In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of December, 1998 and under the U.S. Patriot Act of 2002, as amended in February, 2003, concerning the prevention of Money Laundering and 305 of the Swiss Criminal Code, the following information may be supplied to Banks and/or other Financial Institutions for purposes of verification of identity and activities of the Client described below and the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided that they are obligated to respect the Privacy Rights of the Client and all individuals described herein, as well as the generally accepted professional standards relating to the maintenance of confidential information and to take all appropriate precautions to protect the confidentiality of the information contained herein. This legal obligation shall remain in full force indefinitely without restriction.
Please complete the individual information form to the best of your knowledge.