Autocertification CRS-FATCA
I certify that the information provided in the CRS-FATCA
self-certification regarding my citizenship or residence for tax
purposes is accurate and complete. I allow you to share this
information with your subsidiaries or affiliates for risk management,
profile updating and legal and regulatory compliance purposes. In
addition, I agree to inform you of any change in circumstances that
results in this information becoming incomplete or inaccurate, no
later than 30 days after such change.