17F Lepanto Bldg.

8747 Paseo de Roxas, Makati City

Tel.no: (+632)856-7680 Fax: (+632)813-0865
ONLINE ARM OF F. YAP SECURITIES, INC. customercare@2tradeasia.com
www.2tradeasia.com

In compliance with FATCA and as enacted by the U.S. government, all 2TradeAsia Account Applications must submit a filled out FATCA form.
Kindly answer the following questionnaire and provide additional documents if applicable

FOREIGN ACCOUNT TAX COMPLIANCE ACT QUESTIONNAIRE

Primary Account Secondary Account
Holder Holder

Are you a US citizen? Yes No Yes No

Are you a dual citizen? (click Yes if one of the countries of citizenship is the U.S.) Yes No Yes No

Are you a permanent resident of the U.S. / green card holder? Yes No Yes No
Are you born in the U.S.? Yes No Yes No
Do you have a residence in the US? Yes No Yes No

Do you have a phone number in the US? Yes No Yes No

Do you have any instructions to transfer funds to an account in the US? Yes No Yes No
Have you ever been to the US in the last 6 months? Yes No Yes No

If any of the answers to questions stated above is YES, kindly specify required applicable information below:
PRIMARY ACCOUNT HOLDER SECONDARY ACCOUNT HOLDER

Name Name

U.S. Address U.S. Address

U.S. Tel. No. U.S. Tel. No.

U.S. P.O. Box U.S. TIN No. U.S. P.O. Box U.S. TIN No.

Standing instructions to pay amount/transfer funds to an account maintained Standing instructions to pay amount/transfer funds to an account maintained
in the United States: in the United States:

Current power of attorney or signatory authority granted to a person with Current power of attorney or signatory authority granted to a person with
US Address: US Address:

An “in-care-of” address or “hold mail” address: An “in-care-of” address or “hold mail” address:

Length of stay in US Length of stay in US

DECLARATION, ACKNOWLEDGEMENT AND WAIVER

By signing the FOREIGN ACCOUNT TAX COMPLIANCE ACT (FATCA) DISCLOSURES, I hereby certify that the information I have provided herein is true, accurate and complete.

I agree to the fact that it is my responsibility to notify as well as to update 2TradeAsia (Yapster E-Trade, Inc.) of any change in any of the information that I have provided in this form. Any misrepresentation regarding
my status shall be a ground for the termination of my 2TradeAsia account among other penalties or sanctions required by existing laws.

Also, I acknowledge to have read, understood and agreed to be bound by the terms and conditions of, although not limited to, the following in relation to previous agreements between me and 2TradeAsia (Yapster
E-Trade, Inc.):

1. Anti-Money Laundering Act as amended;

2. The United States Foreign Account Tax Compliance Act or “FATCA” as well as the regulations of the United States Internal Revenue Service or “US IRS” as may be amended; and/or
3. Such other rules and regulations which may be issues by the government and other regulatory bodies of the Philippines or by other foreign jurisdictions which is necessary in the conduct of my activities as a
client of 2TradeAsia (Yapster E-Trade, Inc.)

I understand that 2TradeAsia (Yapster E-Trade, Inc.) may be required to report some of my account’s pertinent information as required under FATCA.

Printed Name & Signature Date Signed Printed Name & Signature Date Signed
(Primary Account Holder) (Secondary Account Holder)