W e appreciate your interest in Goldman Sachs & Co. LLC or any of its affiliates

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1 Employment Application GOLDMAN SACHS DOES NOT DISCRIMINATE IN EMPLOYMENT ON THE BASIS OF AGE, RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY, VETERAN STATUS, OR ANY OTHER BASIS THAT IS PROHIBITED BY APPLICABLE LAW. OFFICE AT WHICH APPLIED DBS CODE DATE PLEASE PRINT LAST NAME FIRST NAME MIDDLE NAME W e appreciate your interest in Goldman Sachs & Co. LLC or any of its affiliates (hereinafter referred to as Goldman Sachs or the firm ). The careful and thoughtful completion of this application is an important step in our consideration of you for employment. Should you receive an offer of employment from Goldman Sachs, it will be conditional, to the extent permitted by law, upon a number of factors including the satisfactory completion of pre- and post-employment background, reference, credit, criminal and other checks, and successful completion of a drug screen. The pre- and post-employment background checks will include verification of the information given on this employment application, so it is important that the information be complete and accurate. Should you become an employee of the firm, subsequent discovery of any inaccuracy could lead to disciplinary action, up to and including termination. We ask that you thoroughly complete each part of this application. If you are unsure of the meaning of any question on the application, do not hesitate to ask for an explanation. If you are unsure of any answer, please obtain confirmation prior to answering the question. Thank you for your cooperation. / / SIGNATURE DATE 0403/EMP

2 Please Read Carefully INSTRUCTIONS Your cooperation in completing the Goldman Sachs Employment Application is greatly appreciated. Please refer to the following guidelines that address common questions. GENERAL GUIDELINES Dates: Education/employment should be indicated by month and year. Current employment should be indicated by an end date or Present. Complete Names and Addresses: All schools and employers must be indicated by their full proper name and complete address. Do not use any abbreviations. If street address is not known, at a minimum, city and state location should be indicated. Resumes: You may submit a copy of your resume, but your resume will not be accepted in place of the completed application. EDUCATION If you began a degree program at one school but completed it at another, write Transferred Prior to Program Completion in the box asking if you graduated. The school to which you transferred should then be listed. Where indicated, state the overall, cumulative grade point average (GPA), letter grade or percentage, not your average in your major or last semester. The space provided for your academic standing should not be left empty or estimated. If a school you attended does not calculate an academic average, mark the box next to the statement School does not calculate GPAs. EMPLOYMENT HISTORY Before completing the section on your employment history, ask yourself the following questions so that you respond appropriately. In addition, the questions may prompt you to begin gathering any necessary documentation in preparation for the firm s verification process, to be conducted should you receive and accept an offer of employment. Note that in all cases, the term employer relates to your official employer of record. Are you a prior Goldman Sachs employee? If yes, please make sure to correctly state the time period that you worked at Goldman Sachs. Are you aware that any of your prior employers have gone out of business? If yes, you may be asked to submit copies of your W2 forms or pay stubs from the years in which you began and ended your employment. Rather than as a regular full-time employee, were you working as a consultant or temporary, placed at client sites by an agency? If yes, the placement agency is the official employer of record. Please give the name and address of each agency for which you worked in the space allotted. You may list the client site locations and supervisors in the space marked Duties. Were you working at any of the listed employers as a self-employed consultant? If yes, list the client site as the employer, but under Position, list yourself as a consultant. In addition, in the section marked Manager, please list the names and telephone numbers of three business references who will be able to verify that you provided business services to them during the relevant time period. In connection with this type of employment, you may be asked to submit tax statements (such as a 1099), copies of consulting contracts, and/or beginning and ending date pay stubs. Are any of the employers listed businesses in which you were a partner or had an ownership interest? If yes, please state the complete and exact name of the business on the application. Indicate your status as owner or partner in the section marked Position. In the section marked Manager, list three business references who can verify that you provided business services to them during the relevant time period. At least one reference should be a client serviced during the stated start period, and another should be a client serviced up until the stated end date. In connection with this type of employment, you may be asked to submit documentation of self-incorporation and/or business dissolution, or tax records indicating self-employment from the stated start to the stated end date. Does your background include a period of military service? If yes, then list your military service under Employment History. Should you receive and accept an offer of employment, you will be required to submit a photocopy of your DD-214 form as well as complete a special request form that will allow the firm to verify the dates of your military service. UNEMPLOYMENT We recommend that you review your application before submission, tracing the dates of your education and employment in order to be certain that any time period of one month or more between school attendance or employment is accounted for in the section marked Unemployment. Indicate the month and year that periods of unemployment began and ended. ADDITIONAL INFORMATION If you have a criminal conviction in your background, please be sure to state the nature of the crime, date of arrest (at least month and year), city and state where the incident occurred, city and state of jurisdiction, and court (if known).

3 Personal Information So the firm may obtain a complete and accurate background history, which may include researching your credit history, enter your National ID and any other names by which you have been known. Name Prefix: Suffix: Legal First Middle/Middle Initial Last Preferred First Last Former First Last Have you ever been known by another name? Yes No If yes, specify name: Date of Birth (mm/dd/yyyy): / / National ID Primary National ID/Number: Additional National ID/Number: Additional National ID/Number: Country: Country: Country: Personal Phone Primary ext: Country: Secondary ext: Country: Personal Primary Address: Secondary Address: Current Addresses Primary Address Date of residence (mm/dd/yyyy) Start : / / End: / / Secondary Address Date of residence (mm/dd/yyyy) Start : / / End: / / Mailing Address Date of residence (mm/dd/yyyy) Start : / / End: / / Alternate Address Date of residence (mm/dd/yyyy) Start : / / End: / / Campus Address Date of residence (mm/dd/yyyy) Start : / / End: / /

4 Address History Provide all addresses where you have resided for the past 10 years. Include every address where you have physically lived including school, summer, parents' and any others. Do not leave any gaps.

