PoA_________________ (Customer CIF) POWER OF ATTORNEY The undersigned .............................................................................................................................. resident of ………………………………………….................................................................................... Street ....................................................................................................., with ID / Passport number ......................................................... hereby authorize “ALPHA BANK A.E.” (hereinafter ALPHA BANK) a credit institution which has its registered address in Athens (40 Stadiou Str., 10252), is registered with the General Electronic Commercial Registry (G.E.MI.) of the Ministry of Development and Competitiveness under nr. 000223701000 and has Tax Identification Nr. 094014249 Tax Authority FAE Athens, as legally represented, to act on my behalf and provide without any restrictions and at my own risk to the Internal Revenue Service (IRS), which is the tax authority of the United States of America, information required by the laws of the United States of America and share my personal information and balances of my deposits in all forms (cash, securities, etc.) held with ALPHA BANK. The power of attorney shall remain in existence until it is recalled in writing effective the day following the day of notification of ALPHA BANK Proof of receipt of the notification by the Bank will only be considered the Bank’s stamp and signature on the notification’s copy. Finally, I declare that ALPHA BANK is relieved of any responsibility that may arise in cases where it acts as an attorney as per the present document. Athens, ............................... ............................................ Signature of Granter Version 1_October 2014