FORM A2

1 INITIALS: ..

Additional information for completing Due diligence requirements and bank account opening

COMPANYS NAME

SECTION A: ULTIMATE BENEFICIAL OWNER(S) (UBOs) NAME & SURNAME:

TELEPHONE NUMBER (UBO) EMAIL (UBO)

OCCUPATION /STUDIES

DIPLOMA (UBO) (MANAGER / BUSINESSMAN IS NOT

ACCEPTABLE)

SOURCE(S) OF INCOME (UBO)

A DOCUMENTARY EVIDENCE IS REQUIRED

SOURCE(S) OF ASSETS

(UBO) PERSONAL ASSETS VALUE

(UBO) Have you been declared

bankrupt or been found in a position of financially distress at

any time in any part of the world? If yes please provide

details

Yes No Yes No Yes No Yes No

Have you been a director or otherwise concerned in the management of a company

which has been subject to any insolvent liquidation or been the

subject of any judicial or regulatory enquiry? If yes please

provide details

Yes No Yes No Yes No Yes No

Do you have any pending or

threatened claims or have you ever been convicted of any

crime/ fraud in a court of law or under any investigation of any nature or involved in any

legal proceedings? If yes please provide details. Please

inform the reason that you proceed with the

establishment of a CY Or Maltese company

Yes No Yes No Yes No Yes No

POLITICALLY EXPOSED PERSON OR RELATED TO ANY

POLITICALLY EXPOSED PERSON

Yes No Yes No Yes No Yes No

IF YES PLEASE PROVIDE DETAILS

FOR USA-DECLARATION LTR

Yes No Yes No Yes No Yes No

IF YES PLEASE PROVIDE DETAILS

Signature

for all the above X X X X

FORM A2

2 INITIALS: ..

SECTION B: COMPANY INFORMATION DETAILED DESCRIPTION OF

BUSINESS ACTIVITY PLEASE PROVIDE MORE

DETAILS: ACCURATE BUSINESS ACTIVITIES

DETAILS ( A BUSINESS PLAN)

*PLEASE INFORM US IF YOU INTEND IN THE FUTURE TO

PROCEED WITH ANY OTHER BUSINESS ACTIVITIES.

IF THE COMPANY MEMBER

OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE

NAME WEB SITE BUSINESS ACTIVITIES COUNTRIES OF

ORIGIN & COUNTRIES OF OPERATIONS

COUNTRIES OF BUSINESS ACTIVITIES (Company)

WEB SITE OF THE COMPANY (Company)

EXPECTED ANNUAL TURNOVER IN EURO-USD

(Company) ANNUAL PROFIT

ASSETS (TOTAL NUMBER AND VALUE)

NO / $ NO. OF BANK TRANSACTIONS

PRINCIPAL COUNTERPARTIES OF INCOMING AND

OUTGOING TRANSACTIONS

INCOMING TRANSACTIONS NAME WEBSITE BUSINESS ACTIVITIES-LOCATION

OUTGOING TRANSACTIONS NAME WEBSITE BUSINESS ACTIVITIES-LOCATION

OTHER ACCOUNTS HELD WITH OTHER BANKS (LOCAL

OR INTERNATIONAL) IF YES PLEASE STATE THE NAME OF THE BANK AND THE COUNTRY

LOCATED

NAME OF THE BANK COUNTRY LOCATED

MAINTAIN ACCOUNTS WITH

FEDERAL BANK MIDDLE EAST IF YES PLEASE

SPECIFY

YES NO IF YES PLEASE SPECIFY

FINANCIAL INFORMATION

BANK MOVEMENTS AND DESCRIPTION OF TYPICAL

TRANSACTIONS AGREEMENTS, CONTRACTS etc (Company)

ECONOMIC AND COMMERCIAL RATIONALE

OF DOING BUSINESS THROUGH

--------------------------------------

PRINCIPAL TRADING ADDRESS (Company)

CURRENCIES EURO USD OTHER:

FORM A2

3 INITIALS: ..

1. FOR TRADING COMPANIES NO. OF SALES INVOICES NO. OF PURCHASE AND EXPENSES INVOICES

EXISTING OR POTENTIAL BUSINESS PARTNERS

(Company)

NAME WEB SITE BUSINESS ACTIVITIES COUNTRIES OF ORIGIN

& COUNTRIES OF OPERATIONS

EXISTING OR POTENTIAL SUPPLIERS (Company)

NAME WEB SITE BUSINESS ACTIVITIES COUNTRIES OF ORIGIN

& COUNTRIES OF OPERATIONS

EXISTING OR POTENTIAL CLIENTS (Company)

