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Title	Description	Insurer	Market	Asset Type	Product	Process	Excerpt
Demande d’Arbitrage	Use this form to request a switch of investments on your policy/contract – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Non Product Specific		Use this form to request a switch of investments on your policy/contract – Belgium (Branch) – French version Surrender/Claim/Withdrawal/Switch Demande d’Arbitrage ULBE PCON1432
Rachat Partiel Programmé (Branch)	Use this form to request a regular withdrawal from your policy/contract – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Non Product Specific		Use this form to request a regular withdrawal from your policy/contract – Belgium (Branch) – French version Surrender/Claim/Withdrawal/Switch Rachat Partiel Programmé (Branch) ULBE PCON1401
Notre offer FAS avec notre partenaire CA Indosuez Wealth Europe	This document details our FAS offer with our partner CA Indosuez Wealth Europe	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details our FAS offer with our partner CA Indosuez Wealth Europe Investment literature/Strategies Notre offer FAS avec notre partenaire CA Indosuez Wealth Europe ULU MARK2419
Notre offre FAS avec notre partenaire Edmond de Rothschild (Europe) Luxembourg	This document details our FAS offer with our partner Edmond de Rothschild (Europe) Luxembourg	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details our FAS offer with our partner Edmond de Rothschild (Europe) Luxembourg Investment literature/Strategies Notre offre FAS avec notre partenaire Edmond de Rothschild (Europe) Luxembourg ULU MARK2417
Notre offre FAS avec notre partenaire UBS France S.A.	This document details our FAS offer with our partner UBS France S.A.	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details our FAS offer with our partner UBS France S.A. Investment literature/Strategies Notre offre FAS avec notre partenaire UBS France S.A. ULU MARK2361
Connect – Aperçu (Guide d’utilisation pour les clients)	This user guide helps to navigate through the Connect Platform and explain functionality – French version	Belgium (BE), France (FR)	Utmost Luxembourg S.A	Guides and Supporting Documents	Non Product Specific		This user guide helps to navigate through the Connect Platform and explain functionality – French version Guides and Supporting Documents Connect – Aperçu (Guide d’utilisation pour les clients) ULU MARK2351
Conditions applicables à notre collaboration – Banque Havilland S.A.	This document details the conditions applicable to our collaboration with Banque Havilland S.A.	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details the conditions applicable to our collaboration with Banque Havilland S.A. Investment literature/Strategies Conditions applicables à notre collaboration – Banque Havilland S.A. ULU MARK2346
Notre offre FAS avec notre partenaire Quintet Private Bank	This document details our FAS offer with our partner Quintet Private Bank	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details our FAS offer with our partner Quintet Private Bank Investment literature/Strategies Notre offre FAS avec notre partenaire Quintet Private Bank ULU MARK2333
Notre offre FAS avec notre partenaire Banque Internationale à Luxembourg (BIL)	This document details our FAS offer with our partner Banque Internationale à Luxembourg (BIL)	France (FR)	Utmost Luxembourg S.A	Investment literature/Strategies	Non Product Specific		This document details our FAS offer with our partner Banque Internationale à Luxembourg (BIL) Investment literature/Strategies Notre offre FAS avec notre partenaire Banque Internationale à Luxembourg (BIL) ULU MARK2326
Guide d’utilisation Connect Souscription Digitale – Belgique	This is a Connect User Guide for digital subscription – French version	Belgium (BE)	Utmost Luxembourg S.A	Guides and Supporting Documents	Non Product Specific		This is a Connect User Guide for digital subscription – French version Guides and Supporting Documents Guide d’utilisation Connect Souscription Digitale – Belgique ULU MARK2302
Connect User Guide – Total Redemption (French)	Connect User Guide – Total Redemption (French)	Belgium (BE), France (FR)	Utmost Luxembourg S.A	Guides and Supporting Documents	Non Product Specific		Connect User Guide – Total Redemption (French) Guides and Supporting Documents Connect User Guide – Total Redemption (French) ULU MARK2174
Confirmation des coordonnées du Client utilisées pour la signature électronique des documents	Confirmation of Client contact details used for the Electronic Signing of documents	Belgium (BE)	Utmost Luxembourg S.A	Operational Forms	Non Product Specific		Confirmation of Client contact details used for the Electronic Signing of documents Operational Forms Confirmation des coordonnées du Client utilisées pour la signature électronique des documents ULU CONNECT1048
Document d’informations clés (“DIC”)	This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Key Information Document	Select Client Policy		This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses. Key Information Document Document d’informations clés (“DIC”) ULBE_KID_BE_BE_EUR_SCP-BE_FR PR
Document d’informations clés (“DIC”)	This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Key Information Document	Private Client Portfolio		This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses. Key Information Document Document d’informations clés (“DIC”) ULBE_KID_BE_BE_EUR_PCP-BE_FR PR
Document d’informations clés (“DIC”)	This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Key Information Document	Corporate Select Plan		This document contains key information about this investment product. The information, prescribed by law, is intended to clarify the product’s features, risks, costs, potential gains and losses. Key Information Document Document d’informations clés (“DIC”) ULBE_KID_BE_BE_EUR_CSP-BE_FR PR
