Text of Spouse’s Consent

Consent to conclude a Contract on securities brokerage
I,___, passport series___#___, issued dd/mm/yyyy, live at the address___, am the husband/wife of (full name of the person wishing to conclude the Contract), hereby consent to my spouse’s concluding the Contract, honoring the terms of the Contract, including as regards disposal of funds and securities, which are our joint property, without a limit on the amount of funds and value of securities.
In giving this consent, I am aware of potential risks related to conducting operations with securities on the Ukrainian stock market.
Date                                                                                                                                                                           Signature
(The text must be handwritten by the person giving the consent. The person must also submit signed photocopies of passport and individual tax number)

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Создано в марте 2010

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