Foreign Account Tax Compliance Act (FATCA) declaration if the investor is a US citizen

I hereby declare that Tax Identification Number in USA and information provided are true and accurate. I
understand that the CDS may be required to make disclosures in relation to the information contained
herein to appropriate government authorities and/or other regulatory authorities locally/internationally
and vide this document. I irrevocably permit the CDS to make such disclosures to any such authorities
without obtaining further written or oral permission from me.