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Title	Description	Insurer	Market	Asset Type	Language	Product	Process	Excerpt
Arbitrageverzoek	Use this form to request a switch of investments on your policy/contract – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Dutch (NL)	Non Product Specific		Use this form to request a switch of investments on your policy/contract – Belgium (Branch) – Dutch version Surrender/Claim/Withdrawal/Switch Arbitrageverzoek ULBE PCON1433
Aanvraag tot Regelmatige Terugtrekking (Branch)	Use this form to request a regular withdrawal from your policy/contract – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Dutch (NL)	Non Product Specific		Use this form to request a regular withdrawal from your policy/contract – Belgium (Branch) – Dutch version Surrender/Claim/Withdrawal/Switch Aanvraag tot Regelmatige Terugtrekking (Branch) ULBE PCON1400
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	French (FR)	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
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	French (FR)	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
Connect Gebruikershandleiding – Gedeeltelijke afkoop	This Connect User Guide shows how to request a regular withdrawal – in Dutch	Belgium (BE)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	Dutch (NL)	Non Product Specific		This Connect User Guide shows how to request a regular withdrawal – in Dutch Product Guides/Brochures/Snapshots and Training Materials Connect Gebruikershandleiding – Gedeeltelijke afkoop ULU PROD2154
Request for payment of benefits in the event of death – Italy	Use this form to initiate a death claim – Italy (Branch and Head Office)	Italy (IT)	Utmost Luxembourg S.A	Surrender/Claim/Withdrawal/Switch	English (EN)	Non Product Specific		Use this form to initiate a death claim – Italy (Branch and Head Office) Surrender/Claim/Withdrawal/Switch Request for payment of benefits in the event of death – Italy ULU PR 00048
Single Pre-Contractual Form (MUP) for Insurance Investment Products	Tax and regulatory Literature/technical sales aids and literature Single Pre-Contractual Form (MUP) for Insurance Investment Products ULU PR 00040	Italy (IT)	Utmost Luxembourg S.A	Tax and regulatory Literature/technical sales aids and literature	English (EN)	Private Client Insurance	New Policy	Tax and regulatory Literature/technical sales aids and literature Single Pre-Contractual Form (MUP) for Insurance Investment Products ULU PR 00040
Residenza e Comunicazioni	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	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	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 Residenza e Comunicazioni ULU PCON1527
Richiesta di Modifica della Maggiorazione in caso di Decesso	Use this form to request a change of life cover – Italy (Branch)	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to request a change of life cover – Italy (Branch) Operational Forms Richiesta di Modifica della Maggiorazione in caso di Decesso ULU PCON1317
Atto di Variazione del Fondo Interno Dedicato	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	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	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 Atto di Variazione del Fondo Interno Dedicato ULU PCON1310
Richiesta Cambio Contraente Persona Giuridica	Use this form to request a change of Policyholder – Corporate Entity – Italy	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to request a change of Policyholder – Corporate Entity – Italy Operational Forms Richiesta Cambio Contraente Persona Giuridica ULU PCON1246
Richiesta Cambio Contraente Persona Fisica	Use this form to request a change of Policyholder – Physical Person – Italy	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to request a change of Policyholder – Physical Person – Italy Operational Forms Richiesta Cambio Contraente Persona Fisica ULU PCON1245
Dichiarazione di Smarrimento	Form to be used to declare the loss of policy documents – Italy	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Form to be used to declare the loss of policy documents – Italy Operational Forms Dichiarazione di Smarrimento ULU PCON1244
Richiesta Cambio Intermediario	Use this form to request a change of Intermediary – Italy	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to request a change of Intermediary – Italy Operational Forms Richiesta Cambio Intermediario ULU PCON1243
Richiesta di Pagamento della Prestazione in caso di Decesso	Use this form to initiate a death claim – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Surrender/Claim/Withdrawal/Switch	Italian (IT)	Non Product Specific		Use this form to initiate a death claim – Italy (Branch and FOS) Surrender/Claim/Withdrawal/Switch Richiesta di Pagamento della Prestazione in caso di Decesso ULU PCON1239
Richiesta Di Riscatto Withdrawal and Surrender Form	Use this form to request the surrender of your policy/contract – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Surrender/Claim/Withdrawal/Switch	Italian (IT)	Non Product Specific		Use this form to request the surrender of your policy/contract – Italy (Branch and FOS) Surrender/Claim/Withdrawal/Switch Richiesta Di Riscatto Withdrawal and Surrender Form ULU PCON1237
Richiesta di Versamento Premio Aggiuntivo Italia	Use this form for an addition to your policy/contract – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Top Up/Additional Investment	Italian (IT)	Private Client Insurance	Addition to your Policy	Use this form for an addition to your policy/contract – Italy (Branch and FOS) Top Up/Additional Investment Richiesta di Versamento Premio Aggiuntivo Italia ULU PCON1236
Richiesta di Switch	Use this form to request a switch of investments on your policy/contract – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Surrender/Claim/Withdrawal/Switch	Italian (IT)	Non Product Specific		Use this form to request a switch of investments on your policy/contract – Italy (Branch and FOS) Surrender/Claim/Withdrawal/Switch Richiesta di Switch ULU PCON1233
Richiesta Cambio Beneficiario	Use this form to request a change of Beneficiary – Italy	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to request a change of Beneficiary – Italy Operational Forms Richiesta Cambio Beneficiario ULU PCON1213
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	French (FR)	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	French (FR)	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	French (FR)	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 Overview – Access Guide (Italian)	Connect Overview – Access Guide (Italian)	Italy (IT)	Utmost Luxembourg S.A	Guides and Supporting Documents	Italian (IT)	Non Product Specific		Connect Overview – Access Guide (Italian) Guides and Supporting Documents Connect Overview – Access Guide (Italian) ULU MARK2353
Connect Overview – Customer Guide (Dutch)	Connect Overview – Customer Guide (Dutch)	Belgium (BE)	Utmost Luxembourg S.A	Guides and Supporting Documents	Dutch (NL)	Non Product Specific		Connect Overview – Customer Guide (Dutch) Guides and Supporting Documents Connect Overview – Customer Guide (Dutch) ULU MARK2352
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	French (FR)	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
Connect Resumen – Guía del usario para clientes	This user guide helps to navigate through the Connect Platform and explain functionality – Spanish version	Spain (ES)	Utmost Luxembourg S.A	Guides and Supporting Documents	Spanish (ES)	Non Product Specific		This user guide helps to navigate through the Connect Platform and explain functionality – Spanish version Guides and Supporting Documents Connect Resumen – Guía del usario para clientes ULU MARK2349
Connect Überblick – Nutzerhandbuch für Kunden	This user gives the client an overview of Connect in German	Germany (DE)	Utmost Luxembourg S.A	Guides and Supporting Documents	German (DE)	Non Product Specific		This user gives the client an overview of Connect in German Guides and Supporting Documents Connect Überblick – Nutzerhandbuch für Kunden ULU MARK2348