NAME WEB SITE

BUSINESS ACTIVITIES

COUNTRIES OF ORIGIN & COUNTRIES OF

OPERATIONS

2. FOR HOLDING COMPANIES

C/N NAME WEB SITE BUSINESS ACTIVITIES COUNTRIES OF ORIGIN

& COUNTRIES OF OPERATIONS

3. FOR FINANCE COMPANIES

NO. OF LOAN AGREEMENTS:

4. FOR ROYALTY COMPANIES

NO. OF ROYALTY/ FRANCHISE AGREEMENTS:

5. FOR REAL ESTATE COMPANIES

ITEMS/ UNITS OF REAL ESTATE:

6. FOR PORTFOLIO TRADING COMPANIES

NO. OF TRADES NAME LISTED TO THE STOCK EXCHANGE OF BUSINESS ACTIVITIES COUNTRIES OF ORIGIN

& COUNTRIES OF OPERATIONS

FORM A2

4 INITIALS: ..

SECTION C: BANK ACCOUNT OPENING

SIGNATORY OF BANK ACCOUNT

NAME & SURNAME: & :

NAME & SURNAME: & :

NAME & SURNAME: & :

NAME & SURNAME: & :

NAME OF DIGIPASS

HOLDER FOR ONLINE TRANSACTIONS

SIGNING METHOD

ALONE ANYONE ALL TOGETHER ADDITIONAL CLIENT

REQUESTS

PIRAEUS BANK DEBIT CARD ADDITIONAL FEE 95EURO + VAT

IMPORTANT NOTE YOU MUST ANSWER AND COMPLETE ALL THE QUESTIONS CAREFULLY GIVING AS MUCH DETAIL AS POSSIBLE AND PROVIDE ALL THE NECESSARY REQUIRED DOCUMENTS IN CASE OF COMPLEX SHAREHOLDING OWNERSHIP STRUCTURES PLEASE PROVIDE SEPARATELY WITH THE RELEVANT OWNERSHIP

DOCUMENTS REQUIRED FOR UBOs

1. ORIGINAL CERTIFIED PASSPORT COPY 2. ORIGINAL BANK REFERENCE LETTER 3. ORIGINAL UTILITY BILL 4. PERSONAL CV 5. BUSINESS PLAN OF THE COMPANY 6. FINANCIAL INFORMATION AND BANK MOVEMENTS 7. A DOCUMENTARY EVIDENCE FOR WEALTH ACCUMULATED 8. FINANCIAL AGREEMENTS, CONTRACTS, INVOICES etc

Declaration

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I/we am/are aware that I/we may be held liable for it, and I shall hereby keep AK Kotsomitis Chartered Accountants Ltd., FBS Overseas Limited, Ilcom Limited, AK Orion Trust Limited, Focus Business Services International Limited, Focus Business Services (Malta) Ltd., FBS Kotsomitis Corporate and Management Services FZE and associated and affiliated companies, assigns or successors, fully indemnified, against any actions, suits, breaches, claims, demands, costs and expenses which may be taken or made against the aforesaid companies or incurred or become payable by you as a result of such inaccurate, incorrect, false, incomplete or misleading information. Date: Signature(s): .. ... Name(s):

FOR INTERNAL USE ONLY C. D. NOTES R. C.

