PortFolio Name:
EUIN:
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an 'execution‐only' transaction without any interaction or advice by the employee/relationship manager / sales person of the above distributor or notwithstanding the advice of in‐appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.