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	French (FR)	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
How can our flexible multi-currency solution help you? (BFFM version)	This document explains how our flexible multi-currency solution can help you.	Cyprus (CY), France (FR), Malta (MT), Portugal (PT), Spain (ES), United Kingdom (UK)	Utmost Luxembourg S.A	Investment literature/Strategies	English (EN)	Non Product Specific		This document explains how our flexible multi-currency solution can help you. Investment literature/Strategies How can our flexible multi-currency solution help you? (BFFM version) ULU MARK2336
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	French (FR)	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
Connect Overview Client User Guide	Connect Overview Client User Guide (English)	United Kingdom (UK)	Utmost Luxembourg S.A	Guides and Supporting Documents	English (EN)	Non Product Specific		Connect Overview Client User Guide (English) Guides and Supporting Documents Connect Overview Client User Guide ULU MARK2328
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	French (FR)	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
User Guide Connect Digitale Onderschrijving – België	This is a Connect User Guide for digital subscription – Dutch version	Belgium (BE)	Utmost Luxembourg S.A	Guides and Supporting Documents	Dutch (NL)	Non Product Specific		This is a Connect User Guide for digital subscription – Dutch version Guides and Supporting Documents User Guide Connect Digitale Onderschrijving – België ULU MARK2303
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	French (FR)	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 Withdrawal	This Connect user guide shows how to request a withdrawal	United Kingdom (UK)	Utmost Luxembourg S.A	Guides and Supporting Documents	English (EN)	Non Product Specific		This Connect user guide shows how to request a withdrawal Guides and Supporting Documents Connect User Guide Withdrawal ULU MARK2251
Wealth Passport Sweden	This guide helps explain the benefits of the Wealth Passport Sweden product to intermediaries	Sweden (SE)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	Swedish (SV)	Wealth Passport		This guide helps explain the benefits of the Wealth Passport Sweden product to intermediaries Product Guides/Brochures/Snapshots and Training Materials Wealth Passport Sweden ULU MARK2229
Connect User Guide – Total Redemption (Italian)	Connect User Guide – Total Redemption (Italian)	Italy (IT)	Utmost Luxembourg S.A	Guides and Supporting Documents	Italian (IT)	Non Product Specific		Connect User Guide – Total Redemption (Italian) Guides and Supporting Documents Connect User Guide – Total Redemption (Italian) ULU MARK2194
Connect User Guide – Total Rescue (Spanish)	Connect User Guide – Total Rescue (Spanish)	Spain (ES)	Utmost Luxembourg S.A	Guides and Supporting Documents	Spanish (ES)	Non Product Specific		Connect User Guide – Total Rescue (Spanish) Guides and Supporting Documents Connect User Guide – Total Rescue (Spanish) ULU MARK2181
Connect User Manual – Resolution (German)	Connect User Manual – Resolution (German)	Germany (DE)	Utmost Luxembourg S.A	Guides and Supporting Documents	German (DE)	Non Product Specific		Connect User Manual – Resolution (German) Guides and Supporting Documents Connect User Manual – Resolution (German) ULU MARK2178
Connect User Guide – Total Redemption (French)	Connect User Guide – Total Redemption (French)	Belgium (BE), France (FR)	Utmost Luxembourg S.A	Guides and Supporting Documents	French (FR)	Non Product Specific		Connect User Guide – Total Redemption (French) Guides and Supporting Documents Connect User Guide – Total Redemption (French) ULU MARK2174
Connect Gebruikershandleiding – Volledige Afkoop	Connect User Manual – Full Redemption (Dutch)	Belgium (BE)	Utmost Luxembourg S.A	Guides and Supporting Documents	Dutch (NL)	Non Product Specific		Connect User Manual – Full Redemption (Dutch) Guides and Supporting Documents Connect Gebruikershandleiding – Volledige Afkoop ULU MARK2171
Wealth Passport Sweden	This guide helps explain the benefits of the Wealth Passport Sweden product to intermediaries	Sweden (SE)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	English (EN)	Wealth Passport		This guide helps explain the benefits of the Wealth Passport Sweden product to intermediaries Product Guides/Brochures/Snapshots and Training Materials Wealth Passport Sweden ULU MARK2166
Connect Guida all’uso – Riscatto Parziale	This Connect User Guide shows how to request a regular withdrawal in Italian	Italy (IT)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	Italian (IT)	Non Product Specific		This Connect User Guide shows how to request a regular withdrawal in Italian Product Guides/Brochures/Snapshots and Training Materials Connect Guida all’uso – Riscatto Parziale ULU MARK2152
Connect Guía de uso – Rescate Parcial	This Connect User Guide shows how to request a withdrawal – in Spanish	Spain (ES)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	Spanish (ES)	Non Product Specific		This Connect User Guide shows how to request a withdrawal – in Spanish Product Guides/Brochures/Snapshots and Training Materials Connect Guía de uso – Rescate Parcial ULU MARK2148
Connect Benutzerhandbuch: Teilrückkauf	This Connect User Guide shows how to request a regular withdrawal	Germany (DE)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	German (DE)	Non Product Specific		This Connect User Guide shows how to request a regular withdrawal Product Guides/Brochures/Snapshots and Training Materials Connect Benutzerhandbuch: Teilrückkauf ULU MARK2147
Connect User guide – Regular Withdrawal	This Connect User Guide shows how to request a regular withdrawal	United Kingdom (UK)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	English (EN)	Non Product Specific		This Connect User Guide shows how to request a regular withdrawal Product Guides/Brochures/Snapshots and Training Materials Connect User guide – Regular Withdrawal ULU MARK2138
Connect User Guide – Surrender (English)	Connect User Guide – Surrender (English)	United Kingdom (UK)	Utmost Luxembourg S.A	Guides and Supporting Documents	English (EN)	Non Product Specific		Connect User Guide – Surrender (English) Guides and Supporting Documents Connect User Guide – Surrender (English) ULU MARK2128
Connect Dealing Finland	This guide provides information on how to sign in and use the Connect platform to give dealing instructions	Finland (FI)	Utmost Luxembourg S.A	Guides and Supporting Documents	English (EN)	Non Product Specific		This guide provides information on how to sign in and use the Connect platform to give dealing instructions Guides and Supporting Documents Connect Dealing Finland ULU MARK2053
How can our flexible multi-currency solution help you? (BFWM version)	This document explains how our flexible multi-currency solution can help you.	Cyprus (CY), France (FR), Malta (MT), Portugal (PT), Spain (ES), United Kingdom (UK)	Utmost Luxembourg S.A	Investment literature/Strategies	English (EN)	Non Product Specific		This document explains how our flexible multi-currency solution can help you. Investment literature/Strategies How can our flexible multi-currency solution help you? (BFWM version) ULU MARK1782
Wealth Passport – UK Hybrid Policy	This guide summarises the benefits of investing in the Wealth Passport UK Hybrid Policy for current and prospective US taxpayers living and working in the UK.	United Kingdom (UK)	Utmost Luxembourg S.A	Product Guides/Brochures/Snapshots and Training Materials	English (EN)	Wealth Passport		This guide summarises the benefits of investing in the Wealth Passport UK Hybrid Policy for current and prospective US taxpayers living and working in the UK. Product Guides/Brochures/Snapshots and Training Materials Wealth Passport – UK Hybrid Policy ULU MARK1527