COMPANYS NAME: ULTIMATE BENEFICIAL OWNERS UBOsNAME SURNAME: ULTIMATE BENEFICIAL OWNERS UBOsNAME SURNAME_2: ULTIMATE BENEFICIAL OWNERS UBOsNAME SURNAME_3: ULTIMATE BENEFICIAL OWNERS UBOsNAME SURNAME_4: ULTIMATE BENEFICIAL OWNERS UBOsTELEPHONE NUMBER UBO: ULTIMATE BENEFICIAL OWNERS UBOsTELEPHONE NUMBER UBO_2: ULTIMATE BENEFICIAL OWNERS UBOsTELEPHONE NUMBER UBO_3: ULTIMATE BENEFICIAL OWNERS UBOsTELEPHONE NUMBER UBO_4: ULTIMATE BENEFICIAL OWNERS UBOsEMAIL UBO: ULTIMATE BENEFICIAL OWNERS UBOsEMAIL UBO_2: ULTIMATE BENEFICIAL OWNERS UBOsEMAIL UBO_3: ULTIMATE BENEFICIAL OWNERS UBOsEMAIL UBO_4: ULTIMATE BENEFICIAL OWNERS UBOsOCCUPATION STUDIES DIPLOMA UBO MANAGER BUSINESSMAN IS NOT ACCEPTABLE: ULTIMATE BENEFICIAL OWNERS UBOsOCCUPATION STUDIES DIPLOMA UBO MANAGER BUSINESSMAN IS NOT ACCEPTABLE_2: ULTIMATE BENEFICIAL OWNERS UBOsOCCUPATION STUDIES DIPLOMA UBO MANAGER BUSINESSMAN IS NOT ACCEPTABLE_3: ULTIMATE BENEFICIAL OWNERS UBOsOCCUPATION STUDIES DIPLOMA UBO MANAGER BUSINESSMAN IS NOT ACCEPTABLE_4: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF INCOME UBO A DOCUMENTARY EVIDENCE IS REQUIRED: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF INCOME UBO A DOCUMENTARY EVIDENCE IS REQUIRED_2: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF INCOME UBO A DOCUMENTARY EVIDENCE IS REQUIRED_3: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF INCOME UBO A DOCUMENTARY EVIDENCE IS REQUIRED_4: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF ASSETS UBO: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF ASSETS UBO_2: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF ASSETS UBO_3: ULTIMATE BENEFICIAL OWNERS UBOsSOURCES OF ASSETS UBO_4: ULTIMATE BENEFICIAL OWNERS UBOsPERSONAL ASSETS VALUE UBO: ULTIMATE BENEFICIAL OWNERS UBOsPERSONAL ASSETS VALUE UBO_2: ULTIMATE BENEFICIAL OWNERS UBOsPERSONAL ASSETS VALUE UBO_3: ULTIMATE BENEFICIAL OWNERS UBOsPERSONAL ASSETS VALUE UBO_4: IF YES PLEASE PROVIDE DETAILS: IF YES PLEASE PROVIDE DETAILS_2: COMPANY INFORMATIONDETAILED DESCRIPTION OF BUSINESS ACTIVITY PLEASE PROVIDE MORE DETAILS ACCURATE BUSINESS ACTIVITIES DETAILS A BUSINESS PLAN PLEASE INFORM US IF YOU INTEND IN THE FUTURE TO PROCEED WITH ANY OTHER BUSINESS ACTIVITIES: NAMEIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE: WEB SITEIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE: BUSINESS ACTIVITIESIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE: NAMEIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE_2: WEB SITEIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE_2: BUSINESS ACTIVITIESIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSIF THE COMPANY MEMBER OF A GROUP OF COMPANIES IF YES PLEASE STATE THE NAME OF THE GROUP AND THE RELEVANT WEBSITE_2: COUNTRIES OF BUSINESS ACTIVITIES Company: WEB SITE OF THE COMPANY Company: EXPECTED ANNUAL TURNOVER IN EUROUSD Company: ANNUAL PROFIT: NOASSETS TOTAL NUMBER AND VALUE: ASSETS TOTAL NUMBER AND VALUE: NO OF BANK TRANSACTIONS: NAMEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS: WEBSITEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS: BUSINESS ACTIVITIESLOCATIONPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS: NAMEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_2: WEBSITEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_2: BUSINESS ACTIVITIESLOCATIONPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_2: NAMEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_3: WEBSITEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_3: BUSINESS ACTIVITIESLOCATIONPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_3: NAMEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_4: WEBSITEPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_4: BUSINESS ACTIVITIESLOCATIONPRINCIPAL COUNTERPARTIES OF INCOMING AND OUTGOING TRANSACTIONS_4: NAME OF THE BANKOTHER ACCOUNTS HELD WITH OTHER BANKS LOCAL OR INTERNATIONAL IF YES PLEASE STATE THE NAME OF THE BANK AND THE COUNTRY LOCATED: COUNTRY LOCATEDOTHER ACCOUNTS HELD WITH OTHER BANKS LOCAL OR INTERNATIONAL IF YES PLEASE STATE THE NAME OF THE BANK AND THE COUNTRY LOCATED: NAME OF THE BANKOTHER ACCOUNTS HELD WITH OTHER BANKS LOCAL OR INTERNATIONAL IF YES PLEASE STATE THE NAME OF THE BANK AND THE COUNTRY