Raiffeisen Bank S.A. � Administra]ia Central` � Pia]a Charles deGaulle nr.15, sector 1, Bucure[ti � Cod 011857 � România � Telefon +40 21 306 1000

� Fax +40 21 230 0700 � E-mail: centrala@raiffeisen.ro � www.raiffeisen.ro � C.U.I. 361820 � Num`r de \nregistrare \n Registrul Comer]ului J40/44/1991

� Num`r de \nregistrare \n Registrul Bancar RB-PJR-40-009/1999 � Cod de \nregistrare fiscal` RO361820 � Capital Social 1.200 mil Lei

� Societate administrat` în sistem dualist � Cod BIC RZBRROBU � Raiffeisen Direct: 0800 802 02 02 – apel gratuit din re]eaua Romtelecom

Cont SimpluPachete Opera]ionale pentru Clien]i IMM cu Cifra Afaceri / Operational Packages for SME Legal

Persons with TurnoverBronze Silver Gold Platinum

Pachet Opera]ional pentru Clien]i IMM f`r` Cifra deAfaceri / Operational Package for SME Clients without

Turnover

Pachet Opera]ional pentru Clien]i IMM Entit`]i f`r`Personalitate Juridic` / Operational Package for

Non-Legal Persons

Nr. operator \n Registrul de eviden]` ANSPDCP: 1967 pentru activitate bancar`;189 pentru activitate de marketing, reclam` [i publicitate

CERERE DE DESCHIDERE CONTURI CURENTEPERSOANE JURIDICE / ENTIT~}I F~R~ PERSONALITATE JURIDIC~

APPLICATION FOR CURRENT ACCOUNT OPENING LEGAL PERSONS / NON-LEGAL PERSONS

Solicit`m deschidere de cont curent \n valuta(ele) mai jos men]ionat`(e) / Hereby apply for opening of a currentaccount in the currency(ies) mentioned below:

* |n cazul \n care clientul nu are alocat CUI, se va completa Codul de |nregistrare Fiscal` / Should no URC be available, the Fiscal Code will be provided

Denumire client / Client Name:

Cod unic de \nregistrare (CUI) / Unique registration Code (URC)*:

40025076

Num`r cont IBAN / IBAN Account number(se completeaz` de c`tre Banc`) /

(to be filled in by the Bank)

Frecventa extras de cont pe suport hârtie/Account Statement Frequency (on paper)

Zilnic` / Daily Lunar` / Monthly

RON

EUR

USD

_______

_______

_______

Valuta /Currency

Prin prezenta confirm`m c` am primit Condi]iile Generale de Derulare a Opera]iunilor Bancare [i, dac` este cazul,Condi]iile Specifice Pachetelor Opera]ionale IMM, suntem de acord cu con]inutul acestor documente [i, \n mod expres,cu declara]iile, angajamentele [i acordurile Clientului cuprinse \n acestea pe care ni le-am \nsu[it [i acceptat \n modexpres, precum [i cu faptul c` aceste documente, \mpreun` cu prezenta cerere, au valoare de contract de cont curent[i reglementeaz` raporturile juridice dintre noi [i Banc`, reprezentând \ntelegerea deplin` a p`r]ilor exprimat` cubun` credin]`, legal` [i neviciat`. / We hereby confirm that we have received the General Banking Business Terms and,if case, the Specific Conditions Regulating SME Operational Packages, we consent to the obligations and the statementsstipulated within them, which we have expressly assumed and accepted and we agree that the present application,completed by the above mentioned documents, have current account contract value and regulate the legal relationshipsbetween us and the Bank, reflecting mutual full agreement expressed in good faith.

Nume [i Prenume Reprezentant Banc` /Bank Representative Name and Surname

Agen]ia / Branch

Semn`tura Reprezentant Banc` /Bank Representative SignatureData / Date

Nume [i Prenume Reprezentan]iLegali /

Legal Representative Name andSurname

CNP // PNC Data / Date

Semn`tura ReprezentantLegal/

Legal Representative Signature