Modification des caractéristiques principales d’un Fonds Interne Dédié existant	Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank Operational Forms Modification des caractéristiques principales d’un Fonds Interne Dédié existant ULBE PCON1560
Formulaire de changement de moyen de communication et utilisation des signatures électroniques	Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures Operational Forms Formulaire de changement de moyen de communication et utilisation des signatures électroniques ULBE PCON1530
Désignation d’Intermédiaire	Use this form to request an appointment or change of broker	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Use this form to request an appointment or change of broker Operational Forms Désignation d’Intermédiaire ULBE PCON1429
Demande de Rachat Total (Branch)	Use this form to request the surrender of your policy/contract – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Non Product Specific		Use this form to request the surrender of your policy/contract – Belgium (Branch) – French version Surrender/Claim/Withdrawal/Switch Demande de Rachat Total (Branch) ULBE PCON1345
Demande de Rachat Partiel (Branch)	Use this form to request a withdrawal from your policy/contract – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Non Product Specific		Use this form to request a withdrawal from your policy/contract – Belgium (Branch) – French version Surrender/Claim/Withdrawal/Switch Demande de Rachat Partiel (Branch) ULBE PCON1343
Formulaire de versement de Prime complémentaire (Branch)	Use this form for an addition to your policy/contract – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Top Up/Additional Investment	Select Client Policy	Addition to your Policy	Use this form for an addition to your policy/contract – Belgium (Branch) – French version Top Up/Additional Investment Formulaire de versement de Prime complémentaire (Branch) ULBE PCON1339
Déclaration de Perte de Documents (Branch)	Form to be used to declare the loss of policy documents – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Non Product Specific		Form to be used to declare the loss of policy documents – Belgium (Branch) – French version Client Letters/Indemnity/Data Protection Déclaration de Perte de Documents (Branch) ULBE PCON1337
Select Client Policy / Corporate Select Plan – ODDO Global Private Equity Evergreen Fund – Règlement de Gestion	Internal Collective Fund for Belgian market	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Corporate Select Plan, Select Client Policy		Internal Collective Fund for Belgian market Investment literature/Strategies Select Client Policy / Corporate Select Plan – ODDO Global Private Equity Evergreen Fund – Règlement de Gestion ULBE CONT4911
Corporate Select Plan – Belgique – Annexe : liste des Fonds Externes disponibles	This form shows the list of available external funds for the Corporate Select Plan product	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Corporate Select Plan	New Business Pack	This form shows the list of available external funds for the Corporate Select Plan product Investment literature/Strategies Corporate Select Plan – Belgique – Annexe : liste des Fonds Externes disponibles ULBE CONT4535
FOR INTERMEDIARIES – Document d’entrée enrelation / Version pour l’Intermédiaire – Société	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market. French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Non Product Specific	New Business Pack	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market. French version Fact Find FOR INTERMEDIARIES – Document d’entrée enrelation / Version pour l’Intermédiaire – Société ULBE CONT4475
Déclaration des associés d’une société civile en tant que Preneur d’Assurance	Declaration of the Legal Representative acting as Policyholder. To be used with Belgian application form	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Application Form	Select Client Policy	New Business Pack	Declaration of the Legal Representative acting as Policyholder. To be used with Belgian application form Application Form Déclaration des associés d’une société civile en tant que Preneur d’Assurance ULBE CONT4198
Désignation des Bénéficiaires	Use this form to nominate beneficiaries	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Use this form to nominate beneficiaries Operational Forms Désignation des Bénéficiaires ULBE CONT4382
Corporate Select Plan – Conditions Générales	Stand-alone version of General Conditions for the Corporate Select Plan product – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Policy Conditions	Corporate Select Plan		Stand-alone version of General Conditions for the Corporate Select Plan product – Belgium (Branch) – French version Policy Conditions Corporate Select Plan – Conditions Générales ULBE CONT4181
Corporate Select Plan	New business application form for the Corporate Select Plan product – Belgium; Capitalisation contract	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Application Form	Corporate Select Plan	New Business Pack	New business application form for the Corporate Select Plan product – Belgium; Capitalisation contract Application Form Corporate Select Plan ULBE CONT4176
FOR INTERMEDIARIES – Document d’entrée en relation – Version pour l’Intermédiaire / Société simple-Fondation	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market. French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Select Client Policy	New Business Pack	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market. French version Fact Find FOR INTERMEDIARIES – Document d’entrée en relation – Version pour l’Intermédiaire / Société simple-Fondation ULBE CONT3970
