SCHNEIDER ELECTRIC – SHARES PLANS
REQUEST FOR OPENING CURRENT AND TRADING ACCOUNTS 1
Mr
Mrs
Ms
Last Name: _____________________________________________________________________
Maiden Name :
First Name, Middle Name:
Nationality:
Date of Birth:
Place of Birth:
Single
City:
Married
/
/_________
County / Country: ______________________
Widow(e)
The client is a tax resident in:  France
Divorced
 USA
 Another country : ______________________________
2
 If there is a US residence or a US nationality: the client provides a W9 form with the « TIN » code and authorizes the Bank to communicate his identity to
US tax authorities.
 If there is an international mobility, please provide the international mobility form.
3
N°:
by
2
N°:
by
Identity n°1 :
Type:
Issued on: ____ /____ /_______ in
Identity n°2 :
Type:
Issued on: ____ /____ /_______ in
4
Home Address :
City:
Post Code
__________
Country
5
Mailing Address :________________________________________________________________________________
City:
Post Code
__________
Country
Email: __________________________________________ @_____________________________________________
Office telephone: _________________ Private Telephone __________________ Mobile Telephone ________________
ID employee:
6
Authentication Question/Answer :
Preferred language:
French 
English 
Employer name and address:
City:
Post Code
__________
Country
I hereby certify that the information in this document is correct, and undertake to notify the bank of any change in my situation and/or
signature.
The requested opening of the account and its interest rate, the closing and all its details are compliant to bank practices and rules.
I acknowledge that I have read the special operating conditions attached.
Any subsequent change to this agreement shall be made known in advance. The Bank’s Standard Terms are posted on its premises
and available on its internet site.
Completed at
On _____/_____/______________
Signature:
The information received in this questionnaire will not be used and will not be part of any external communication unless required to satisfy legal and regulatory
obligations. They may give rise to the exercise of the access right per the terms set out by the Information Technology, Files and Freedoms Act n° 78-17, of 6 January 1978.
1
All information requested within this document is mandatory and is used only in the frame of the management of your stock options
and/or free shares plans.
2
Please fill in the country and provide a tax residence certificate
Please fill in the type of identity (passport, ID card, driving license) and attach the copy front / back of the document and the bank
account details of your bank (IBAN for France, SWIFT details for foreign countries).
4
Principal residential address. Please attach a utility bill in your name (electricity, water, telephone or gas) dated within the last three
months.
5
Postal address for the sending of all communication related to the management of your plans (access codes…).
6
This authentication question / answer will allow the Bank and its Stock-On-Line team to securely identify you on the phone. This
team might ask you this question and will expect you to provide the indicated answer (Example: Maiden name of my mother / Jones)
3
BANQUE TRANSATLANTIQUE –STOCKPLAN – Plan SCHNEIDER ELECTRIC
26 avenue Franklin D. Roosevelt - 75372 PARIS CEDEX 08 FRANCE
 +33 1.56-88-73-03 or 73-86 – Fax: +33 1-49-74-32-05
[email protected]
SCHNEIDER ELECTRIC – SHARES PLANS
SPECIAL TERMS AND CONDITIONS
The SCHNEIDER ELECTRIC Employee (the “BENEFICIARY”) is
the holder of an account in euro opened at Banque Transatlantique
for Restricted Shares and/or Stock Option Plans (“PLANS”) for
which he/she acknowledges having received all the necessary
information from SCHNEIDER ELECTRIC. This information which
provides a thorough understanding of the PLANS' mechanisms and
an appreciation of their specific characteristics in regards to the
BENEFICIARY’s investment objectives, financial situation and asset
base.
The account records the movements of cash in euro, as applicable,
relative to the transactions appertaining to the restricted shares or
stock options of which the Employee is a beneficiary, excluding any
other transactions on financial instruments.
The account is opened solely to the PLANS’ BENEFICIARIES. In
the event of the account holder’s death, the heirs shall justify their
rights and appoint a proxy legally capable of acting alone in their
name.
upon by SCHNEIDER ELECTRIC and Banque Transatlantique
described in the BENEFICIARY guide remitted to each
BENEFICIARY by Banque Transatlantique. BENEFICIARY
acknowledges he has read it. Banque Transatlantique shall send to
the BENEFICIARY a confirmation notice within 24 hours after each
transaction. All instructions sent outside Transat Plan website will
require a longer treatment that the BENEFICIARY has to take into
account. Any other transaction, of any kind whatsoever, relative to
financial instruments other than those that are the object hereof, is
strictly prohibited.
Consequently, should the BENEFICIARY wish to entrust Banque
Transatlantique with the management of his financial instruments
(in addition of the management described in the GUIDE), the
signature of a new investment service and trading account
agreement shall be required.
1-
The BENEFICIARY acknowledges that:

