DOCUMENTS REOUIRED FOR OPEIYING ACCOUNTWITH STATE BAI\IK OF INDIA. ANTWERP

1) Account opening Form (4 Pages), Anti Money Laundering Form (1 Page) &Ultimate Beneficial owner (s) form (2 Page)

2) Introduction / Reference letter from our existing customer (2)

3) x Draft from the Notary Deed (for new companies)

4) * FOLINDATION ACT (ARTICLES OF ASSOCIATIOI{) Published in the

Official Gazette and all amendments on it (existing company) or equivalent

documents

5) Ultimate beneficial ownership details (Abstract from the book of Share Holder)

6) Proof of membership of Diamond Bourse (For diamond customers only)

7) BALANCE SHEET ofthe last financial year (for existing), Projected Balance

Sheet (for new company).

8) Photocopies of ID Cards / Passports of the Directors and Authorised signatories

(Oriqinals need to be oroduced at the time o.f opening o-f accountl

Belgian - Resident CardNon Belgian - Resident Card + Passport with Address**

9) Photograph of the Directors and Authorised signatories (2 each).

l0) Statement of Accounts for last 3 months from the existing Banker.

* Preferably along with ENGLISH version.

** Incase passport does not contain address therein then document related to

proof of address issued by the Government authority of the respective country.

Rekening llrfomph No

AEMJflTNO

Senanring ol han&lsnaanlbdrromindion ouraison wciale: . .. . ..

lrlamo or&adb name;

Aad van de v*nnootschap;

Fonfie & la soci6$:ilafumaf comPenY,

Adres:A$esse:Cddrcsst

Teletuon Nr / No Tel. I Tet llo-:

opbhtingsdatum:Dde de constifutkrn:Oabof asbb#sfmerl:

Armndtnsnl$ to shtufm' rcru ptt0ltsld,n

BTWnr.I NoTVAI VtfNo

tntrodufiiie l$tmarkrRd. dintruduclisnlJnfioducfory RoFmncE:

Diwrse aanwiprgngen (venendirq der Hiefrrisseting)

lnslructisrs diversee (onvoi de h mneepondence)

Sundry instructiom (mailling of mnmporrhnce)

Td": 08 233 23 55Telex mffil $BANTW-hGable THISTLEtffi ArfirverPen ?352€1

Ve*laringen tereist €or hst openefl Yan een rekening

Ddclaratione r€quis6 pour l'ouwrturc dun mmpbOedaratrms raq[red fur0!e opemfigofff ac@uhf

Sbb Bank of lndiaFiliailJ t6AntvtelpnKorts H6Brrtal*seaf,tS2m0 Affvrgrpon

0s oprichlingsakh w€d gep$icee{d in:

L acE cons*tutif a 6te Brili6 dans: .. .

Fwndafion arlbloo pl*/rished in:

De dden hot&ild€ nipi$ng det stauten werden gepubliceerd in:

Les des modifunt les siatuts utt et6 prblies dans:

0pe0 dala dufrn

0pen d$e du

uI

|^Iii e*ennen kemi$ snorn€n t* hffi, *fl, hd fieghmert e vewidtingen uan de stse Bank 6r lndb, rxaarvryr wii mn eqemder

onivingen, en wklaren er alle bedingen van aan le nenst'

kdlefi ste r'ftefiing, *" *n? *8. r"dd, *, deb@ldo aou vsrtone$l mlden on& sffeden en $aarden in haden van de Bank

il;# ,*-@ dl*ute mdt m ht hct vsrchuldige be-looB de taru$dallng var om teksrt k *mtorgpn ,

iffi,"* ffi;rffir;ffi ;ffi;d;# 6 dqr*franr oe* cfumtioniue h si*e Bank d lrdia donl nous wona rcs un errcmplairu

et &nt nous ddrltrofls acBpter toules les dzuses.

i;;; ffi;i*ri ifrin,i", ,ar" conrek devel{ dititeur; *cs tlte d vqlewE se trourant entre les rnaint de la Banque

O"ri*Aahm fa gaga O" een" ffid* pour gar*rtlr, idue concurence, te renbcnrrsenrent & notre d6c$vert.

nI€ &el6rs & ltsls l€*en lnrsrbdF pf fr'$ Hub$ aild Ro&datjs,; ;f d'op,anors of rm sdB Ban* rf lndia of rhlefr wa eceiwd a

specimen and conlTrm ffrrlptanee 6f aficdfrr$ls ,?rnnt ond tl'etslk'