FOR INTERMEDIARIES – Document d’entrée en relation – Version pour l’Intermédiaire / Personne physique	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to PHYSICAL PERSONS subscribing. To be used in combination with the new business application forms for this market. French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Non Product Specific	New Business Pack	Fact Find for INTERMEDIARIES for the Belgian market (Branch); dedicated to PHYSICAL PERSONS subscribing. To be used in combination with the new business application forms for this market. French version Fact Find FOR INTERMEDIARIES – Document d’entrée en relation – Version pour l’Intermédiaire / Personne physique ULBE CONT3968
Select Client Policy – Caractéristiques principales du (family shared) Fonds interne dédié	Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Select Client Policy	New Policy	Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy Operational Forms Select Client Policy – Caractéristiques principales du (family shared) Fonds interne dédié ULBE CONT3786
Annexe: règles et limites d’investissement pour les Fonds Internes et Externes	Table of Luxembourg Investment Rules	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific		Table of Luxembourg Investment Rules Investment literature/Strategies Annexe: règles et limites d’investissement pour les Fonds Internes et Externes ULBE CONT3682
Select Client Policy (Multi-Support) – Fonds Interne Dédié additionnel	Annex to add additional Internal Dedicated Funds to the contract/policy	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Select Client Policy	New Policy	Annex to add additional Internal Dedicated Funds to the contract/policy Operational Forms Select Client Policy (Multi-Support) – Fonds Interne Dédié additionnel ULBE CONT3635
Select Client Policy – Annexe : liste des Fonds Externes disponibles	This form shows the list of available internal collective funds for the Select Client Policy product	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Select Client Policy	New Business Pack	This form shows the list of available internal collective funds for the Select Client Policy product Investment literature/Strategies Select Client Policy – Annexe : liste des Fonds Externes disponibles ULBE CONT3604-2
Select Client Policy – Belgique / Annexe : liste des Fonds Interes Collectifs disponibles	This form shows the list of available external funds for the Select Client Policy product	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Select Client Policy	New Business Pack	This form shows the list of available external funds for the Select Client Policy product Investment literature/Strategies Select Client Policy – Belgique / Annexe : liste des Fonds Interes Collectifs disponibles ULBE CONT3604-1
Profil d’investissement et évaluation de l’adéquation	Use this form to complete an investment profile questionnaire and request a deviation from your investment profile	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific	Addition to your Policy	Use this form to complete an investment profile questionnaire and request a deviation from your investment profile Investment literature/Strategies Profil d’investissement et évaluation de l’adéquation ULBE CONT3475
Taxe sur les Opérations d’Assurance	Back-end tax annex – Belgium	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Tax and regulatory Literature/technical sales aids and literature	Non Product Specific		Back-end tax annex – Belgium Tax and regulatory Literature/technical sales aids and literature Taxe sur les Opérations d’Assurance ULBE CONT3402
Avis de confidentialité	Privacy Notice – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Non Product Specific		Privacy Notice – French version Client Letters/Indemnity/Data Protection Avis de confidentialité ULBE CONT3338-WEB
ACCORD DE COMMUNICATION D’INFORMATION	Information Disclosure Agreement	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Non Product Specific		Information Disclosure Agreement Client Letters/Indemnity/Data Protection ACCORD DE COMMUNICATION D’INFORMATION ULBE CONT3287
Déviation du Profil d’investissement	Use this form to request a deviation from your investment profile	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific		Use this form to request a deviation from your investment profile Investment literature/Strategies Déviation du Profil d’investissement ULBE CONT3270
Demande de classement dans une catégorie d’investissement supérieure	Use this form to request a upgrade of your investment category	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific		Use this form to request a upgrade of your investment category Investment literature/Strategies Demande de classement dans une catégorie d’investissement supérieure ULBE CONT3237
Demande de classement dans une catégorie d’investissement inférieure	Use this form to request a downgrade of your investment category	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific		Use this form to request a downgrade of your investment category Investment literature/Strategies Demande de classement dans une catégorie d’investissement inférieure ULBE CONT3235
Demande de Statut de Client Professionnel / Request for Professional Client Status (Branch)	Request for Professional Client Status	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Request for Professional Client Status Operational Forms Demande de Statut de Client Professionnel / Request for Professional Client Status (Branch) ULBE CONT3209
