Joint Form - Antwort

Details of Joint Account Holder

Type of account (if not specified, account will be either/or)

Either/or (main or joint are able to sign separately)

Joint (signature of all holdersare)

Title

Mr.

Ms.

Date of birth

Date of issue

Date of expiration (if applicable)

Valid ID/PASSPORT

Proof of residence

Please provide a utility bill, which is not older than 6 months. An accepted utility bill is a gas, water, electricity, cable TV, land line phone bill, or a national or local tax authority bill.

Contact details

Residential address (no PO Box allowed)

Different mailing address from residential address (no PO Box allowed)

Politically exposed persons (and closely related persons or relatives)

I hereby declare that I am or I have been entrusted with prominent public functions (or to be closely connected to a politically exposed person)

Yes

Well informed Investor (for investments into SIF/SICAR/RAIF only)

Please note that investments into Specialised Investment Funds (SIF) under the Luxembourg amended law of 13th February 2007, Investment Companies in Risk Capital (SICAR) under the Luxembourg law of 15th June 2004 or Reserved Alternative Investment Funds (RAIF) under the Luxembourg law of 23rd July 2016 are restricted to well-informed investors only. In this context it is to be noted that besides professional and institutional investors any other investor confirming in writing that he/she adheres to the status of well-informed investor who is investing at least EUR 100 000 or who benefits from an assessment made by a credit institution, investment firm, management company or by an authorised alternative investment fund manager in the case of RAIF certifying his/her expertise, his/her experience and his/her knowledge in adequately appraising an investment in the SIF/SICAR/RAIF qualifies as well-informed investor. However, none of the aforementioned conditions needs to be met by persons intervening in the management of a SIF/SICAR/RAIF. Please note that in addition to the foregoing, specific restrictions defined in the relevant fund prospectus (if any) must be complied with as well.

I invest a minimum of EUR 100,000.-*

I qualify as professional investor

I intervene in the management of a SIF/SICAR/RAIF (e.g. act as director of a SIF/SICAR/RAIF)

I hereby declare to adhere to the status of well informed investor

I am subject of an assessment** made by:

For SIF/SICAR a credit institution within the meaning of Directive 2006/48/EC or for RAIF a credit institution within the meaning of Regulation (EU) No 575/2013 of the European Parliament and of the Council of 26 June 2013 on prudential requirements for credit institutions and investment firms and amending Regulation (EU) No 648/2012

An investment firm within the meaning of Directive 2004/39/EC

A management company within the meaning of Directive 2009/65/EC

For RAIF only an authorised alternative investment fund manager within the meaning of Directive 2011/61/EU

*The minimum investment capital is a condition applicable to each holder

**Certifying the holder's expertise, experience and knowledge in adequately appraising an investment in the fund

U.S. Foreign Account Tax Compliance Act (FATCA)

Investor Self-Certification is in order to determine whether or not the Account Holder and/or Joint-Holder is/are resident or/and citizen (including a permanent resident with an issued green card) of the United States of America for tax purposes.

I confirm that I am a U.S. citizen and/or resident (including a permanent resident with an issued green card) in the U.S. for tax purposes. My U.S. federal taxpayer identifying number (U.S. TIN) is as follows:

I confirm that I am not a U.S. citizen or resident (including a permanent resident withan issued green card) in the U.S. for tax purposes

International exchange of fiscal information - Common Reporting Standard (CRS)

Investor Self-Certification is in order to determine the tax residence(s) of the Main Account Holder for tax purposes. Please note that you may choose more than one country. Provision of the Tax Identifcation Number (TIN) is unless you are tax resident in a country / juridiction that does not issue a TIN.

I am tax resident in the following country/jurisdiction and have the following Tax Identification Number:

*For further information, please refer to: www.oecd.org/tax/automatic-exchange/crs-implementation-and-assistance/tax-identification-numbers

Non-availability of a TIN

Economical background

Professional situation

Source of funds

Source of wealth

Application for Private Investors - Joint Account Holder

Details of Joint Account Holder

Contact details

Residential address (no PO Box allowed)

Mailing address

Politically exposed persons (and closely related persons or relatives)

Thank you for your submission.

We have successfully received your information. If you have any further questions or need additional assistance, please do not hesitate to contact us.

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Application for Private Investors - Joint Account Holder

Details of Joint Account Holder

Contact details

Residential address (no PO Box allowed)

Mailing address

Politically exposed persons (and closely related persons or relatives)

Thank you for your submission.

We have successfully received your information. If you have any further questions or need additional assistance, please do not hesitate to contact us.

Invest directly yourself

or ask your bank or

advisor to do it for you

Subscribe to our newsletter

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