INVESTMENT DETAILS. 1 This address will be the registered address for the purpose of the Share Register. Evidence of such address is requested. PO Boxes or 'care of' addresses are not accepted.
INVESTMENT DETAILS. The applicant hereby applies for units in the Fund pursuant to the Fund Constitution: Distribution payment instructions (choose one payment instruction): Income from the units in the Fund will be automatically reinvested in additional units in the Fund unless you indicate here (or by notice to the Administrator not less than 20 Business Days before the relevant distribution day to which the notice is to apply) that you wish your income to be paid to you (tick the applicable box). □ Please reinvest my distributions in additional units in the Fund; OR □ Please pay my income directly to my nominated bank account (the bank account must be the same account from which your subscription funds derived).
INVESTMENT DETAILS. You may apply for Units in one or more Sub-Funds by completing the information below. By signing this subscription form, you irrevocably undertake to purchase the Units below: Name of Sub-Fund Class of Units International security code (ISIN – common code) Currency (ISO Code) Invested Amount5 Blockchain Strategies Fund S.C.Sp EUR Class EUR LU1738363925 - 173836392 EUR Blockchain Strategies Fund S.C.Sp USD Class USD LU1738364063 - 173836406 USD Please use the following bank account(s) details to transfer your subscription payment with reference to the Name of Partnership, Class of Units (if any) invested. Cleared funds should be received before the relevant Cut-Off Time (as defined in the Issuing Document). Payment of your investment must be drawn on a bank account opened in your own name. No third party payments will be executed. We 3 Bank account in the name of two or more natural persons (account owners) for which all the account owners must sign the application form and any attached document. 4 Bank account in the name of two or more natural persons (account owners) for which one or more account owner(s) must sign the application form and any attached document. 5 Certains sub funds or Class of Units may impose minimum subscription amount – please refer to the Issuing Document as to the applicable minimum subscription amount. reserve the right to not accept a payment executed by a credit institution not governed by AML laws equivalent to those of European laws. Bank’s details Country BIC/SWIFT Code Banque de Patrimoines Privés 00, xxxxxxxxx Xxxxx, X-0000 Xxxxxxxxxx Xxxxxxxxxx XXXXXXXX VIA TARGET IBAN: XX00 0000 0000 0000 0000 Swift code: XXXXXXXX Bank’s Name: BANQUE DE XXXXXXXXXXX PRIVES In favor of: Blockchain Strategies Fund S.C.Sp VIA CORRESPONDENT BANK : IBAN: XX00 0000 0000 0000 0000 Swift code: XXXXXXXXXXX Bank’s Name: BANQUE DE XXXXXXXXXXX PRIVES In favor of: Blockchain Strategies Fund S.C.Sp Correspondent Bank: Banque et Caisse d’Epargne Luxbg Swift code: XXXXXXXXXXX Bank’s full name: Banque et Xxxxxx d’Epargne IBAN: XX00 0000 0000 0000 0000 Swift code: XXXXXXXXXXX Bank’s Name : BANQUE DE XXXXXXXXXXX PRIVES In favor of: Blockchain Strategies Fund S.C.Sp Correspondent Bank: XXXXXX0XXXX Full name of institution: Bank of New York Account nr: 8901 3709 24
INVESTMENT DETAILS. Part A – Unit class (please select the Unit class the Subscriber wishes to acquire Units in – please consult with your Financial Advisor) [ ] Class A (0.85% distribution fee) [ ] Class S (0.25% distribution fee) [ ] Class I (no distribution fee) Part B – Investment amount (please consult with your Financial Advisor and the Memorandum for applicable minimum investment amounts) Gross Subscription Amount: $ Less: Placement Fee* (not to exceed 3.5% of the gross subscription amount) $ Net Subscription Amount (to be invested and wired to State Street) $ * No Placement Fee may be charged with respect to Class I Units. Furthermore, no Placement Fee may be charged with respect to Class A Units without the express consent of Foreside Fund Services, LLC. PARTNERS GROUP GROWTH, LLC
INVESTMENT DETAILS. The applicant hereby applies for units in the Fund pursuant to the Fund Constitution: SOURCE OF FUNDS (PLEASE TELL US THE MAIN SOURCE OF THE FUNDS YOU ARE USING FOR THE INVESTMENT) DISTRIBUTION PAYMENT INSTRUCTIONS (CHOOSE ONE PAYMENT INSTRUCTION): Income from the units in the Fund will be automatically reinvested in additional units in the Fund unless you indicate here (or by notice to the Unit Registry not less than 20 Business Days before the relevant distribution day to which the notice is to apply) that you wish your income to be paid to you (tick the applicable box). Please reinvest my distributions in additional units in the Fund; OR Please pay my income directly to my nominated bank account (the bank account must be the same account from which your subscription funds derived). DETAILS OF BANK ACCOUNT FOR PAYMENT OF DISTRIBUTIONS AND REDEMPTION PROCEEDS NAME OF BRANCH: BRANCH ADDRESS: ACCOUNT NAME: BSB: ACCOUNT NUMBER:
INVESTMENT DETAILS. PALOS INCOME FUND L.P. / FONDS DE REVENU PALOS, S.E.C. PALOS IOU HIGH YIELD FUND / FONDS PALOS IOU À HAUT RENDEMENT (The indicated fund or investment vehicle is, hereinafter, the “Fund”.)
INVESTMENT DETAILS. Loan Amount: $2,250,000
INVESTMENT DETAILS. Number of Shares:
INVESTMENT DETAILS. The cost estimate of the ICT programme is US$ 20 million, summarised in Table 3-1. ICT Components Cost Estimate US$ million Operational Hydraulic modelling and training 0.3 Geographic information system (GIS); 7.4 Supervisory (SCADA); control and data acquisition 1.7 Financial Information System (FIS) including billing and accounting system upgrade, Management Information System (MIS), including human resources development, business and strategic planning and customer relation (pro-poor); Asset Inventory and Management System (AIMS) 10.6
INVESTMENT DETAILS. Source of Funds for initial investment (please tick multiple boxes if applicable): Source of Wealth i.e aggregation of accumulated wealth (please tick multiple boxes if applicable): Subscription Amount