Choix de la Loi Applicable / Choice of Law (Branch)	Use this form to perform a choice of law	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Use this form to perform a choice of law Operational Forms Choix de la Loi Applicable / Choice of Law (Branch) ULBE CONT3195
Aperçu des frais administratifs additionnels	Annex showing the activity-based charging grid	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Annex showing the activity-based charging grid Operational Forms Aperçu des frais administratifs additionnels ULBE CONT3182
Banque Dépositaire hors de l’EEE (Branch)	Declaration for the Use of a Custodian Bank located outside of the EEA – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Non Product Specific		Declaration for the Use of a Custodian Bank located outside of the EEA – Belgium (Branch) – French version Client Letters/Indemnity/Data Protection Banque Dépositaire hors de l’EEE (Branch) ULBE CONT2948
Déclaration relative aux Obligations Fiscales – Branch	Stand-alone Tax Compliance Certification form – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Non Product Specific		Stand-alone Tax Compliance Certification form – Belgium (Branch) – French version Client Letters/Indemnity/Data Protection Déclaration relative aux Obligations Fiscales – Branch ULBE CONT2830
FATCA Auto-certification	Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders. Operational Forms FATCA Auto-certification ULBE CONT2825
Questionnaire financier confidentiel (Branch)	Confidential Financial Questionnaire – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Non Product Specific		Confidential Financial Questionnaire – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Questionnaire financier confidentiel (Branch) ULBE CONT2818
Questionnaire complémentaire Contrats d’assurance-vie et Demandes existantes (Branch)	Additional Questionnaire on Preexisting Life Policies and Applications – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Non Product Specific		Additional Questionnaire on Preexisting Life Policies and Applications – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Questionnaire complémentaire Contrats d’assurance-vie et Demandes existantes (Branch) ULBE CONT2816
Rapport d’Examen médical (Branch)	Medical Examination Report – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Non Product Specific		Medical Examination Report – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Rapport d’Examen médical (Branch) ULBE CONT2814
Avenant au contrat d’assurance-vie – Acceptation du bénéfice (Branch)	Annex to the application form for beneficiary acceptance	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Annex to the application form for beneficiary acceptance Operational Forms Avenant au contrat d’assurance-vie – Acceptation du bénéfice (Branch) ULBE CONT2805
Questionnaire médical complémentaire (Branch)	Additional Medical Questionnaire – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Non Product Specific		Additional Medical Questionnaire – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Questionnaire médical complémentaire (Branch) ULBE CONT2812
Avenant au contrat d’assurance-vie – Dissolution de cession de droits (Branch)	Annex to the application form for signing the dissolution of the transfer of insurance rights	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Annex to the application form for signing the dissolution of the transfer of insurance rights Operational Forms Avenant au contrat d’assurance-vie – Dissolution de cession de droits (Branch) ULBE CONT2801
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes détenant le contrôle (Branch)	Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons. Operational Forms Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes détenant le contrôle (Branch) ULBE CONT2796
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les entités (Branch)	Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications. Operational Forms Echange Automatique de Renseignements – Formulaire d’Autocertification pour les entités (Branch) ULBE CONT2795
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes physiques (Branch)	Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders. Operational Forms Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes physiques (Branch) ULBE CONT2794
Avenant au contrat d’assurance-vie – Convention de Cession Post Mortem des droits découlant du Contrat (Branch)	Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Non Product Specific		Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy Operational Forms Avenant au contrat d’assurance-vie – Convention de Cession Post Mortem des droits découlant du Contrat (Branch) ULBE CONT2789
Stratégie d’Investissement (Branch)	Generic investment strategy form for the Belgian market (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Non Product Specific		Generic investment strategy form for the Belgian market (Branch) – French version Investment literature/Strategies Stratégie d’Investissement (Branch) ULBE CONT2779
Select Client Policy – Conditions Générales	Stand-alone version of General Conditions for the Select Client Policy product – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Policy Conditions	Non Product Specific		Stand-alone version of General Conditions for the Select Client Policy product – Belgium (Branch) – French version Policy Conditions Select Client Policy – Conditions Générales ULBE CONT2694
Select Client Policy	New business application form for the Select Client Policy product – Belgium	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Application Form	Select Client Policy	New Business Pack	New business application form for the Select Client Policy product – Belgium Application Form Select Client Policy ULBE CONT2690

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