Informativa sulla privacy	Privacy Notice – Italian version	Italy (IT)	Utmost Luxembourg S.A	Client Letters/Indemnity/Data Protection	Italian (IT)	Non Product Specific		Privacy Notice – Italian version Client Letters/Indemnity/Data Protection Informativa sulla privacy ULU CONT3400-WEB
Costi amministrativi addizionali	Annex showing the activity-based charging grid	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Annex showing the activity-based charging grid Operational Forms Costi amministrativi addizionali ULU CONT3183
Profilo di rischio e Questionario di adeguatezza	Use this form to complete an investment profile questionnaire and request a deviation from your investment profile	Italy (IT)	Utmost Luxembourg S.A	Investment literature/Strategies	Italian (IT)	Private Client Insurance, Wealth Passport	Addition to your Policy	Use this form to complete an investment profile questionnaire and request a deviation from your investment profile Investment literature/Strategies Profilo di rischio e Questionario di adeguatezza ULU CONT3059
ACCORDO DI DIVULGAZIONE DELLE INFORMAZIONI	Information Disclosure Agreement	Italy (IT)	Utmost Luxembourg S.A	Client Letters/Indemnity/Data Protection	Italian (IT)	Non Product Specific		Information Disclosure Agreement Client Letters/Indemnity/Data Protection ACCORDO DI DIVULGAZIONE DELLE INFORMAZIONI ULU CONT2866
Private Client Insurance – Lista dei Fondi Esterni	External Collective Funds list – Italy	Italy (IT)	Utmost Luxembourg S.A	Investment literature/Strategies	Italian (IT)	Private Client Insurance		External Collective Funds list – Italy Investment literature/Strategies Private Client Insurance – Lista dei Fondi Esterni ULU CONT2580
Banca Depositaria situata al di fuori dello SEE	Declaration for the Use of a Custodian Bank located outside of the EEA – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Client Letters/Indemnity/Data Protection	Italian (IT)	Non Product Specific		Declaration for the Use of a Custodian Bank located outside of the EEA – Italy (Branch and FOS) Client Letters/Indemnity/Data Protection Banca Depositaria situata al di fuori dello SEE ULU CONT2365
Approvazione di Investimenti Alternativi e di Fondi Immobiliari e Attivi Caratterizzati da Limitata Liquidità	Stand-alone Notice on the risks of acceptance when investing in Specialised Investments – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Client Letters/Indemnity/Data Protection	Italian (IT)	Non Product Specific		Stand-alone Notice on the risks of acceptance when investing in Specialised Investments – Italy (Branch and FOS) Client Letters/Indemnity/Data Protection Approvazione di Investimenti Alternativi e di Fondi Immobiliari e Attivi Caratterizzati da Limitata Liquidità ULU CONT2366
Dichiarazione di Possesso della Qualifica di “Non-U.S. Person”	Use this form to declare a status of “Non-U.S. Person”	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Use this form to declare a status of “Non-U.S. Person” Operational Forms Dichiarazione di Possesso della Qualifica di “Non-U.S. Person” ULU CONT2364
Dichiarazione di Conformità fiscale (PH)	Stand-alone Tax Compliance Certification form – Italy (Branch and FOS)	Italy (IT)	Utmost Luxembourg S.A	Client Letters/Indemnity/Data Protection	Italian (IT)	Non Product Specific		Stand-alone Tax Compliance Certification form – Italy (Branch and FOS) Client Letters/Indemnity/Data Protection Dichiarazione di Conformità fiscale (PH) ULU CONT2253
Conferma dei dati di contatto del cliente utilizzati per la firma elettronica dei documenti	Confirmation of Client contact details used for the Electronic Signing of documents	Italy (IT)	Utmost Luxembourg S.A	Operational Forms	Italian (IT)	Non Product Specific		Confirmation of Client contact details used for the Electronic Signing of documents Operational Forms Conferma dei dati di contatto del cliente utilizzati per la firma elettronica dei documenti ULU CONNECT1058
Bevestiging van contactgegevens van de Cliënt die worden gebruikt voor de elektronische ondertekening van documenten	Confirmation of Client contact details used for the Electronic Signing of documents	Belgium (BE)	Utmost Luxembourg S.A	Operational Forms	Dutch (NL)	Non Product Specific		Confirmation of Client contact details used for the Electronic Signing of documents Operational Forms Bevestiging van contactgegevens van de Cliënt die worden gebruikt voor de elektronische ondertekening van documenten ULU CONNECT1049
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	French (FR)	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
Product Information Document for the Italian Wealth Passport	Product Information Document for the Italian Wealth Passport	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Product Guides/Brochures/Snapshots and Training Materials	Italian (IT)	Wealth Passport		Product Information Document for the Italian Wealth Passport Product Guides/Brochures/Snapshots and Training Materials Product Information Document for the Italian Wealth Passport ULIT_PID-US-IT-Wealth-Passport_Set_3138_IT_01-11-2025
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_UCI_IT-2018_EUR_PCI UCI_IT
Product Information Document for the Private Client Insurance	Product Information Document for the Private Client Insurance	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Product Guides/Brochures/Snapshots and Training Materials	Italian (IT)	Private Client Insurance		Product Information Document for the Private Client Insurance Product Guides/Brochures/Snapshots and Training Materials Product Information Document for the Private Client Insurance ULIT_PID-IT-PCI-Set informativo-2443_IT_01-11-2025
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_MLN_IT_EUR_PCI MLN_N_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_UCI_IT_EUR_PCI UCI_N_IT
Documento contenente le informazioni chiave	Mediobanca – 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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		Mediobanca – 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 Documento contenente le informazioni chiave ULIT_KID_IT_MED_IT_EUR_PCI MB_N_IT
Documento contenente le informazioni chiave	Mediobanca – 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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		Mediobanca – 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 Documento contenente le informazioni chiave ULIT_KID_IT_MED_IT-2018_EUR_PCI MB_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT-2018_EUR_PCI MC_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT-2018_EUR_PCI MS_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Wealth Passport		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT-2018_EUR_IWP_IT PR
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT-2018_EUR_PCI AZ_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT_EUR_PCI AZ_N_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT_EUR_PCI MC_N_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_FIN_IT-2018_EUR_PCI FIN_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Wealth Passport		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 Documento contenente le informazioni chiave ULIT_KID_IT_IT_EUR_IWP N_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_CORD_IT-2018_EUR_PCI CORD_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_FIN_IT_EUR_PCI FIN_N_IT
Documento contenente le informazioni chiave	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Key Information Document	Italian (IT)	Private Client Insurance		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 Documento contenente le informazioni chiave ULIT_KID_IT_CORD_IT_EUR_PCI CORD_N_IT
