Please fill this form in ENGLISH and in BLOCK LETTERS and (✓) in appropriate box. (All information as applicable in the form below is mandatory).

1. You consent to us collecting your Personal Information directly from you and, where lawful and reasonable, from public sources for credit, fraud prevention, compliance, and the purposes outlined below.

2. If you provide Personal Information about another person (including, but not limited to, account signatories, shareholders, principal executive officers, trustees, or beneficiaries), you confirm that you are authorised to: (a) provide such Personal Information to us; (b) give consent on their behalf for the processing of their Personal Information, including any cross-border transfer of data into or outside the country where the products or services are provided; and (c) receive any privacy notices on their behalf.

3. You consent to the processing of your Personal Information for the following purposes: To provide products and services to you under this agreement and for any other products and services you may apply for; To conduct statistical, analytical, and research activities to identify market trends and improve our business, including the development of new products and services;

• To transfer and process Personal Information in countries outside the country where the products or services are provided. Such countries may not have data protection laws equivalent to those in your country; however, where possible, we require recipients to comply with our privacy policies;
• To share your Personal Information with third-party service providers, both locally and internationally, solely for service delivery purposes. These providers are required to comply with our privacy policies; and
• To share your Personal Information within UGI for legitimate business purposes.

4. Details of our data processing practices are outlined in UGI's Privacy Statements, which are available on.

5. If your Personal Information is processed in countries other than where you reside and this affects your tax or legal position, you are advised to seek independent professional advice.UGI's website or upon request.

As part of our services, we may wish to provide you with information about products and services offered by UGI and its partners that may be of interest to you. As your Personal Information is confidential, we require your consent to use and share it within UGI for marketing purposes.