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Special sub-account Registry

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lBasic circular No 166)

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Date of Birth

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Nationality Register - No.

Place

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I, the undersigned,

In accordance with BDL basic circular No. 1 66 dated 21212024, I hereby waive the

banking secrecy on my "special subaccount" held at the aforesaid bank solely in favor of the Banque du Liban and the Bankins Control Commission.

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