KYC Duplicate Form

KYC DUPLICATE FORM

This KYC Duplicate Form (the "Form") is made and entered into on this date between Client Name: , Entity Type: Individual Corporation Trust , Address: and Institution Name: . Effective Date:

RECITALS

WHEREAS, Client previously submitted KYC and identity documentation to Institution on Original Submission Date: under Reference Number: ;

WHEREAS, Client now supplies duplicate copies of the previously submitted KYC materials or updated duplicates for the purposes of verification, record retention, compliance with applicable anti-money laundering and know-your-customer obligations, or replacement of lost originals;

WHEREAS, Institution requires a written declaration that the duplicate materials are true, complete and unaltered copies of the original materials or contain the updates stated herein.

NOW, THEREFORE, in consideration of the mutual covenants set forth below, the parties agree as follows:

1. DEFINITIONS

1.1 "Duplicate" means a copy, electronic reproduction, or updated documentation submitted by Client pursuant to this Form and identified in Section 2.1. "Original KYC" means the documents previously submitted to Institution and referenced above. "Personal Data" means information about an identified or identifiable natural person contained in the Duplicate.

2. DUPLICATE DECLARATION

2.1 List of duplicate documents submitted (check all that apply and provide details where requested):

3. REPRESENTATIONS AND WARRANTIES

3.1 Client represents and warrants that each Duplicate submitted under this Form is a true, complete and unaltered copy of the Original KYC or contains the specific updates described in Section 2. Client further represents that all information contained in the Duplicate is accurate as of the Effective Date and that no relevant information has been omitted which would render the Duplicate misleading.

3.2 Institution represents that it will use reasonable administrative, technical and physical safeguards to protect Personal Data contained in the Duplicate and to process such data in compliance with applicable law and its internal policies.

4. CONSENT TO VERIFICATION

4.1 Client consents to Institution performing any necessary identity verification, background checks, or third-party confirmations in connection with the Duplicate. Client authorizes third-party sources to disclose verification information to Institution and acknowledges that Institution may retain records of such verification.

5. USE, RETENTION AND DESTRUCTION

5.1 Institution may retain duplicates and any verification records for the period required by applicable law or its records retention policy. Institution will securely dispose of duplicates when retention is no longer necessary, subject to legal hold obligations. Client acknowledges that destruction may be delayed if required for ongoing investigations, litigation, or regulatory compliance.

6. CONFIDENTIALITY

6.1 Each party shall maintain the confidentiality of Personal Data contained in the Duplicate and shall not disclose such information except (a) to its employees, agents or representatives who have a need to know and are subject to confidentiality obligations; (b) to a competent governmental authority as compelled by law; or (c) as required for verification under Section 4. Each party shall use at least the same degree of care in protecting such information as it uses to protect its own confidential information, but in no event less than reasonable care.

7. INDEMNIFICATION

7.1 Client shall indemnify, defend and hold harmless Institution from and against any claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from Client's breach of any representation, warranty or obligation under this Form, including any misrepresentation in the Duplicate.

8. NOTICES

8.1 All notices or other communications required or permitted under this Form shall be in writing and delivered to the addresses below. Notice shall be deemed given when delivered personally, sent by certified mail, or sent by overnight courier.

9. GOVERNING LAW

9.1 This Form shall be governed by and construed in accordance with the laws of the jurisdiction specified below without regard to its conflict of law principles.

10. ENTIRE AGREEMENT

10.1 This Form constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written, relating to the Duplicate.

11. AMENDMENTS; WAIVER

11.1 No amendment, modification or waiver of any provision of this Form shall be effective unless in writing and signed by both parties. No failure or delay by either party in exercising any right shall operate as a waiver of that right.

12. SEVERABILITY

12.1 If any provision of this Form is held to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions shall not be affected or impaired.

13. COUNTERPARTS

13.1 This Form may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Electronic or scanned signatures shall have the same force and effect as originals.

14. MISCELLANEOUS

14.1 The headings in this Form are for convenience only and shall not affect interpretation. The obligations and remedies provided in this Form are cumulative and in addition to any other rights or remedies available at law or in equity.

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