Common use of INFORMATION VERIFICATION CONSENT Clause in Contracts

INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Xxxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip Code

INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Xxxxxxx Axxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip Code

INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRESUBSCRIPTION AGREEMENT, SUBSCRIBER HEREBY GRANTS THE COMPANY PLACEMENT AGENT PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Xxxxxxx Axxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip CodeCode EXHIBIT D

INFORMATION VERIFICATION CONSENT. BY SIGNING THIS QUESTIONNAIRE, SUBSCRIBER HEREBY GRANTS THE COMPANY PERMISSION TO REVIEW ALL PUBLICLY AVAILABLE INFORMATION REGARDING SUBSCRIBER, INCLUDING, BUT NOT LIMITED TO INFORMATION PROVIDED BY THE OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) FOR THE PURPOSE OF VERIFYING INFORMATION PROVIDED BY SUBSCRIBER HEREIN. Signature Signature Signature (if purchasing jointly) Name Typed or Printed Name Typed or Printed Entity Name Entity Name Xxxxxxx Xxxxxxx Xxxx, Xxxxx xxx Xxx Xxxx Xxxx, Xxxxx and Zip Code