Dichiarazione di Conformità Fiscale – conti cointestati	Dichiarazione di conformità fiscale del titolare di un conto bancario congiunto dal quale sarà pagato il premio di una polizza assicurativa sulla vita. il quale non agisce in qualità di contraente. Da utilizzare con polizze di Italian Branch/Sede secondaria italiana.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Non Product Specific	New Business Pack	Dichiarazione di conformità fiscale del titolare di un conto bancario congiunto dal quale sarà pagato il premio di una polizza assicurativa sulla vita. il quale non agisce in qualità di contraente. Da utilizzare con polizze di Italian Branch/Sede secondaria italiana. Tax and regulatory Literature/technical sales aids and literature Dichiarazione di Conformità Fiscale – conti cointestati ULIT PR 00010
Automatic Exchange of Information – Self-Certification (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	English (EN)	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 Automatic Exchange of Information – Self-Certification (FOE) ULIT CONT4269
Modulo Unico Precontrattuale (MUP) per i prodotti d’investimento assicurativi	Tax and regulatory Literature/technical sales aids and literature Modulo Unico Precontrattuale (MUP) per i prodotti d’investimento assicurativi ULIT PR 00001	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance	New Business Pack	Tax and regulatory Literature/technical sales aids and literature Modulo Unico Precontrattuale (MUP) per i prodotti d’investimento assicurativi ULIT PR 00001
Automatic Exchange of Information – Self-Certification (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	English (EN)	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 Automatic Exchange of Information – Self-Certification (FOE) ULIT CONT4245
Automatic Exchange of Information – Self-Certification (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	English (EN)	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 Automatic Exchange of Information – Self-Certification (FOE) ULIT CONT4257
FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4071	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4071
FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4072	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4072
FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4058	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4058
FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica ULIT CONT4070	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR MEDIOLANUM – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica ULIT CONT4070
FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica ULIT CONT4056	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica ULIT CONT4056
FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4057	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR FINECO – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4057
FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica	Fact Find FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4054	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT4054
FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria	Fact Find FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4055	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find FOR AZIMUT- Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT4055
Modulo Conoscitivo – Versione per l’Intermediario – Fiduciaria	Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Fiduciaria ULIT CONT4052	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Non Product Specific		Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Fiduciaria ULIT CONT4052
Modulo Conoscitivo – Versione per l’Intermediario – Persona fisica	Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Persona fisica ULIT CONT4050	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Non Product Specific		Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Persona fisica ULIT CONT4050
Modulo Conoscitivo – Versione per l’Intermediario – Persona giuridica	Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Persona giuridica ULIT CONT4051	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Non Product Specific		Fact Find Modulo Conoscitivo – Versione per l’Intermediario – Persona giuridica ULIT CONT4051
FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to CORPORATE ENTITIES subscribing. To be used in combination with the new business application forms for this market.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to CORPORATE ENTITIES subscribing. To be used in combination with the new business application forms for this market. Fact Find FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Persona giuridica ULIT CONT3949
FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to FIDUCIARIES subscribing. To be used in combination with the new business application forms for this market. Fact Find FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Fiduciaria ULIT CONT3951
FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to PHYSICAL PERSONS subscribing. To be used in combination with the new business application forms for this market.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Fact Find	Italian (IT)	Private Client Insurance	New Business Pack	Fact Find for INTERMEDIARIES for the Italian market (Branch); dedicated to PHYSICAL PERSONS subscribing. To be used in combination with the new business application forms for this market. Fact Find FOR INTERMEDIARIES – Modulo Conoscitivo – Versione per l’Intermediario / Persona fisica ULIT CONT3947
Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 3746)	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance	New Business Pack	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian. Tax and regulatory Literature/technical sales aids and literature Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 3746) ULIT CONT3748
Private Client Insurance Condizioni Contrattuali Prodotto Di Investimento Assicurativo Di Tipo Unit-Linked a Vita Intera Italia	Private Client Insurance Contract Terms and Conditions Unit-linked Life Insurance Investment Product in Italy IT. Multi-Custody. Mediolanum.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Policy Conditions	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance Contract Terms and Conditions Unit-linked Life Insurance Investment Product in Italy IT. Multi-Custody. Mediolanum. Policy Conditions Private Client Insurance Condizioni Contrattuali Prodotto Di Investimento Assicurativo Di Tipo Unit-Linked a Vita Intera Italia ULIT CONT3747
Private Client Insurance – Proposal Form Lifetime Unit-Linked Insurance Investment Product Italy Multi-Custody	Private Client Insurance – Proposal Form for Lifetime Unit-Linked Insurance Investment Product Italy Multi-Custody Mediolanum.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Application Form	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance – Proposal Form for Lifetime Unit-Linked Insurance Investment Product Italy Multi-Custody Mediolanum. Application Form Private Client Insurance – Proposal Form Lifetime Unit-Linked Insurance Investment Product Italy Multi-Custody ULIT CONT3746
Regole di investimento per i Fondi Interni	Table of Luxembourg Investment Rules	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Investment literature/Strategies	Italian (IT)	Non Product Specific		Table of Luxembourg Investment Rules Investment literature/Strategies Regole di investimento per i Fondi Interni ULIT CONT3597
Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 3506)	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance	New Business Pack	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian. Tax and regulatory Literature/technical sales aids and literature Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 3506) ULIT CONT3563
Private Client Insurance – Condizioni Contrattuali Italy Unicredit Multi-Custody	Private Client Insurance – Condizioni Contrattuali Italy Unicredit Multi-Custody	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Policy Conditions	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance – Condizioni Contrattuali Italy Unicredit Multi-Custody Policy Conditions Private Client Insurance – Condizioni Contrattuali Italy Unicredit Multi-Custody ULIT CONT3543
Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (versione 2446)	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance	New Business Pack	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian. Tax and regulatory Literature/technical sales aids and literature Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (versione 2446) ULIT CONT3561
Private Client Insurance Terms and Conditions, Unit-Linked Life Insurance Investment Product Italy. Italian Branch (FOE) Multi-Custody.	Private Client Insurance Terms and Conditions, Unit-Linked Life Insurance Investment Product Italy. Multi-Custody.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Policy Conditions	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance Terms and Conditions, Unit-Linked Life Insurance Investment Product Italy. Multi-Custody. Policy Conditions Private Client Insurance Terms and Conditions, Unit-Linked Life Insurance Investment Product Italy. Italian Branch (FOE) Multi-Custody. ULIT CONT3539
Private Client Insurance – Condizioni Contrattuali – Italy FOE Fineco Multi-Custody	Private Client Insurance General Terms and Conditions Italy Multi-Custody	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Policy Conditions	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance General Terms and Conditions Italy Multi-Custody Policy Conditions Private Client Insurance – Condizioni Contrattuali – Italy FOE Fineco Multi-Custody ULIT CONT3541
Private Client Insurance – Condizioni Contrattuali – Italian Branch (FOE) – Multi-Custody	Stand-alone version of General Terms and Conditions for the Private Client Insurance Product – Italy (Branch)	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Policy Conditions	Italian (IT)	Private Client Insurance	New Business Pack	Stand-alone version of General Terms and Conditions for the Private Client Insurance Product – Italy (Branch) Policy Conditions Private Client Insurance – Condizioni Contrattuali – Italian Branch (FOE) – Multi-Custody ULIT CONT3535
Documento Informativo Precontrattuale – Private Client Insurance (Versione 1858)	This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance		This is the precontractual information document related to the Private Client Insurance product – Italy (FOE) Italian. Tax and regulatory Literature/technical sales aids and literature Documento Informativo Precontrattuale – Private Client Insurance (Versione 1858) ULIT CONT3533
Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 2443)	This is the precontractual information document related to the Private Client Insurance product – Italy (Branch) Italian.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Tax and regulatory Literature/technical sales aids and literature	Italian (IT)	Private Client Insurance	New Policy	This is the precontractual information document related to the Private Client Insurance product – Italy (Branch) Italian. Tax and regulatory Literature/technical sales aids and literature Documento Informativo Precontrattuale – PRIVATE CLIENT INSURANCE (Versione 2443) ULIT CONT3515
Private Client Insurance Proposal Form Lifetime Unit-linked Insurance Investment Product Italy Multi-Custody	Private Client Insurance Proposal Form for Lifetime Unit-linked Insurance Investment Product Italy.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Application Form	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance Proposal Form for Lifetime Unit-linked Insurance Investment Product Italy. Application Form Private Client Insurance Proposal Form Lifetime Unit-linked Insurance Investment Product Italy Multi-Custody ULIT CONT3506
Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	Italian (IT)	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 Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE) ULIT CONT2597
Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	Italian (IT)	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 Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE) ULIT CONT2600
Private Client Insurance – Lista dei Fondi Interni Collettivi e Relativi Regolamenti	Internal Collective Funds list – Italy	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Investment literature/Strategies	Italian (IT)	Private Client Insurance		Internal Collective Funds list – Italy Investment literature/Strategies Private Client Insurance – Lista dei Fondi Interni Collettivi e Relativi Regolamenti ULIT CONT2579
Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	Italian (IT)	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 Scambio Automatico di Informazioni – Modulo di Autocertificazione (FOE) ULIT CONT2594
Domanda di retrocessione della categoria di investimento (FOE)	Use this form to request a downgrade of your investment category	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Investment literature/Strategies	Italian (IT)	Non Product Specific		Use this form to request a downgrade of your investment category Investment literature/Strategies Domanda di retrocessione della categoria di investimento (FOE) ULIT CONT2517
Domanda di innalzamento della categoria di investimento (FOE)	Use this form to request a upgrade of your investment category	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Investment literature/Strategies	Italian (IT)	Non Product Specific		Use this form to request a upgrade of your investment category Investment literature/Strategies Domanda di innalzamento della categoria di investimento (FOE) ULIT CONT2528
Private Client Insurance Unit-Linked Lifetime Insurance Investment Product Application Form Italy. Multi-Custody.	New business Application Form for the Private Client Insurance product – Italian Branch	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Application Form	Italian (IT)	Private Client Insurance	New Business Pack	New business Application Form for the Private Client Insurance product – Italian Branch Application Form Private Client Insurance Unit-Linked Lifetime Insurance Investment Product Application Form Italy. Multi-Custody. ULIT CONT2443
Private Client Insurance Application Form – Italian Branch (FOE) – Multi-Custody	Private Client Insurance Application Form – Italian Branch (FOE) – Multi-Custody.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Application Form	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance Application Form – Italian Branch (FOE) – Multi-Custody. Application Form Private Client Insurance Application Form – Italian Branch (FOE) – Multi-Custody ULIT CONT2446
Questionario Medico Aggiuntivo (FOE)	Additional Medical Questionnaire – Italy (Branch)	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Underwriting guides/questionnaires/brochures	Italian (IT)	Non Product Specific		Additional Medical Questionnaire – Italy (Branch) Underwriting guides/questionnaires/brochures Questionario Medico Aggiuntivo (FOE) ULIT CONT2203
Referto Medico (FOE)	Medical Examination Report – Italy (Branch)	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Underwriting guides/questionnaires/brochures	Italian (IT)	Non Product Specific		Medical Examination Report – Italy (Branch) Underwriting guides/questionnaires/brochures Referto Medico (FOE) ULIT CONT2290
Private Client Insurance – Modulo di Proposta Unicredit	Private Client Insurance Application Form – Lifetime Unit-Linked Insurance Investment Product Italy.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Application Form	Italian (IT)	Private Client Insurance	New Business Pack	Private Client Insurance Application Form – Lifetime Unit-Linked Insurance Investment Product Italy. Application Form Private Client Insurance – Modulo di Proposta Unicredit ULIT CONT1858
FATCA Autocertificazione (FOE)	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.	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	Italian (IT)	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 Autocertificazione (FOE) ULIT CONT2170-3