5 Education Complete all of the information below, even if you have already provided us with a resume or are a prior Goldman Sachs employee. Enter ALL schools attended and include ALL grade point averages (GPA) or equivalents. If you did not receive a degree or diploma, state the total credits you received. If you attended a school located outside the U.S., please provide your Goldman Sachs contact with a copy of your diploma and/or transcript as soon as possible. Where indicated, provide the overall, cumulative grade point average (GPA), letter grade or percentage, not your average in your last semester. Do not provide an estimate. If a school you attended does not calculate an academic average, choose No for "Does School Calculate GPA?" High School/Secondary School/Equivalent School/Equivalent: School Type: Country: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Did you complete? Did you receive a GED? Yes No City where GED was issued: State where GED was issued: Issued in the name of: School/Equivalent: School Type: Country: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Did you complete? School/Equivalent: Did you receive a GED? Yes No City where GED was issued: State where GED was issued: Issued in the name of: School Type: Country: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Did you complete? Did you receive a GED? Yes No City where GED was issued: State where GED was issued: Issued in the name of: School/Equivalent: School Type: Country: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Did you complete? School/Equivalent: Did you receive a GED? Yes No City where GED was issued: State where GED was issued: Issued in the name of: School Type: Country: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Did you complete? Did you receive a GED? Yes No City where GED was issued: State where GED was issued: Issued in the name of:

6 Education - Continued College/University College/University: Country: Major 1: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) College/University: Major 2/Minor: Was a degree/diploma awarded? If yes, Degree/Diploma: If yes, Date Awarded (mm/dd/yyyy): / / If no, Expected Award Date (mm/dd/yyyy): / / Country: Major 1: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) College/University: Major 2/Minor: Was a degree/diploma awarded? If yes, Degree/Diploma: If yes, Date Awarded (mm/dd/yyyy): / / If no, Expected Award Date (mm/dd/yyyy): / / Country: Major 1: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) College/University: Major 2/Minor: Was a degree/diploma awarded? If yes, Degree/Diploma: If yes, Date Awarded (mm/dd/yyyy): / / If no, Expected Award Date (mm/dd/yyyy): / / Country: Major 1: Does school calculate GPA? Yes No GPA: out of (e.g., 3.2/4.0 OR 85/100 OR A,B,C) Major 2/Minor: Was a degree/diploma awarded? If yes, Degree/Diploma: If yes, Date Awarded (mm/dd/yyyy): / / If no, Expected Award Date (mm/dd/yyyy): / /

7 Employment History Please list all employment for the past 10 years, including part-time, temporary, and summer jobs. Record education and employment gaps in the unemployment section. We will not contact your current employer until you have resigned from your current position. For your current position, enter today's date as End Date. If your background includes military service, list your specialty. You must submit a photocopy of your DD-214 form and complete a special request form that will allow the firm to verify the dates of your military service. If you have a current employer, can we contact them? Yes No Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

8 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

9 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

10 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

11 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

12 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

13 Employment History - Continued Employment Type Employee Temporary/Agency Consultant Self-Employed Consultant Partner/Owner Employer Details Employer (if Employee): Agency (if Temporary/Agency Consultant): Doing Business As (if Self-Employed Consultant or Partner/Owner): Out of Business? (if Employee, Temporary/Agency Consultant or Partner/Owner): Yes No Type of Business: Postal: Country: Job and Pay Details Ending Functional Job Title: Corporate Officer Title/Military Specialty: Last Salary: $ per currency Last Bonus: $ per currency Reason for Leaving: Contacts (if Employee) Manager Contacts (if Temporary/Agency Consultant) Reported To: Names of Clients/Supervisors: Client/Business References (if Self-Employed Consultant) Name of Clients: Client/Business References (if Partner/Owner)

14 Unemployment History Record gaps in both education and employment. Reason: Reason: Reason: Reason: Reason: Reason: Licenses and Certifications Add your professional licenses and certificates. Do NOT include securities market registrations here. License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country: License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country: License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country: License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country: License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country: License/Certification: Issue Date (mm/yyyy): / License/Certificate Number: Expiration Date (mm/yyyy): / Issued By: Country:

15 Other Information 1. Have you ever been convicted of, or plead guilty or nolo contendere ("no contest") to, a crime (felony, misdemeanor or equivalent) in a domestic or foreign court? If yes, you are required to state where, when, nature of crime, and final disposition: When (mm/yyyy): / Nature of crime: Final disposition: Country: Yes No When (mm/yyyy): / Nature of crime: Final disposition: Country: 2. The firm's policy is to honor the legal obligations that a new employee may have to a current or former employer -- obligations such as a non-compete or a non-solicitation agreement, a notice period, or a confidentiality agreement. To facilitate our hiring process and ensure we understand any limitations to which you may be subject, are you aware of any such obligations with your current or a former employer? Type of obligation(s): Non-Complete Notice Period Non-Solicitation Confidentiality Other Describe the length and nature of restriction: Nature of obligation(s): Written Employment Contract Other Written Agreement Employee Handbook or Code of Conduct Provision Oral Understanding Other Yes No 3. Will you be involved in any outside business activity, including serving on a board of a Yes No charitable or other organization, while you are employed at Goldman Sachs? If yes, provide details (outside business activities may require the approval of the firm's compliance department):