Email (required)

Firm Name

For each of the financial activities below, please check all the boxes that apply to indicate where you undertake the relevant activity in the relevant asset class as a material part of your business. Note that many of these apply specifically to derivatives on an underlying, for those questions please consider only your OTC derivatives activity, not any other activity (e.g., spot or cash trading in the underlier or exchange-traded products (futures/options), unless otherwise noted).

Prime brokerage provider in derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Investment manager hedge fund using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Investment manager mutual fund using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Investment manager pension fund using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Proprietary investment company using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Bank/investment firm using derivatives to hedge business risk in:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Corporate using derivatives to hedge business risk in:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Insurer using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Supplier (energy/gas companies) using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Government/IFI/sovereign wealth fund using derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Exchange/trading platform operator with respect to derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Client clearing services provider on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Central counterparty (derivatives) for the following asset classes:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Index/benchmark provider for derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Consulting/technology provider with respect to derivatives on:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Advisory services (legal/accounting/tax) to derivatives market participants in:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Investing/hedging in exchange-traded futures/options in:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Lender of:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

Deposit taker in:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

Central counterparty (cash instruments) for the following asset classes:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

Custodian/wallet provider in:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

Prime brokerage provider in:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

ETF provider for assets referencing:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

Stablecoin or money market fund issuer investing in:
EquitiesInterest RatesCreditFXCommoditiesCrypto AssetsFiat cash

Consulting/technology provider with respect to:
EquitiesInterest RatesCreditFXCommoditiesCrypto Assets

If yes, please name:

By checking this box and submitting this form, I certify that:

1. I understand that ISDA will process only the personal data provided to it in this declaration,
2. that personal data constitutes a special category of personal data pursuant to Article 8 of the General Data Protection Regulation, and
3. I explicitly consent to the processing of such special personal data.

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