Essentiële-informatiedocument (“Eid”)	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	Dutch (NL)	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 Essentiële-informatiedocument (“Eid”) ULBE_KID_BE_BE_EUR_SCP-BE_NL PR
Dichiarazione di Scelta di Legge / Choice of Law (FOE)	Use this form to perform a choice of law	Italy (IT)	Utmost Luxembourg S.A. - Italian Branch	Operational Forms	English (EN), Italian (IT)	Non Product Specific		Use this form to perform a choice of law Operational Forms Dichiarazione di Scelta di Legge / Choice of Law (FOE) ULIT CONT1795
Essentiële-informatiedocument (“Eid”)	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	Dutch (NL)	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 Essentiële-informatiedocument (“Eid”) ULBE_KID_BE_BE_EUR_PCP-BE_NL 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	French (FR)	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
Essentiële-informatiedocument (“Eid”)	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	Dutch (NL)	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 Essentiële-informatiedocument (“Eid”) ULBE_KID_BE_BE_EUR_CSP-BE_NL 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	French (FR)	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
Wijziging van de voornaamste kenmerken van een bestaand Intern Toegewezen Fonds	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	Dutch (NL)	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 Wijziging van de voornaamste kenmerken van een bestaand Intern Toegewezen Fonds ULBE PCON1561
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	French (FR)	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	French (FR)	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	French (FR)	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
Wijziging van het communicatiemiddel voor correspondentie en het gebruik van elektronische handtekeningen	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	Dutch (NL)	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 Wijziging van het communicatiemiddel voor correspondentie en het gebruik van elektronische handtekeningen ULBE PCON1529
Aanstelling van Tussenpersoon	Use this form to request an appointment or change of broker	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Non Product Specific		Use this form to request an appointment or change of broker Operational Forms Aanstelling van Tussenpersoon ULBE PCON1430
Désignation d’Intermédiaire	Use this form to request an appointment or change of broker	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	French (FR)	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	French (FR)	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	French (FR)	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
Verzoek tot Afkoop (Branch)	Use this form to request the surrender of your policy/contract – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Dutch (NL)	Non Product Specific		Use this form to request the surrender of your policy/contract – Belgium (Branch) – Dutch version Surrender/Claim/Withdrawal/Switch Verzoek tot Afkoop (Branch) ULBE PCON1344
Aanvraag tot Gedeeltelijke Afkoop (Branch)	Use this form to request a withdrawal from your policy/contract – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Surrender/Claim/Withdrawal/Switch	Dutch (NL)	Non Product Specific		Use this form to request a withdrawal from your policy/contract – Belgium (Branch) – Dutch version Surrender/Claim/Withdrawal/Switch Aanvraag tot Gedeeltelijke Afkoop (Branch) ULBE PCON1342
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	French (FR)	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	French (FR)	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
Formulier voor de storting van een bijkomende Premie (Branch)	Use this form for an addition to your policy/contract – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Top Up/Additional Investment	Dutch (NL)	Select Client Policy	Addition to your Policy	Use this form for an addition to your policy/contract – Belgium (Branch) – Dutch version Top Up/Additional Investment Formulier voor de storting van een bijkomende Premie (Branch) ULBE PCON1338
Verklaring van Verlies van Polisdocument (Branch)	Form to be used to declare the loss of policy documents – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Dutch (NL)	Non Product Specific		Form to be used to declare the loss of policy documents – Belgium (Branch) – Dutch version Client Letters/Indemnity/Data Protection Verklaring van Verlies van Polisdocument (Branch) ULBE PCON1336
Select Client Policy / Corporate Select Plan – ODDO Global Private Equity Evergreen Fund – Beheersreglement	Internal Collective Fund for Belgian market	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	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 – Beheersreglement ULBE CONT4912
Corporate Select Plan – België – Bijlage: lijst van beschikbare Externe Fondsen	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	Dutch (NL)	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 – België – Bijlage: lijst van beschikbare Externe Fondsen ULBE CONT4536
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	French (FR)	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
FOR INTERMEDIARIES – Identifiedocument – Versie voor de Tussenpersoon (Vennootschap)	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. Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Dutch (NL)	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. Dutch version Fact Find FOR INTERMEDIARIES – Identifiedocument – Versie voor de Tussenpersoon (Vennootschap) ULBE CONT4476
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	French (FR)	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	French (FR)	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
Benoeming van Begunstigden	Use this form to nominate beneficiaries	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Non Product Specific		Use this form to nominate beneficiaries Operational Forms Benoeming van Begunstigden ULBE CONT4383
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	French (FR)	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	French (FR)	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	French (FR)	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 – Algemene Voorwaarden	Stand-alone version of General Conditions for the Corporate Select Plan product – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Policy Conditions	Dutch (NL)	Corporate Select Plan		Stand-alone version of General Conditions for the Corporate Select Plan product – Belgium (Branch) – Dutch version Policy Conditions Corporate Select Plan – Algemene Voorwaarden ULBE CONT4182
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	French (FR)	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
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	Dutch (NL)	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 CONT4177
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	French (FR)	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 – Identificatiedocument – Versie voor de Tussenpersoon – Burgerlijke maatschap	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. Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Dutch (NL)	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. Dutch version Fact Find FOR INTERMEDIARIES – Identificatiedocument – Versie voor de Tussenpersoon – Burgerlijke maatschap ULBE CONT3971
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	French (FR)	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
FOR INTERMEDIARIES – Identificatiedocument – Versie voor de Tussenpersoon / Naturlijke persoon	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. Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Fact Find	Dutch (NL)	Select Client Policy	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. Dutch version Fact Find FOR INTERMEDIARIES – Identificatiedocument – Versie voor de Tussenpersoon / Naturlijke persoon ULBE CONT3969
