Financial Instruments shall be executed and shall form an integral part of the Agreement. NOW BY THIS Appendix the Parties mutually agree and accept the following:

CLIENT’S DECLARATION. I confirm that I have carefully read the content of this questionnaire and that I have provided all the required information which concerns me/the Legal Entity and I hereby declare and confirm that this information is true and correct and that I have not withheld any relevant or substantial information. Furthermore, I undertake to immediately inform the Company in writing of any change of this information. I confirm that I have delivered all that is required in accordance with Section 7 above and that these are genuine and authentic, and their content is true and correct. Full name: Signature: Date: Appendix B DERIVATIVE FINANCIAL INSTRUMENTS Eurivex Ltd Regulated by the Cyprus Securities and Exchange Commission, License #: 114/10 WHEREAS the Company and the Client, named hereunder, have entered into an Agreement for the provision of Investment and Ancillary Services on (the “Agreement”) and it has been agreed that this Appendix for the provision of Investment Services in regards to transactions in Derivative Financial Instruments shall be executed and shall form an integral part of the Agreement. NOW BY THIS Appendix the Parties mutually agree and accept the following:.