W E A L T H C L I E N T A P P L I C A T I O N NEW CLIENT ONBOARDING Your BNY Wealth application This is a fillable PDF: click any field to type, tick the checkboxes and select one option per group. You can also print it and complete it by hand. All fields are required unless noted. Send the completed form to your BNY Wealth adviser. 01 Personal details All fields required unless noted TITLE Mr Mrs Ms Miss Dr Other FIRST NAME LAST NAME DATE OF BIRTH (YYYY-MM-DD) SSN OR TAX ID COUNTRY OF CITIZENSHIP COUNTRY OF RESIDENCE 02 Joint accountholder Only if opening a joint account This is a joint account - add a second accountholder Leave unticked for a single-holder account. JOINT ACCOUNTHOLDER TITLE Mr Mrs Ms Miss Dr Other JOINT FIRST NAME JOINT LAST NAME JOINT DATE OF BIRTH (YYYY-MM-DD) JOINT SSN OR TAX ID JOINT COUNTRY OF CITIZENSHIP RELATIONSHIP TO PRIMARY ACCOUNTHOLDER Spouse / partner Parent Child Sibling Business partner Other 03 Contact & address EMAIL MOBILE (INCLUDE COUNTRY CODE, E.G. +1 ...) BNY Wealth - Client Application Page 1 B N Y W E A L T H CLIENT APPLICATION (CONTINUED) ADDRESS LINE CITY STATE ZIP / POSTCODE COUNTRY 04 Financial profile Helps us assess suitability EMPLOYMENT STATUS Employed Self-employed Retired Not employed OCCUPATION ANNUAL INCOME Under $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 Over $1,000,000 TOTAL NET WORTH Under $250,000 $250,000 - $1,000,000 $1,000,000 - $5,000,000 $5,000,000 - $25,000,000 Over $25,000,000 PRIMARY SOURCE OF FUNDS Employment income Business ownership or sale Investments Inheritance Retirement savings Property Other PRIMARY INVESTMENT OBJECTIVE Capital preservation Income generation Balanced growth Long-term growth INITIAL DEPOSIT AMOUNT (USD) 05 Identity verification ID DOCUMENT TYPE Passport Driver's license State ID card Permanent Resident Card ID DOCUMENT NUMBER Please have your identification document available when you submit this application. Your adviser will let you know if a certified copy is required. BNY Wealth - Client Application Page 2 B N Y W E A L T H CLIENT APPLICATION (CONTINUED) 06 Declarations & consent Accuracy. I confirm that the information provided in this application is true, accurate and complete to the best of my knowledge, and I will notify BNY Wealth of any changes. Identity verification. I consent to BNY Wealth verifying my identity and performing checks against internal and third-party sources as required by applicable law. Beneficial ownership. I confirm I am applying on my own behalf and the funds are not derived from, or intended for, any unlawful activity. Privacy. I have read and agree to the processing of my personal data as described in the BNY Wealth privacy notice, for the purposes of opening and servicing my account. PEP disclosure (tick if applicable). I am, or am closely associated with, a Politically Exposed Person (PEP). BNY Wealth is required to ask this question; leaving the box unticked indicates a negative declaration. Signatures Sign after printing, or type your full name to sign electronically where accepted. SIGNATURE OF PRIMARY APPLICANT DATE (YYYY-MM-DD) SIGNATURE OF JOINT ACCOUNTHOLDER (IF APPLICABLE) DATE (YYYY-MM-DD) BNY Wealth is a fictional demonstration brand. This document is a design artifact for the client application workflow and does not constitute an offer of financial services. Investment products are not FDIC insured, are not bank guaranteed, and may lose value. BNY Wealth - Client Application Page 3