he/she has been informed that the holding of shares
acquired under a PLAN carries a risk of loss in the event
of a downward shift in the price of said stocks;

he/she has been informed – in order to limit and ascertain
the risks tied to direct stock holding – of the need to
remain informed (press, radio, Internet) of developments
in the company whose shares are held, as well as the
overall economic environment;

it is his sole responsibility to track the lapse of his options
which have been granted to him/her by his/her employer
in order not to lose his/her rights. Banque Transatlantique
will not be responsible.
Cash
The account is credited from the following:

income from the sales of SECURITIES;

any deposit of a cheque or receipt of external wire transfer
for the purpose of paying for the exercise of options, or
costs and fees appertaining to the account's operation.
The account posts the following as debits:

the amount for the exercise of options;

any wire transfer (only as per the terms stated
hereinafter);

costs and fees appertaining to account transactions.
This account does not give right to the issuance of any means of
payment by Banque Transatlantique. Since withdrawals at the
counter are not authorized, wire transfer orders for the
BENEFICIARY are performed only at another establishment, to an
account whose banking information (BIC, IBAN and SWIFT) shall
have been previously disclosed.
No order of any kind is executed by Banque Transatlantique if the
account's available balance does not cover its execution and costs
and fees thereto appertaining.
Should, however, the account shows a negative balance, Banque
Transatlantique would receive bank-fees at the rate shown in the
Beneficiary guide (“GUIDE”). BENEFICIARY undertakes to return to
a positive position without delay, by any means available to him.
BENEFICIARY hereby appoints Banque Transatlantique, which
accepts:

to exercise Options; to sell shares

to forward to SCHNEIDER ELECTRIC the funds related to
exercise of its Options by debit from its account and, when
applicable, the necessary withholding tax/contributions;

and, more generally, to carry out all these transactions
relative to the administration of the PLANS as defined with
SCHNEIDER ELECTRIC.
Consequently, assuming that BENEFICIARY wishes to open one or
more deposit accounts to carry out its current bank transactions
(domiciliation of salary, withdrawal authorization, payment card,
among others), the signature of a new account opening agreement
will be mandatory, because the deposit accounts that are the object
hereof are intended solely to record the movements of cash relative
to restricted shares or stock options.
2-
3-
4-
Warning
Portfolio. Claims.
Periodical portfolios with all operations made by the BENEFICIARY
will be sent to him/her monthly by Banque Transatlantique if at least
one operation has been made the last month.
Potential claims related to operations displayed on periodical
portfolios should be sent in a written form to Banque
Transatlantique in the month following the relevant portfolio. After
this term, the BENEFICIARY can dispute one operation if he/she
has the proof of his/her claim.
5-
Fees
The price for the various services to which the account gives
access shown in the BENEFICIARY guide and General Terms and
Conditions of Banque Transatlantique can be provided on simple
request to Banque Transatlantique.
6-
Miscellaneous
Banque Transatlantique shall keep the accounting entries
appertaining to the account transactions, prepare periodic cash
reports and disclosure documents required by tax regulations
(single income tax form and disclosure obligations).
The BENEFICIARY hereby undertakes to close his Accounts if
Banque Transatlantique should discontinue the Services it performs
for the PLANS.
You will find complementary information on your transactions
on shares and/or options in the Beneficiary GUIDE
Financial Instruments
A trading account is opened in the BENEFICIARY's name, for the
purpose of recording all the BENEFICIARY’s transactions in relation
to restricted shares and/or stock options that have been allocated by
SCHNEIDER ELECTRIC. It is hereby expressly agreed that this
financial instrument account is used by the BENEFICIARY only to
carry out the following transactions related to restricted shares
and/or stock options allocated to him/her under the PLANS:

cash exercise; cashless exercise

sale; transfer
Date and Signature:
The BENEFICIARY sends the orders to Banque Transatlantique in
writing or on line if his employer has required to provide this service.
These instructions shall be sent according to procedures agreed
BANQUE TRANSATLANTIQUE –STOCKPLAN – Plan SCHNEIDER ELECTRIC
26 avenue Franklin D. Roosevelt - 75372 PARIS CEDEX 08 FRANCE
 +33 1.56-88-73-03 or 73-86 – Fax: +33 1-49-74-32-05
[email protected]