[;i; ;w*,r" on, oo*or,"rru#, itroua strnrv e oam hlancs, txrsto*s rnd Ms,r€ts in *lra hand* dltra sark il(uld become a

eacarfy &r fffa faqfst h ffare[rsa t te rqr8trTr,fi ol tbo &fi trtr/ufit'

Datum I Bab --- *** ii;;*dTe men vffialgagl door & woo{den 'grhr en gocdgt{crrrd"' vA taire Dn*ed€r &E rds " Lu el rppm.rhd' rro W irrrx*d oytlre mrds " Gr*mar,ur goadg;trrrd"' fRead atd agrwd)'

sBtF45

State Bank of lndiaFiliaal te AntwerpenKorte Herentalsestraat 32018 Antv{erpenTel. (03) 233235sTelex 72091 SBAIITW'bCable: THISTLEHR Antwerpen 235221

VOLMACHT VENNOOTSCHAPPROCURATION SOCIETE

COMPANY PROCAfrATION

Benaming of tirmanaam:Nom ou raison sociale:Name or comqany name:

Vorm van de vennootschap:Forme de la societe:Natwe ol cofipany:

Datum en publicatie van de akten van oprichting en wijziging der statuten:Dale et publication des aetes de cr6ation et modi{ication des statllts: ..r":" r'.""Date an'd publicalion o{ articles ol toundalion and amendment of lhe statutes:

A. Volgende personen zijn gemachtigd om de vennootschap te verbinden t.o,v. de State Bank of lndia voor alle daden van beheer en

beslnikking zonder enige beperking'A. Les personnes suivantei sont autoris6es i engager la soci6t6 envers la state Bank of lndia pour toul acte de gestion et de di$posii;on

sans aucune limitation.A. Fottowingpersons are authorised to bind fhe company to the Slate Eank of tndia lor atl acts of managemenl and contol without atv

restriction.

tekent:srgne: tsigns;

tekenl:signe: *sigos.' J

tekent;.signe:signs.'

tekent:signe:srgns.'

lekent:signe:srgns.'

tekent:signe:signs.'

Deze persone8 tekenen -

Ces personnes signent :Iiese persons sign

alzonderlijk'gezamenliik met twse"sEpar6mentensemble ii deux"separately'blnUY $wo)"

B- vorgende personen hebben onbeperkte vormacht.om in naam van de vennootschap bii de state Bank of lndia' alle eflecten te

deDoneren, aile contracren te stortln, alte beursverriit'iing"n t. ooen met lnuegii;-vin-ir"-lr6iir;;:, rerrooo- en aankoopopdrachten

en inschriivingen op electen. a1e overschrilvingen. iiins-ters en opvraging.n ,Ji il'nian'tEn-Jn Ettecten le verrichten' te beschikken

over alle huidige en toekomstige kredieten ten grniie vin de vennooGcrr"ppli, iiri'i.iii"r"pipi.i te trekken. te onderschrijven' te

accepteren, te avareren bi iJ'inoori.*n, atte iaar'u6riun en zir,"rrreden. ie .i"li"",'"rri *J5r?" munt"n te kopen en te verkopen'

a,e terugbeiatinsen re verrichten, are kwijtingen ;ff;tt;;ii;s; i" ,lrrdnen-of tb verxrilgen, en om ie dien einde alle nodige

r ff:'#ji:""l:::lf"?1iJ'"::?iu.p,oc,,.atio,:?l^: ,:':trit:?Lp:::^dili:i:l:?i1:"i:31?^1,Y,,1,o* T"'i:n"5;ie.?:Y:l5ff;T;;;'erets, virer rous comptants. r6ariser routa oprrurion 6o,ir#;; y-;t;fiJi;us res'irires al'oitr-Js.' q" vente et d'achal et d'inscription

d'efters, lous virements, ;;;E;i;"i .;ie"i otespelJs Jr-otirtii' dour oispos-eib* to*tieciti presents et luturs au bindlice de la

societe, pou. tirer tous efrets de commerce, pou, ,o-r'.irli., ilii-riter, avatiier o'u ;;i;;;;:;a' Etabti' toules saranties et securiles'

, pour vendre er acherer tilirlli",, ;..ii.ii"r',i,ans6;;il..irt ;L;ii;riie*uJr-rie'*"niJ' b-oriai"order ou obtenir touies quittances

