CUSTOMER TRADING AGREEMENT

No /

The present Agreement was entered into by and between:

DELTASTOCK AD, an authorised investment firm, having its registered address in Sofia, 115G Tsarigradsko Shose Blvd, Megapark Office Building, Office Area E, floor 6, Unified Company Code 128042807, represented by Mr Petar Dimitrov Petrov in his capacity of Executive Director, and Mrs Borislava Ivanova Georgieva, in his capacity of Executive Director, Hereinafter referred to as DELTASTOCK

And

• Full name:   
• Date of Birth:
• Place of Birth: ,
• Nationality:
• Address:
• ZIP code:
• City:
• Country:

Hereinafter referred to as the CLIENT

DELTASTOCK and the CLIENT hereinafter referred to as the PARTIES,

The PARTIES hereby agree as follows:

1. DEFINITION OF TERMS

Words and phrases beginning with capital letter and used in the present Agreement have the respective meaning given to them in the General Terms of Business for Trading in Financial Instruments (hereinafter, the “General Terms”), which are available on DELTASTOCK's Website. The additional words and phrases listed below will have the following meaning, irrespective of whether used in the singular or the plural:

1.1 “CFD Trading” means the purchase or sale of CFDs based on the financial instruments listed below:

• 1.1.1. Currencies;
• 1.1.2. Precious Metals;
• 1.1.3. Securities;
• 1.1.4. Indices;
• 1.1.5. Futures;
• 1.1.6. Other derivative financial instruments based on or linked to currencies, precious metals, securities, indices and other assets;
• 1.1.7. Other assets different to the ones mentioned above.

2. SCOPE OF THE AGREEMENT

2.1 The CLIENT and DELTASTOCK agree to enter into Trades in Financial Instruments for the payment of consideration set out in the Tariff and in accordance with the terms of this Agreement and the General Terms. The Trades between the parties are executed on an ОТС market, with DELTASTOCK acting as the counterparty to every Trade which has been entered into. The CLIENT enters into the Trades at the prices quoted by DELTASTOCK or by a third party, in his/her name, on his/her account and at his/her risk.

2.2 The interests, fees, commissions and other payments due under this Agreement are set out in the Tariff or are available on the Website.

2.3 The minimum amount required for opening a live trading account is set out in the Tariff. The account is operated in the currency specified in Appendix applicable to the Customer Trading Agreement (the Appendix).

2.4 Under one single Trading Agreement, the CLIENT can open only one account, in only one currency, in only one Electronic Trading Platform. If the CLIENT wishes to open more than one trading account in the same currency, or in different currencies, or use more than one Electronic Trading Platform, he/she must enter into separate agreements with DELTASTOCK for each account.

2.5 Every Trade is executed only after the CLIENT or his/her Representative has placed an Order, which is on the account and at the own risk of the CLIENT. DELTASTOCK does not bear any responsibility, nor is it liable for the results of the investment decisions of the CLIENT when a trade has been executed in accordance with the terms of this Agreement.

2.6 CLIENT can choose the Electronic Trading Platform he/she wishes to use for trading.

2.7 By entering into this Agreement the CLIENT declares that he/she is informed and agrees with the possibility that the instruments offered in Delta Trading™ may differ from those offered in Deltastock MetaTrader 4. Updated information on the instruments offered for trading in the Electronic Trading Platforms may be found on the Website.

2.8. The CLIENT may deposit and withdraw funds from his/her account only via payment methods listed on the website of DELTASTOCK.

2.9. By signing the Trading Agreement, the CLIENT declares that all incoming and outgoing payments to and from the account which was opened in his/her name in DELTASTOCK, will be performed by sources whose legal holder is the CLIENT.

2.10. DELTASTOCK will not accept and execute payments from third parties, namely

• (i) deposits to the account of the CLIENT if the person or the legal entity sending the funds does not coincide with the holder of the Agreement with DELTASTOCK;
• (ii) withdrawals from the account of the CLIENT if the person or the legal entity receiving the funds does not coincide with the holder of the Agreement with DELTASTOCK.