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	French (FR)	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
Select Client Policy – Voornaamste kenmerken van het (family shared) Intern Toegewezen Fonds	Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Select Client Policy	New Policy	Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy Operational Forms Select Client Policy – Voornaamste kenmerken van het (family shared) Intern Toegewezen Fonds ULBE CONT3787
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	French (FR)	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
Bijlage: beleggingsregels en -limieten voor Interne en Externe Fondsen	Table of Luxembourg Investment Rules	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	Non Product Specific		Table of Luxembourg Investment Rules Investment literature/Strategies Bijlage: beleggingsregels en -limieten voor Interne en Externe Fondsen ULBE CONT3684
Select Client Policy (Multi-Support) – Bijkomend Intern Toegewezen Fonds	Annex to add additional Internal Dedicated Funds to the contract/policy	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Select Client Policy	New Policy	Annex to add additional Internal Dedicated Funds to the contract/policy Operational Forms Select Client Policy (Multi-Support) – Bijkomend Intern Toegewezen Fonds ULBE CONT3634
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	French (FR)	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 – België / Bijlage: lijst van beschikbare Interne Collectieve Fondsen	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	Dutch (NL)	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 – België / Bijlage: lijst van beschikbare Interne Collectieve Fondsen ULBE CONT3621-1
Select Client Policy – Bijlage: lijst van beschikbare Externe Fondsen	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	Dutch (NL)	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 – Bijlage: lijst van beschikbare Externe Fondsen ULBE CONT3621-2
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	French (FR)	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
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	French (FR)	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
Beleggingsprofiel en geschiktheidsevaluatie	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	Dutch (NL)	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 Beleggingsprofiel en geschiktheidsevaluatie ULBE CONT3474
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	French (FR)	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	French (FR)	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
Taks op de Verzekeringsverrichtingen	Back-end tax annex – Belgium	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Tax and regulatory Literature/technical sales aids and literature	Dutch (NL)	Non Product Specific		Back-end tax annex – Belgium Tax and regulatory Literature/technical sales aids and literature Taks op de Verzekeringsverrichtingen ULBE CONT3403
Privacyverklaring	Privacy Notice – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Dutch (NL)	Non Product Specific		Privacy Notice – Dutch version Client Letters/Indemnity/Data Protection Privacyverklaring ULBE CONT3339-WEB
Avis de confidentialité	Privacy Notice – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	French (FR)	Non Product Specific		Privacy Notice – French version Client Letters/Indemnity/Data Protection Avis de confidentialité ULBE CONT3338-WEB
OVEREENKOMST INZAKE OPENBAARMAKING VAN INFORMATIE	Information Disclosure Agreement	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Dutch (NL)	Non Product Specific		Information Disclosure Agreement Client Letters/Indemnity/Data Protection OVEREENKOMST INZAKE OPENBAARMAKING VAN INFORMATIE ULBE CONT3286
ACCORD DE COMMUNICATION D’INFORMATION	Information Disclosure Agreement	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	French (FR)	Non Product Specific		Information Disclosure Agreement Client Letters/Indemnity/Data Protection ACCORD DE COMMUNICATION D’INFORMATION ULBE CONT3287
Afwijking van het Beleggingsprofiel	Use this form to request a deviation from your investment profile	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	Non Product Specific		Use this form to request a deviation from your investment profile Investment literature/Strategies Afwijking van het Beleggingsprofiel ULBE CONT3269
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	French (FR)	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	French (FR)	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
Verzoek om een hogere investeringscategorie	Use this form to request a upgrade of your investment category	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	Non Product Specific		Use this form to request a upgrade of your investment category Investment literature/Strategies Verzoek om een hogere investeringscategorie ULBE CONT3238
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	French (FR)	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
Verzoek om een lagere investeringscategorie	Use this form to request a downgrade of your investment category	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	Non Product Specific		Use this form to request a downgrade of your investment category Investment literature/Strategies Verzoek om een lagere investeringscategorie ULBE CONT3236
Aanvraag van het Statuut van Professionele Cliënt / Request for Professional Client Status (Branch)	Request for Professional Client Status	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL), English (EN)	Non Product Specific		Request for Professional Client Status Operational Forms Aanvraag van het Statuut van Professionele Cliënt / Request for Professional Client Status (Branch) ULBE CONT3208
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	English (EN), French (FR)	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	English (EN), French (FR)	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
Keuze van de Toepasbare Wet / Choice of Law	Use this form to perform a choice of law	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL), English (EN)	Non Product Specific		Use this form to perform a choice of law Operational Forms Keuze van de Toepasbare Wet / Choice of Law ULBE CONT3196
Overzicht van bijkomende administratieve vergoedingen	Annex showing the activity-based charging grid	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Non Product Specific		Annex showing the activity-based charging grid Operational Forms Overzicht van bijkomende administratieve vergoedingen ULBE CONT3181
Aperçu des frais administratifs additionnels	Annex showing the activity-based charging grid	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	French (FR)	Non Product Specific		Annex showing the activity-based charging grid Operational Forms Aperçu des frais administratifs additionnels ULBE CONT3182
Depotbank buiten de EER (Branch)	Declaration for the Use of a Custodian Bank located outside of the EEA – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Dutch (NL)	Non Product Specific		Declaration for the Use of a Custodian Bank located outside of the EEA – Belgium (Branch) – Dutch version Client Letters/Indemnity/Data Protection Depotbank buiten de EER (Branch) ULBE CONT2947
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	French (FR)	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	French (FR)	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
Verklaring betreffende de Fiscale Verplichtingen – Branch	Stand-alone Tax Compliance Certification form – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Client Letters/Indemnity/Data Protection	Dutch (NL)	Non Product Specific		Stand-alone Tax Compliance Certification form – Belgium (Branch) – Dutch version Client Letters/Indemnity/Data Protection Verklaring betreffende de Fiscale Verplichtingen – Branch ULBE CONT2831