LOCATED_2: COUNTRY LOCATEDOTHER ACCOUNTS HELD WITH OTHER BANKS LOCAL OR INTERNATIONAL IF YES PLEASE STATE THE NAME OF THE BANK AND THE COUNTRY LOCATED_2: IF YES PLEASE SPECIFYMAINTAIN ACCOUNTS WITH FEDERAL BANK MIDDLE EAST IF YES PLEASE SPECIFY: FINANCIAL INFORMATION BANK MOVEMENTS AND DESCRIPTION OF TYPICAL TRANSACTIONS AGREEMENTS CONTRACTS etc Company: THROUGH: ECONOMIC AND COMMERCIAL RATIONALE OF DOING BUSINESS THROUGH: PRINCIPAL TRADING ADDRESS Company: OTHER: NO OF SALES INVOICES: NO OF PURCHASE AND EXPENSES INVOICES: NAMEEXISTING OR POTENTIAL BUSINESS PARTNERS Company: WEB SITEEXISTING OR POTENTIAL BUSINESS PARTNERS Company: BUSINESS ACTIVITIESEXISTING OR POTENTIAL BUSINESS PARTNERS Company: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL BUSINESS PARTNERS Company: NAMEEXISTING OR POTENTIAL BUSINESS PARTNERS Company_2: WEB SITEEXISTING OR POTENTIAL BUSINESS PARTNERS Company_2: BUSINESS ACTIVITIESEXISTING OR POTENTIAL BUSINESS PARTNERS Company_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL BUSINESS PARTNERS Company_2: NAMEEXISTING OR POTENTIAL BUSINESS PARTNERS Company_3: WEB SITEEXISTING OR POTENTIAL BUSINESS PARTNERS Company_3: BUSINESS ACTIVITIESEXISTING OR POTENTIAL BUSINESS PARTNERS Company_3: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL BUSINESS PARTNERS Company_3: NAMEEXISTING OR POTENTIAL SUPPLIERS Company: WEB SITEEXISTING OR POTENTIAL SUPPLIERS Company: BUSINESS ACTIVITIESEXISTING OR POTENTIAL SUPPLIERS Company: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL SUPPLIERS Company: NAMEEXISTING OR POTENTIAL SUPPLIERS Company_2: WEB SITEEXISTING OR POTENTIAL SUPPLIERS Company_2: BUSINESS ACTIVITIESEXISTING OR POTENTIAL SUPPLIERS Company_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL SUPPLIERS Company_2: NAMEEXISTING OR POTENTIAL SUPPLIERS Company_3: WEB SITEEXISTING OR POTENTIAL SUPPLIERS Company_3: BUSINESS ACTIVITIESEXISTING OR POTENTIAL SUPPLIERS Company_3: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL SUPPLIERS Company_3: NAMEEXISTING OR POTENTIAL CLIENTS Company: WEB SITEEXISTING OR POTENTIAL CLIENTS Company: BUSINESS ACTIVITIESEXISTING OR POTENTIAL CLIENTS Company: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL CLIENTS Company: NAMEEXISTING OR POTENTIAL CLIENTS Company_2: WEB SITEEXISTING OR POTENTIAL CLIENTS Company_2: BUSINESS ACTIVITIESEXISTING OR POTENTIAL CLIENTS Company_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL CLIENTS Company_2: NAMEEXISTING OR POTENTIAL CLIENTS Company_3: WEB SITEEXISTING OR POTENTIAL CLIENTS Company_3: BUSINESS ACTIVITIESEXISTING OR POTENTIAL CLIENTS Company_3: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSEXISTING OR POTENTIAL CLIENTS Company_3: CNRow1: NAMERow1: WEB SITERow1: BUSINESS ACTIVITIESRow1: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow1: CNRow2: NAMERow2: WEB SITERow2: BUSINESS ACTIVITIESRow2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow2: CNRow3: NAMERow3: WEB SITERow3: BUSINESS ACTIVITIESRow3: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow3: NO OF LOAN AGREEMENTS: NO OF ROYALTY FRANCHISE AGREEMENTS: ITEMS UNITS OF REAL ESTATE: NO OF TRADESRow1: NAMERow1_2: LISTED TO THE STOCK EXCHANGE OFRow1: BUSINESS ACTIVITIESRow1_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow1_2: NO OF TRADESRow2: NAMERow2_2: LISTED TO THE STOCK EXCHANGE OFRow2: BUSINESS ACTIVITIESRow2_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow2_2: NO OF TRADESRow3: NAMERow3_2: LISTED TO THE STOCK EXCHANGE OFRow3: BUSINESS ACTIVITIESRow3_2: COUNTRIES OF ORIGIN COUNTRIES OF OPERATIONSRow3_2: fill_5: fill_6: fill_7: fill_8: fill_9: fill_10: fill_11: fill_12: Text137: Text138: Text139: Check Box140: Check Box141: Check Box142: Check Box143: Check Box144: Check Box145: Check Box146: Check Box147: Check Box148: Check Box149: Check Box150: Check Box151: Check Box152: Check Box153: Check Box154: Check Box155: Check Box156: Check Box157: Check Box158: Check Box159: Check Box160: Check Box161: Check Box162: Check Box163: Check Box164: Check Box165: Check Box166: Check Box167: Check Box168: Check Box169: Check Box170: Check Box171: Check Box172: Text173: Text174: Text175: 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