2.11. The PARTIES expressly agreed that, besides pursuant of Art. 3.7 of the General Terms of Business, an agreement between DELTASTOCK and the CLIENT may also be entered into in absentia, remotely by exchanging electronic statements, signed with an electronic signature, pursuant to Art. 13 of the Electronic Document and Electronic Signature Act (EDESA), pursuant to the requirements of Art. 26 of Regulation No 38 from 25.07. 2007 for the requirements on the activities of investment firms. In this case, the CLIENT cannot enter into an Agreement with DELTATSOCK through a representative.

3. QUOTES AND ORDERS

3.1 For each Order the CLIENT receives quotes through the Electronic Trading Platform, at any office of DELTASTOCK, or over the telephone from the dealers of DELSTASTOCK, after he/she has been properly identified as stipulated in the General Terms.

3.2 DELTASTOCK has the right to execute partially or cancel an Order placed by the CLIENT if at the time of the execution there has been insufficient liquidity on the respective market, on which the underlying financial instrument is traded.

3.3 DELTASTOCK is not obliged to quote prices for certain Financial Instruments or accept Orders for entering into Trades, in the following cases:

• (i) The respective market is closed for trading;
• (ii) The financial instruments underlying the CFDs are suspended from trading for any reason, whatsoever;
• (iii) There are Force Majeure Events which prevent the trading in Financial Instruments for a certain period of time;
• (iv) Orders are placed outside the Trading Hours of DELTASTOCK;
• (v) In case of other circumstances specified in the General Terms or circumstances which make the provision of quotes by DELTASTOCK impossible or economically impracticable.

3.4 The Minimum Order Quantities for entering into trades are set out in the Tariff or are available on the Website.

3.5 The CLIENT may submit Orders via the Internet through the Electronic Trading Platform by using a unique user name and password in accordance with the General Terms.

3.6 The CLIENT may submit Orders in writing at the offices of DELTASTOCK or by means of distance communication at the telephone numbers specified by DELTASTOCK, following the procedure stipulated in the General Terms.

3.7 Irrespective of the means used for the submission of Orders (through the Electronic Trading Platform, over the telephone or at an office of DELTASTOCK), the CLIENT undertakes to submit Orders in compliance with the requirements and requisites specified by DELTASTOCK. Otherwise, DELTASTOCK will not be liable for the inaccurate execution of the Order submitted by the CLIENT.

3.8 The CLIENT is entitled to receive quotes and to submit Orders only during the Trading Hours as specified in the General Terms.

3.9 The types of Orders, which the CLIENT may submit as well as the manner of their execution, are set out in the General Terms.

3.10 DELTASTOCK reserves the right at its own discretion to set limits in relation to: a) the submission and/or the execution of the CLIENT Orders (including limits on their volume) and/or b) the opening of new Positions (including limits on the Positions Value) within the Business Day. Such limits may be placed, altered, added or removed without prior notification of the CLIENT. DELTASTOCK reserves the right:

• (i) if the CLIENT has submitted an Order, which exceeds the predefined limits, to contact the CLIENT through the Electronic Trading Platforms or by other appropriate means and require further confirmation by the CLIENT for the parameters of the Order. DELTASTOCK reserves the right not to confirm an Order and/or not to proceed with its execution until it has received a confirmation from the CLIENT.
• (ii) if the CLIENT has exceeded the predefined limits: a) temporarily restrict the possibility for the CLIENT to submit new Orders and/or to open new Positions and/or b) cancel transactions and/or partially or fully closed existing Positions.

The Client is informed of the occurrence of these circumstances through the Electronic Trading Platforms and/or the specified e-mail address.

The Parties hereby agree and accept that the exceeded limits as well as the reasons for surpassing those limits will not be subject to proof in the case of a dispute on the interpretation and/or application of the Agreement, and any such dispute will be settled between the parties by mutual agreement or will be settled in the competent court. Any such circumstances relate to the market’s high dynamics; the relationship of Deltastock with third-party contractors; the current status of Deltastock’s trade lines; the occurrence of events which cannot be reasonably foreseen; and any other reasons whatsoever not stipulated in this article.