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	French (FR)	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
FATCA Self-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	English (EN)	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 Self-Certification ULBE CONT2826
Vertrouwelijke Financiële Vragenlijst (Branch)	Confidential Financial Questionnaire – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Dutch (NL)	Non Product Specific		Confidential Financial Questionnaire – Belgium (Branch) – Dutch version Underwriting guides/questionnaires/brochures Vertrouwelijke Financiële Vragenlijst (Branch) ULBE CONT2819
FATCA Zelfcertificering	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	Dutch (NL)	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 Zelfcertificering ULBE CONT2824
Bijkomende Vragenlijst over Bestaande Levensverzekeringsovereenkomsten en Aanvragen (Branch)	Additional Questionnaire on Preexisting Life Policies and Applications – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Dutch (NL)	Non Product Specific		Additional Questionnaire on Preexisting Life Policies and Applications – Belgium (Branch) – Dutch version Underwriting guides/questionnaires/brochures Bijkomende Vragenlijst over Bestaande Levensverzekeringsovereenkomsten en Aanvragen (Branch) ULBE CONT2817
Questionnaire financier confidentiel (Branch)	Confidential Financial Questionnaire – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	French (FR)	Non Product Specific		Confidential Financial Questionnaire – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Questionnaire financier confidentiel (Branch) ULBE CONT2818
Verslag Medisch Onderzoek (Branch)	Medical Examination Report – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Dutch (NL)	Non Product Specific		Medical Examination Report – Belgium (Branch) – Dutch version Underwriting guides/questionnaires/brochures Verslag Medisch Onderzoek (Branch) ULBE CONT2815
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	French (FR)	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
Bijkomende Medische Vragenlijst (Branch)	Additional Medical Questionnaire – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	Dutch (NL)	Non Product Specific		Additional Medical Questionnaire – Belgium (Branch) – Dutch version Underwriting guides/questionnaires/brochures Bijkomende Medische Vragenlijst (Branch) ULBE CONT2813
Rapport d’Examen médical (Branch)	Medical Examination Report – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	French (FR)	Non Product Specific		Medical Examination Report – Belgium (Branch) – French version Underwriting guides/questionnaires/brochures Rapport d’Examen médical (Branch) ULBE CONT2814
Questionnaire médical complémentaire (Branch)	Additional Medical Questionnaire – Belgium (Branch) – French version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Underwriting guides/questionnaires/brochures	French (FR)	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 – Acceptation du bénéfice (Branch)	Annex to the application form for beneficiary acceptance	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	French (FR)	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
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	French (FR)	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
Bijvoegsel bij de levensverzekeringsovereenkomst – Aanvaarding van de begunstiging (Branch)	Annex to the application form for beneficiary acceptance	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Operational Forms	Dutch (NL)	Non Product Specific		Annex to the application form for beneficiary acceptance Operational Forms Bijvoegsel bij de levensverzekeringsovereenkomst – Aanvaarding van de begunstiging (Branch) ULBE CONT2804
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	French (FR)	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
Bijvoegsel bij de levensverzekeringsovereenkomst – Ontbinding van de overdracht van verzekeringsrechten (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	Dutch (NL)	Non Product Specific		Annex to the application form for signing the dissolution of the transfer of insurance rights Operational Forms Bijvoegsel bij de levensverzekeringsovereenkomst – Ontbinding van de overdracht van verzekeringsrechten (Branch) ULBE CONT2800
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	French (FR)	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
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	French (FR)	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
Automatische Uitwisseling van Inlichtingen Zelfcertificering	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	Dutch (NL)	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 Automatische Uitwisseling van Inlichtingen Zelfcertificering ULBE CONT2792
Automatische Uitwisseling van Inlichtingen Zelfcertificering	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	Dutch (NL)	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 Automatische Uitwisseling van Inlichtingen Zelfcertificering ULBE CONT2793
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	French (FR)	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
Automatische Uitwisseling van Inlichtingen Zelfcertificering	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	Dutch (NL)	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 Automatische Uitwisseling van Inlichtingen Zelfcertificering ULBE CONT2791
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	French (FR)	Non Product Specific		Generic investment strategy form for the Belgian market (Branch) – French version Investment literature/Strategies Stratégie d’Investissement (Branch) ULBE CONT2779
Bijvoegsel bij de levensverzekeringsovereenkomst – Overeenkomst van Overdracht Post Mortem van de uit de Overeenkomst voortvloeiende rechten (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	Dutch (NL)	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 Bijvoegsel bij de levensverzekeringsovereenkomst – Overeenkomst van Overdracht Post Mortem van de uit de Overeenkomst voortvloeiende rechten (Branch) ULBE CONT2788
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	French (FR)	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
Beleggingsstrategie (Branch)	Generic investment strategy form for the Belgian market (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Investment literature/Strategies	Dutch (NL)	Non Product Specific		Generic investment strategy form for the Belgian market (Branch) – Dutch version Investment literature/Strategies Beleggingsstrategie (Branch) ULBE CONT2778
Select Client Policy	New business application form for the Select Client Policy product – Belgium	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Application Form	French (FR)	Select Client Policy	New Business Pack	New business application form for the Select Client Policy product – Belgium Application Form Select Client Policy ULBE CONT2690
Select Client Policy – Algemene Voorwaarden	Stand-alone version of General Conditions for the Select Client Policy product – Belgium (Branch) – Dutch version	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Policy Conditions	Dutch (NL)	Non Product Specific		Stand-alone version of General Conditions for the Select Client Policy product – Belgium (Branch) – Dutch version Policy Conditions Select Client Policy – Algemene Voorwaarden ULBE CONT2693
Select Client Policy	New business application form for the Select Client Policy product – Belgium	Belgium (BE)	Utmost Luxembourg S.A. - Belgian Branch	Application Form	Dutch (NL)	Select Client Policy	New Business Pack	New business application form for the Select Client Policy product – Belgium Application Form Select Client Policy ULBE CONT2689

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