, e:,****]i*:gn',1"';,?:r',?i,;1;:,L}.::iilSrX?,ilB',,* !!?rt!:ail cash, ail exchanso operations to be dane inctudns

deatins-, 6ate and purch;;;';;;;r;"[;ir'd iiti_ir iil'iiiiZ-i, iilii*r"tt,aniiirJZii i&6itiii 6r cisn and securities' in the name

o!rhecampany,wjrh,n;ctare Bankor rndia..Theyiin'r"uj ,*.ir actuat aiolJiu're-iiiiilliiitr,ru'ilhecompanv'todrar"'.attcomnerciat documents,to slgn - agc.9ot, auatise or iidoiii ui girr^niiri llriiiiiriiei,lo iurcnase and sett all loreisn currenctes'

to ertect arr repayments, to giant at discharses o, i'riJuii"liii, iii1"lnis-eia-{o'siui iit'the necessarv documenls:

tekent:signe: -s,gns,'

tekent:signe:s,gnsi /

tekent:. signe:

signsrtekent:. signe:

srgns I

Deze persooen tekenen : ;:.:#lii[,rer twee..ces personnes sisnent

_ ffi!3lifrj} o"r_..rhese persons sisn

- iifr?ff,rijirr.

c. Niettegenstaande alle publicaties in de biilagen tot.het Belgisch staatsblad, -zal

het intrekken v6n 666ls1tl3vioe volmachten' zowel deze

voorzren sub. ritt. A ars deze voorzien sub. ritt.. B, sreiills t,-rnnen ingeroepen ,r;;?;;'i;il'l!-st'tJ eanL -ot tndia' vanaf de werkdag

die vorsr op de das waarop zii, door aansetekend!;"#i"ii;;;i;-s;u-inb.ur'In-tI"nJJn'i-,i6oln ran de herroepins van betrokken

volmachten'c. Nonobstant loutes publicaiions. aux annexes du Moniteur Belge. l'annulation.des prasentes procuralions' tant celles Dr{ivue sous litt' A

6ug 69res sous lrrt. B, ne'pourront etre invoquee.s .ir"iri'ru -siui"'Bant<

ol lndia";;a;;ffi; io'i Ju"aut" suivant le iour ou elle aura

" il;fu,au::rffiili,m",rr;:,,"r'+iau:'i:;i;!i7z:w3li&:;x,?H: tot the mentioned authorities, in A. as we! as

in B. above, can ony ne iiiiain asainst th.e state aiini' ii tiii uTrom'n, *;:;;';';;;;iiii*iii tne aav on which the bank witt have

received notice or me witiiiiiatirlni autnorities by registered mail'

De state Bank of lndia is ervan ontslaan de ontvangst te berichten van onderhavige volmacht'

La State Bank ot rnOia n'esi plsienirJia""r-rJr r66eption de la pr6sente procuraiion'

Ihe Stale Bank ol lndia is no! obtiged to notily ne receipt ilhe bbove mentioned authorization'

Firmahandiekening (")Sigoatures de la soci6t6 (")' ComlanY's signalures {")

.v

( 'l Doorhalen wat niet van toepassing is'i..i raondertekenendoordepergonendiedevennoorsctrapverbindentegenoverderdenvooralledadenvanbeheerofbeschikkingzonderenigabeperking' ' i"lis indien hun handtekening reeds vooffiomt 6uo' ilII' ^'

Gelieve onder da n"not"r.""iig."l" n*'n un de hoedanigheid van de ondertekenaars te vermelden'

t :t ftl"t"t;XltfJ;??l':?"r. qui engagent ra soci6rd envers res riers pour tous les actes de sestion ou de disposition sans aucune limltation' meme si

'' iuriiignitureesidelapos'esouslilt A'

Veuillez menlionnet les nom et gualit' sous chaque signature'

( .) Rute out vrhat is nol applicabte. - h thinl oarties for all acts of 'lalion even vthen their signalure

(,.) To be signod by rhe per"iii'it o can bind tha company to third parties fot all acts of management wilhoul any limi'

already aqqears tn Par. A'

Please mention lhe name and sanclion under lhe signalures'