The rights under this provision do not waive DELTASTOCK’s rights under Art. 5.20 of the General Terms of Business.

3.11 In case DELTASTOCK finds that the CLIENT hinders the normal operation of DELTASTOCK's servers by the means of generating a large number of Orders and/or other messages or tries to cause other harms, DELTASTOCK has the right to: а) temporarily restrict the CLIENT's ability to submit new Orders and/or open new Positions and/or b) terminate the CLIENT's access to API and/or other Scripts.

The rights under this provision do not waive the rights DELTASTOCK has under art. 5.20 of the General Terms of Business.

3.12 The CLIENT declares that he/she is familiar and accepts the following circumstances related to the implementation of the current Agreement:

• (i) the execution and/or failure of execution of all types of Orders depends on the current liquidity of the market which the corresponding instruments and/or underlying assets are traded on. Liquidity is determined by the current volume of offers to buy (respectively sell) which create the possibility of a Trade to be made; the former is a market state which varies greatly in time. Sometimes Trades are carried out with assets traded entirely on an unregulated market, and their current liquidity depends entirely on banks, brokers and/or market makers which are contracting parties of DELTASTOCK; in such cases these contracting parties do not provide information, nor keep any record of the current volumes which they would make a Trade on;
• (ii) information (including historical data) about the current liquidity cannot be saved and/or found and is not stored anywhere because of which parties agree and accept that this information will not be subject to proof in the course of disputes for interpretation and/or application of this Agreement, which are settled between the parties by mutual agreement or from the competent court.

3.13 When trading in CFDs based on currencies and precious metals in Delta Trading ™, the CLIENT may choose to receive quotes with variable or fixed spreads, declaring their choice in the Appendix.

4. TRADING MARGIN

4.1. When trading CFDs on currencies, the CLIENT may choose the Margin rate within the range specified on the Website. The CLIENT indicates his/her choice of the trading Margin in the Appendix to this Agreement that is to be completed and signed by the CLIENT.

4.2. The trading Margin for the different types of Financial Instruments is determined in accordance with the limits specified on the Website.

5. DELTASTOCK METATRADER 4

5.1. By entering in to this Agreement, the CLIENT is informed that when using Deltastock MetaTrader 4 all provisions of the General Terms of Business concerning the Electronic Treading Platforms along with the ones concerning the Electronic Trading Platforms developed by third parties shall apply to his/her trading.

5.2. The CLIENT can trade through Deltastock MetaTrader 4 only after he/she explicitly choose to do so. This choice is made by completing and signing the Appendix.

6. STATEMENTS AND DECLARATIONS BY THE CLIENT

By signing the present Agreement:

6.1. The CLIENT affirms all the declarations in accordance with the General Terms

6.2. The CLIENT explicitly declares that:

6.2.1. He/she has read and accepts:

• (i) the General Terms, dated 20.07.2016, and effective from 10.10.2016, available on the Website. By signing the Agreement the CLIENT acknowledges and accepts that the English version of the General Terms shall prevail in case of inconsistencies or disputes;
• (ii) the Tariff, dated 15.03.2018 and effective from 22.03.2018, available on the Website;
• (iii) the Order Execution Policy, dated 25.10.2017 and effective from 01.11.2017 (as far as that Policy is applicable), available on the Website;
• (iv) DELTASTOCK’s Policy on Conflicts of Interest and Execution of Personal Deals, dated 28.09.2017 and effective from 28.09.2017 (as far as this Policy is applicable), available on the Website;
• (v) DELTATSOCK’s Client Classification Policy, dated 12.05.2010 and effective from 20.11.2012 (as far as this Policy is applicable), available on the Website;
• (vi) DELTASTOCK’s Policy for aggregation and allocation of client orders, dated 20.03.2017 and effective from 03.04.2017 (as far as this Policy is applicable), available on the Website;
• (vii) The General Description of the Financial Instruments and the Risks Involved, available on the Website;

