Joint Account Holder / Custodian Sample Clauses

Joint Account Holder / Custodian. (if Uniform Gift / Transfer to Minors Account) / Co-Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Officer or Director/Trustee ☐ Fidelity Employee ☐ Fidelity Fund Officer or Director/Trustee ☐ Immediate Family Member of Fidelity Officer or Director/Trustee ☐ Fidelity Affiliate ☐ Private Fund ☐ Not Applicable 1 “Fidelity Officer or Director/Trustee” includes any independent director/trustee, interested director/trustee, president, vice president, secretary, or treasurer of Fidelity, or any other officer of Fidelity customarily performing functions similar to those performed by any of the above designated directors/trustees and officers. 2 “Fidelity Employee” includes any employee of Fidelity. 3 “Fidelity Fund Officer or Director/Trustee” includes any independent director/trustee, interested director/trustee, president, vice president, secretary, or treasurer of a Fidelity registered investment company, business development company, or privately offered investment vehicle, or any other officer customarily performing functions similar to those performed by any of the above designated directors/trustees and officers.

Joint Account Holder / Custodian. (if Uniform Gift / Transfer to Minors Account) / Co-Trustee / Authorized Signatory (Natural Persons) Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Fidelity Private Credit Fund | Subscription Agreement 3 Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Officer or Director/Trustee ☐ Fidelity Employee ☐ Fidelity Fund Officer or Director/Trustee ☐ Immediate Family Member of Fidelity Officer or Director/Trustee ☐ Not Applicable

Joint Account Holder / Custodian. (if Uniform Gift / Transfer to Minors Account) / Co-Trustee / Authorized Signatory (Natural Persons) Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Officer or Director/Trustee ☐ Fidelity Employee ☐ Fidelity Fund Officer or Director/Trustee ☐ Immediate Family Member of Fidelity Officer or Director/Trustee ☐ Not Applicable Fidelity Private Credit Fund | Subscription Agreement 2