OpgemaaktFait 4......-..Made up al

ople

om

STATE BANK OF INDIAANTWERP BRANCHKorte Herentialsestraat 32018 ANTWERPEN

Date

HandtekeningkaartCarte De SignaturesSIGNATURE CARD

Mijne Heren,Messieurs,Dear Sirs,

Hiermede bevestigen wij de onfuangst van een exemplasar van Uw algemene voonr*aarden, waarmede wij ons

accoord verklaren.

par la pr6sente nous accusons rdception d'un exemplaire de vos conditions g6n6rales auxquelees nous

ajoutons notre accord-

Herewith we acknowledge receipt of a copy of your general conditions with which we are in full agreement'

Deze handtekeningkaart, welke de gemachtigde handtekeningen draagt op ommezijde, refereert zich aan onze

afzonderlijke opgestelde procuratie voor maatschappijen-

Cette fichl de signatures, reproduisant les signatures autoris6es au verso, se rdfdre i notre procuration

commerciale Etasblie s6par6ment.This signature card, containing overleaf authorised signatures, refers to our commercial procuration

established separately.

Hoogachtend,Vos d6vou6sYours Faithfully,

Aocount N"

CustomeCs name:

Adress:

Verified by

To be added in the declrration form

ffi whichever is not aPPlicable

(i) (a) Vwe declare that I/we am/have not hol$ing iheld any public office of p,rominence- (please refer to Article 3(8) of FE's 3d Directive on Money Laundering & terrorist

Financing)

Or

(b) Uwe declare that Vwe amlhave holding /held public office ofprominence. The details are

as under. ( Please refer to Article 3(8) of EC's 3E Directive on Money Laundering &terrorist Financing )

(ir) (a) [Are declare that no close family member/ associat€ of mine/ours is holdingiheld any

public offrce of prominenoe. 1 ittease refer to Article 3(S) of EC's 3d Directive on

Money Laundering & tcrrorist Finmcing )

Or

ft) V we declare &at a close frmily member/ associate of mine/ours is holdinglheld a public

office of prominence. The dstails are as under. ( Please refer to Article 3(8) of EC's 3'"

Directive on Money Iaundering & temorist Financing )

Signatre:

Name:

For internal oflice use: (Signature with date)

I Account Opening approved bY:

(manual approval)

2 Account Opened by:(in system)

J Account verifi ed/authorized by:(in system)

State Bank of IndiaAntwerp, Belgium

Declaration ultimate beneficial owner(s)

Name of customer

state(s) that on the date ....1...J....-... the customeru is not listed on the stock exchange and

tr does not have any beneficial owners other than its directors or business managers

tr that the following physical persons, apart from its directors or business managers, are

beneficial owners : *

that controlling in the nominal capital is held by the following listed

I This declaration must be signed by persons who are legally and/or statutorily authorized to represent the legal

entity vis-a-vis third parties., State the exact function, e.g. director, managing directoq business manager.

stake*

Name of listed com

@ hold at least 25% of the capital or voting rights of the legal entity.

Ultimate beneficial owners of clients who are companies

The following natural persons are considered as the ultimate beneficial owners of clients:

o natural persons who own or directly or indirectly control more than 25Yo of the shares

or voting rights (this is 25o/o + I shares/voting right) of a client;

o natural persons who, without controlling or owning more that25o/o of the shares or

voting rights, had de facto control of the client;o natural persons who, without having the power to represent the client in its relations

wittr 11rg Branch, are a member of the management bodies of the client.

The customer, represented by the signatory/signatories, undertake(s) to inform STATE BANK OF

INDIA immediately in writing of any modification in this declaration and to provide a copy of the proof

of identity of the new beneficial owners. The Bank reserves the right to terminate the relationship with

the customer if it appears that the information supplied is incomplete or incorrect.

Section reserved for the Bank

Belgian anti moneyJaundering legislation obliges banks to identif their customers' beneficial

owners.

The following are beneficial owners(s):

of commercial companies or companies with a commercial form: on the one hand the members of the

-"*g"-""1b"-d "part from the customer's authorised representatives to the bank, and on the other

hand,-the physical p.irorr. or persons that individually or jointly, directly or indirectly, ultimately own

or control the customer.

Control is understood as having the competence in law or in practice to exercise a decisive influence

on the appointment of the majority of directors or business managers or the orientation of policy.

Only the ultimate controlling shareholders (i.e. natural persons) are to be stated on this certificate. In

other words, if the holder of a controlling stake in the customer is a legal entrty, the physical person or

persons who hold controlling stakes in the intermediate legal person must be identified.