6.2.2. He/she will be duly acquainted with all updated versions of the mentioned above documents through the Website of DELTASTOCK

6.2.3. He/she understands and agrees that DELTASTOCK does not provide any investment advice to the CLIENT under this Agreement and that the CLIENT submits Trade Orders only at his/her own discretion and initiative. When DELTASTOCK provides to the CLIENT information on the current situation of the different markets, it has to be considered only as information relating to the respective financial instruments. The provision of any such service is for convenience and information purposes only; therefore it could not be deemed as a recommendation for entering into or not entering into a Trade;

6.2.4. He/she is aware that the execution of all his/her Orders concerns trades in financial instruments, traded on different execution venues, and as such, those trades will have to comply with the rules of the respective market. DELTASTOCK will not be held liable for any potential losses or damages incurred by the CLIENT as a result of administrative or other changes in the Market Rules of the respective exchange, clearing house, market maker or bank, where the financial instruments quoted by DELTASTOCK are traded;

6.2.5. He/she is aware of the risks involved in investments in Financial Instruments;

6.2.6. He/she has received:

• (i) the information, which DELTASTOCK is obligated to provide in accordance with Regulation No 38 and the MiFIA (as defined in the General Terms), as far as it is required, as well as other information specified in the General Terms and/or available on the Website;
• (ii) a notification, sent by electronic means, about the address of the Website and the page on which the respective information is displayed.

6.2.7. He/she agrees:

• (i) with the processing of his/her personal data provided to DELTASTOCK before, at the time or after the Agreement has been signed, or collected by DELTASTOCK after the Agreement has been signed.
• (ii) that DELTASTOCK will be entitled to conduct verification of his/her personal data through checks with independent sources, account taken of the safeguards under the Applicable Law
• (iii) that DELTASTOCK may disclose his/her personal data to banks and other credit institutions, and to financial institutions authorized by the competent authority of their domicile, including to such entities which are established outside the European Union and the European Economic Area, including to introducing brokers or agents (if any and to enable them to administer their relationship with the Client), provided that such disclosure is necessary for the purposes of performance of the Agreement and provided the Applicable Law is complied with.

6.2.8. He/she will not enter into trades in CFDs if he/she has access to undisclosed inside information relating to the CFDs’ underlying financial instrument;

6.2.9. He/she will not enter into trades which represent hidden purchase or sale of CFDs with the underlying financial instrument being securities or indices;

6.2.10. He/she will immediately notify DELTASTOCK if any changes occur in relation to the above declarations and information disclosed;

6.2.11. He/she wishes to use the provided e-mail address in the Appendix as an information Distribution Method.

6.3. The CLIENT is informed that all trades concerning Financial Instruments, are traded on non-regulated markets and explicitly consents that all trades placed under this Agreement shall be executed at prices quoted by DELTASTOCK or third parties.

6.4. The CLIENT agrees:

• (i) that his/her account with DELTASTOCK will be debited upon execution of Orders submitted by him/her under the Agreement;
• (ii) that his/her account will be directly credited and debited with all positive and negative price differences resulting from Orders submitted by the CLIENT or by his/her Representative, and from Trades concluded, respectively executed on the CLIENT’S behalf and risk.
• (iii) with the price levels at which his/her Positions are automatically closed by DELTASTOCK.

6.5. The CLIENT agrees that DELTASTOCK may deposit his funds with the entities stated under Article 5.8 of the General Terms of Business even when DELTASTOCK is a connected party with one of them.

6.6. The CLIENT agrees that DELTASTOCK will provide him/her through the company’s Website with the information referred to in the Trading Agreement, the applicable General Terms of Business along with any other information DELTASTOCK is obliged to provide.

6.7. The CLIENT agrees that all Orders submitted by him/her over the telephone could be recorded and archived by DELTASTOCK in order to verify and guarantee the authenticity and security of the information provided. Such records may be subsequently used in case of inconsistencies and disputes between the parties to the Agreement. Such recordings may be used as evidence in legal proceedings.

6.8. The CLIENT declares that he/she understands and accepts the way in which all Order types mentioned in Article 8.7.1 of the General Terms of Business are placed and executed.

6.9. The CLIENT agrees that in the cases under Article 8.7 of the General Terms of Business along with any other types of Order which are already submitted or confirmed may be:

• (i) Cancelled;
• (ii) Executed at a price different from that specified in the Order;
• (iii) Delayed;
• (iv) Partially executed;
• (v) Partially executed at a different price;
• (vi) Not executed at all.

6.10. The CLIENT agrees that DELTASTOCK will not bear liability for any damages incurred by the latter in the cases specified in Art. 6.9 of the current Agreement.

6.11. The CLIENT declares that:

• (i) is acquainted in advance with the minimum hardware and software requirements, available on the website, necessary for the functioning of each of the applications of the Electronic Trading Platforms: Delta Trading Desktop; Delta Trading Web; Delta Trading Mobile; Deltastock MetaTrader 4;
• (ii) will become aware of the minimum hardware and software requirements for all new versions of the aforementioned applications;
  DELTASTOCK will not assume any liability (including financial) if the CLIENT has suffered damages due to inappropriate use of the Electronic Trading Platforms in conjunction with software and/or hardware that does not meet the minimum requirements listed on the website.

7. AMENDMENT TO THE AGREEMENT

7.1. The Agreement concluded between DELTASTOCK and the CLIENT may be amended and supplemented by virtue of express written consent by the parties in the form of an additional agreement. This shall not be only in the cases mentioned under Articles 7.2, 7.3 and 7.4 of this Agreement.

7.2. In cases when the CLIENT wishes to change his/her initially specified Account details, as stipulated in the Appendix, he/she should fill in and submit by electronic means the special Application for Amendment of Account Details, which can be found on DELTASTOCK’s website. In such a case, it is not necessary to expressly sign an additional agreement between the PARTIES. The deadline for implementing the change is one business day after the relevant condition laid down in Art. 7.3 of the Agreement has been met.

7.3. The CLIENT holding an existing account is entitled only:

• (i) to change the amount of the margin requirement; the change is implemented in the Electronic Trading Platform only if the CLIENT holds no open positions, and/or
• (ii) to change the type of spread of the quotes he/she receives when trading in Currencies and Precious Metals through Delta TradingTM; the change is implemented only if the CLIENT holds no open positions and confirmed orders, and/or
• (iii) to activate a Script and/or Expert Advisors in Deltastock MetaTrader 4; the change is implemented upon reception of the relevant application.

7.4. The General Terms of Business may be amended in the manner specified in them without the need of an additional written agreement explicitly signed by and between the parties.

7.5. The documents stated in Article 6.2.1, items (ii) to (vii) may be amended in the manner specified in the General Terms of Business without the need of an additional written agreement explicitly signed by and between the parties.

7.6. The Agreement shall be terminated in the order and manner specified in the General Terms of Business.

8. MISCELLANEOUS

8.1. The General Terms may be varied and amended from time to time and will apply to any issues not explicitly dealt with by this Agreement. The General Terms are an integral part of this Agreement.

8.2. Integral parts of this Agreement are also:

• (i) The Tariff of Interest Rates Fees and Commissions as amended from time to time;
• (ii) Appendix applicable to Customer Trading Agreement

Both parties signed and received this Agreement.

The Agreement was signed through the exchange of electronic statements signed with an electronic signature, pursuant to Art. 13 of the Electronic Document and Electronic Signature Act.

Appendix

Applicable to Customer Trading Agreement No

1. CLIENT INFORMATION

   1. Full name:   
   2. Date of Birth:
   3. Nationality:
   4. Permanent Address: , , 
   5. Correspondence Address: , , 
   6. Mobile Phone Number:

2. INFORMATION DISTRIBUTION METHODS

   • I declare that I wish to receive the information which DELTASTOCK is obliged to provide to its clients via email:
   • Other Information Distribution Methods: Post

3. Declaration for a Politically Exposed Person and their related persons

   • I am not / I am a person under Art. 5a of MAMLA, in connection with Art. 8a of RIMAMLA
   • I am not / I am a person related to a person within the scope of the preceding item, “related persons”

   I am aware that in the event of a change in the above circumstances I must immediately submit a new declaration.

   By completing and signing this appendix, I declare that:
   1. I am informed and I hereby accept and agree to be classified by DELTASTOCK as retail client.
   2. I am informed that I have the right to request a change in my classification to a “professional client” status, as well as that any such change will result in a lower level of protection.
   3. I am informed and agree with DELTASTOCK’s Client Classification Policy.
   4. I do wish I do not wish to be classified as a “professional client”.
   5. I am aware of my responsibility to inform DELTASTOCK for any changes in the information provided herein, which have an effect in my classification as retail or professional client.
   6. I have read and accept the General Terms and the Tariff, which are an integral part of the Agreement.
   According to the information provided in the account opening application and based on the assessment of DELTASTOCK, I am informed that the service I apply for: is appropriate for me is not appropriate for me, and I should familiarise myself in more detail about the specifics of margin trading in financial instruments and the risks involved

4. CLIENT ACCOUNT DETAILS

   With this Appendix I hereby declare that I wish to open a new investment trading account as follows:

   I wish that my investment trading account to be in ONE of the following currencies: BGN USD EUR GBP CHF RON

   By signing this Appendix to the Agreement, I explicitly DECLARE that I am aware of the following circumstances concerning investment accounts:

   1. The Electronic Trading Platform through which I can trade with my investment account is Delta Trading™;
   2. The margin of my open positions is going to be in the amount of 100 (one hundred) percent;
   3. The type of the spread of the quotes received is variable;
   4. I cannot open short positions;
   5. All orders which could lead to the opening of a short position will be cancelled;
   6. The minimum order quantities are published on DELTASTOCK’s Website;
   7. Execution of an order for an amount lower than the minimum quantities, as shown on DELTASTOCK’s Website, is acceptable only if it is used to close the whole value of an open position;
   8. I cannot change the parameters of my investment trading account that I have initially declared;
   9. Should I wish to trade at a margin different from 100% or/and through another platform or/and under other trading conditions offered by DELTASTOCK, which are not applicable to the investment account, I should open a new trading account different from the investment account.

5. CLIENT ACCOUNT DETAILS

   With this Appendix I hereby declare that I wish to open a new account as follows:

   1. Electronic Trading Platform in which the account is opened: Delta Trading^{tm 1}
   2. Choose ONE of the following base currencies for my account: BGN USD EUR GBP CHF RON
   3. I declare that the amount of margin for open positions in currencies CFDs should be:
   4. I declare that I wish to activate the following services: Variable Spread Fixed Spread

   By signing this Appendix to the Agreement, I explicitly declare that:

   • I am aware of the risks and conditions associated with trading on margin.
   • I am aware that in such cases as changes to the desired level of margin in my account and / or when using various Electronic Trading Platforms, as well as in the presence of open positions in diverse Financial Instruments, the level at which DELTASTOCK will take measures to automatically close my positions may be different for each case;
   • I am aware of the articles in the applicable General Terms of Business related to the above cases;
   1. Electronic Trading Platform in which the account is opened: Deltastock MetaTrader 4¹
   2. Choose ONE of the following base currencies for my account: BGN USD EUR GBP
   3. I declare that the amount of margin for open positions in currencies CFDs should be:
   4. I declare that I wish to activate the following services: Script / MT4 Expert Advisors

   By signing this Appendix to the Agreement, I explicitly declare that:

   • I am aware of the risks and conditions associated with trading on margin.
   • I am aware that in such cases as changes to the desired level of margin in my account and / or when using various Electronic Trading Platforms, as well as in the presence of open positions in diverse Financial Instruments, the level at which DELTASTOCK will take measures to automatically close my positions may be different for each case;
   • I am aware of the articles in the applicable General Terms of Business related to the above cases;

   By choosing to activate the Script/MT4 Expert Advisors, I explicitly declare that:

   • I am familiar with the method of functioning (including Modifying) of the Script / MT4 Expert Advisors and the conditions under which my orders will be submitted and executed.
   • the activation of Script/MT4 Expert Advisors and the Orders which will be submitted by them are based on my investment decisions for which DELTASTOCK will not bear any responsibility;
   • all Orders I submit will be deemed as having been submitted through the use of Script/MT4 Expert Advisors and I accept full responsibility for the exact way those Orders have been submitted;
   • I acknowledge that all Orders submitted through the use of Script/MT4 Expert Advisors will be executed as they are received by DELTASTOCK;
   • I am familiar with and understand all the texts concerning the Script/MT4 Expert Advisors in the applicable General Terms of Business and in the agreement signed between me and DELTASTOCK.

   ¹ The margin requirement in Delta Trading^TM can be ONE of the following: 1:200 (0.50%); 1:100 (1.00%); 1:50 (2.00%); 1:10 (10.00%) or 1:1 (100.00%).

   ¹ The margin requirement in Deltastock MetaTrader 4 can be ONE of the following: 1:200 (0.50%); 1:100 (1.00%); 1:50 (2.00%) or 1:10 (10.00%).

The Appendix was signed through the exchange of electronic statements signed with an electronic signature, pursuant to Art. 13 of the Electronic Document and Electronic Signature Act.

Self-certification for the purpose of the automatic exchange of financial information under Art. 142t, para. 1 of the Tax and Social Security Procedure Code (TSSPC) from

Part 1. Name of the Account Holder - individual

• First name:
• Middle name:
• Last name:

Part 2. Residential address

• Country:
• City or town:
• Address (District, Street, No, Floor, Apt):
• Postal code:

Part 3. Date and place of birth

• Date of birth:
  
  • Day:
  • Month:
  • Year:
• Place of birth:
  
  • Country:
  • City or town:

Part 4. Nationality

• Nationality:
• If the Account Holder has more than one nationality (including green card in the case of USA), please mark with an “X” and list in the field below all countries of which the Account Holder is a citizen. X
• Other nationality:

Part 5. Jurisdiction of tax residence and Tax Identification Number (TIN)

• Jurisdiction of which the Account Holder is a resident for tax purposes:
• Tax Identification Number issued by that Jurisdiction:

If the Account Holder is a Bulgarian tax resident, please fill in the Unified Civil Number (UCN), Personal Number of a Foreigner (PNF) or official number issued by the NRA.

Part 6. If the Account Holder is a tax resident of more than one Jurisdiction, please fill in information for each Jurisdiction separately. If necessary multiply the table.

1. • Other Jurisdiction of which the Account Holder is a resident for tax purposes:
   • City or town:
   • Address (District, Street, No, Floor, Apt):
   • Postal code:
   • Tax Identification Number issued by that other Jurisdiction:
   • Other information:

I declare that the provided information is true, correct, complete and submitted voluntarily. I undertake the obligation to inform immediately Deltastock in writing in case of any change to that information and to provide any other data or documents, if necessary.

I agree Deltastock to process, store, use and disclose my personal data to third parties in cases provided by law and I confirm that I have received the information under Art. 19, para. 1 of Personal Data Protection Act.

I declare that I am notified about the possibility the information under Art. 142b of TSSPC containing my personal data, account balance or value as well as the derived income to be subject to automatic exchange of financial information under chapter sixteen, section IIIa of the TSSPC and to be reported to the Jurisdiction/s of which I am a tax resident in pursuance of the international commitments of the Republic of Bulgaria.

I am aware of the penal liability under Art. 313 of the Penal Code for declaring of false information.

Date: Signature: