APPLICATION FORM INSTITUTIONAL INVESTMENT

Please return the form via email to [email protected] with the money laundering documents.

The registrar and transfer agent accepts no responsibility for any loss caused as a result of non-receipt of any application sent by email.

The acceptance of subscriptions is subject to confirmation of the prior receipt of subscription monies in cleared funds credited to the relevant subscription account of the Company (details of which are set out in this form) on or before the cut-off time. Any delay in receipt of a duly completed form or of cleared funds will result in the relevant application being processed on the next subscription day. If the subscription is accepted, the registrar and transfer agent will endeavour to confirm such acceptance by written acknowledgment to the applicant within three (3) business days of actual receipt by the registrar and transfer agent of the application submitted in good order by email. If the applicant fails to receive such written acknowledgement from the registrar and transfer agent within three (3) business days of submitting such application by email, the applicant should contact the registrar and transfer agent to ascertain the status of its subscription, as it cannot assume its successful subscription until it receives such written acknowledgement from the registrar and transfer agent.

Except as otherwise indicated, terms capitalized herein shall have the meaning ascribed to them in the prospectus of the Company.

• The funds should be remitted to the Bank Account shown in this form so as to arrive before the relevant cut-off time for subscription. • Subscriptions received before the relevant cut-off time specified in the supplement of the prospectus shall be processed for the next subscription day and at the subscription price calculated on the relevant valuation day pertaining to the subscription day. • This form / agreement will be legally binding when it is signed and the sums paid to the Company are received.

APPLICANT INFORMATION Company name: ____________________________________ Type of company: □ Corporation □ Insurance company □ Financial institution □ Broker □ Other: ___________________ Regulated: □ No □ Yes: ____________________ (Name of the regulator) Listed: □ No □ Yes: __________________________ (country and market) Registered Address: ______________________________________________________________________________________ ______________________________________________________________________________ Country of residence for tax purposes: ____________________________________ Mailing Address (if different from registered address): ______________________________________________________________________________________ ______________________________________________________________________________ Contact person: ____________________________________ (In the case of an officer signing on behalf of a company, such officer may be required to provide evidence of his appointment and of his authority to sign) Email: ____________________________________ Telephone: ____________________________________ Bank details of applicant: Bank Name: ____________________________________ Bank address: _________________________________________________________ SWIFT: ____________________________ For account number: ____________________________ In the name of: ____________________________________ Please note that the subscription payment must come from a bank account in the name of the registered shareholder. The registrar and transfer agent will normally only process applications upon receipt of cleared funds by the appropriate cut-off time for subscription. All dividend and redemption payments will be made to this bank account (or such other replacement account in the name of the shareholder as may be notified to, and accepted by the registrar and transfer agent). If you wish the dividends or redemption payments to be wired to a separate bank account, please complete Annex G. Any amendments to the applicant’s registration or account details can only be effected upon receipt of original documentation.

1. I/We hereby irrevocably agree to subscribe the amount set out below in section 2 (page 6) for the relevant shares in the Company. I/We confirm that payment of the subscription proceeds has been made by wire transfer to: Ko Gyo Holdings Ltd – Private Offshore Investment Fund. USD payments instructions for customer payments are as follows: Beneficiary bank: IBAN: Branch/ Account Number: Beneficiary: 2. We hereby request to process our subscription funds in accordance with the following allocation¹ for the next available valuation day: Ko Gyo Holdings Ltd – Private Offshore Investment Fund. US$___________________________________

¹ This application needs only to indicate the total amount to be invested. The Company will calculate the number of Shares (including fractional Shares calculated to 2 decimal places) to be issued at the relevant Subscription Price.

3. I/We represent that: (a) I/We understand and are satisfied with the financial reporting and net asset value calculation procedures and terms of the company described in the factsheet; (b) This form has been completed accurately; (c) Payments will be made for the amounts due within the payment terms; (d) The investor is the beneficial owner of this investment (If this is not the case, delete this part of the form and complete the Annex F - Beneficial Ownership Information); (e) I/We acknowledge that due to anti-money laundering requirements, the Company or the administrative agent will require all identification as necessary of me/us before the application can be processed and the Company or the administrative agent shall be held harmless and indemnified against any loss arising due to the failure to process this application if such information as has been required has not been provided by me/us. (hf I/We hereby confirm that the Company or the administrative agent are each authorised and instructed to accept and execute any instructions in respect of the shares to which this application relates given by me/us by email. I/we hereby indemnify the Company and the administrative agent and agree to keep each of them indemnified, against any loss of any nature whatsoever arising to each of them as a result of any of them acting on email instructions. The Company and the administrative agent may rely conclusively upon and shall incur no liability in respect of any action taken upon any notice, consent, request, instructions, or other instrument believed, in good faith, to be genuine or to be signed by properly authorised persons. Neither the Company nor the administrative agent shall be responsible for any misdelivery or non-receipt of any e-mail instruction if they have not acknowledged receipt of the e-mail or original document. Instructions sent to the Company or the administrative agent shall only be effective when actually acknowledged by the Company or the administrative agent. In the event that no acknowledgement is received from the within 3 business days of submission of the instruction, I/We understand and agree that the onus is upon me to contact the administrative agent to confirm receipt of the instruction. 4. I/We acknowledge that the Company, the administrative agent, the management company, the investment manager and/or the investment advisor and their affiliates may disclose to each other, to any other service provider to the Company or to any regulatory body in any applicable jurisdiction, copies of my/our application form and any information concerning me/us provided by me/us to the Company, the administrative agent, the management company, the investment manager and/or the investment advisor and their affiliates and any such disclosure shall not be treated as a breach of any restriction upon the disclosure of information imposed on such person by law or otherwise. 5. I/We agree to indemnify and hold harmless the Company, the administrative agent and its directors, officers, employees, subsidiaries, shareholders, servants, agents, affiliates and permitted delegates and subdelegates against any and all loss, liability, claim, cost, damage and expense whatsoever (including, but not limited to, any and all expenses whatsoever reasonably incurred in investigating, preparing or defending against any litigation commenced or threatened or any claim whatsoever) arising out of or based upon (a) any false representation or warranty or breach or failure by me/us to comply with any covenant or agreement made by me/us in this application form or in any other document furnished by me/us to any of the foregoing in connection with this transaction or (b) any action for securities law violations instituted by me/us which is finally resolved by judgment against me/us. I/We further agree that the indemnification obligations provided herein survive the execution and delivery of this application form.

6. I/we request that the Shares be held in book form to be registered in the name and address set out in page 2 – Applicant Information. 7. If the subscription is accepted, the registrar and transfer agent will endeavour to confirm such acceptance by written acknowledgment to the applicant within three (3) business days of actual receipt by the registrar and transfer agent of the application submitted in good order email. If the applicant fails to receive such written acknowledgement from the registrar and transfer agent within three (3) business days of submitting such application by email, the applicant should contact the registrar and transfer agent to ascertain the status of its subscription, as it cannot assume its successful subscription until it receives such written acknowledgement from the registrar and transfer agent 8. The Anti Money Laundering in Annex A - AML-KYC DOCUMENTATION REQUEST must be completed in order to process this application and all the KYC/AML Documentation must have been provided to the administrative agent. 9. If you wish another individual(s)/entity(s) to receive all investor specific reporting, please complete Annex B - ADDITIONAL INTERESTED PARTY CONTACTS. 10. By signing this form, I/We state that: - I/we are authorised to sign this form on behalf of the investor named above in page 2 – Applicant Information; - The applicant is the beneficial owner of this investment (If this is not the case, delete this part of the Declaration and complete the Annex F - Beneficial Ownership Information). - This application form has been completed accurately; - Payments will be made for the amounts due within the payment terms; - I/we have consulted my/our own, legal, tax and other advisers to ensure that the investment is appropriate for me/us; - I/we will comply with the transfer provisions of the Company; - I/we am/are aware that communication from the Company and the administrative agent will not be signed as it is distributed electronically; - Personal Data: Communication, will be made available to those parties professional interested in the Company (Please See Below Annex C - STORAGE OF PERSONAL DATA ); - The Politically exposed person (“PEP”) declaration is complete and accurate, as the case may be (Please complete Annex D - POLITICALLY EXPOSED PERSON); - The source of funds declaration is complete and accurate (Please complete Annex E - SOURCE OF FUNDS DECLARATION) 11. Disclaimer: No party has positively guaranteed the investment (including return and suitability) Signature(s)

Date

Annex A AML-KYC DOCUMENTATION REQUEST Note that the information described below is intended as guideline and ongoing monitoring of AML / KYC requirements should be performed in order to ensure that appropriate information is obtained at any point in time. To comply with applicable anti-money laundering rules and regulations, you are required to provide the following information: 1.1 Institutional investors which are listed on a recognised stock exchange and/or are regulated by a regulator which applies equivalent AML-KYC standards. - the original or a certified copy of the authorised signatory list; AND - evidence of regulation or stock exchange listing via website of regulator/exchange. 1.2 Institutional investors which are not listed on a recognised stock exchange and/or are not regulated by a regulator which applies equivalent AML-KYC standards. Please provide the following: - the original or a certified copy of the authorised signatory list; AND - a certified copy of your licence or authorisation; AND - the latest version and certified copy of the statutes, memorandum and articles of association, trust instrument, statutes, or equivalent constitutive documents; AND - a certified copy extract from the trade register (not more than three (3) months old); AND - your latest set of audited accounts reports; AND - list of shareholders. Certified means certified by an embassy/consulate, notary, trade registry, court of competent jurisdiction or any other authority empowered to certify documents as recognised by the Company or its administrative agent and according to the specific rules applicable in the jurisdiction of the applicant's residence. The stamp of the certifying institution must be clearly affixed to each copy of the documents. If the applicant is a private company, partnership, trust or equivalent vehicle, a beneficial owner declaration of the underlying shareholder must also be provided (Please complete Annex F). If the Investor is carrying on a commercial activity, a beneficial owner declaration should be provided by all investors that have a controlling interest exceeding 25%. The Company or its administrative agent retain the right, in their absolute discretion, to require further documentation from you as a pre-requisite to accepting your investment in to the Company, including translations and certifications of any documents. 1.3 Subscriptions into the Company and any accounts opened may be suspended by the Company or its administrative agent until they are satisfied that the identification requirements have been fulfilled.

Annex B ADDITIONAL INTERESTED PARTY CONTACTS Only complete this schedule if you wish another individual(s)/entity(s) to receive all investor specific reporting, including, for example, the individual investor capital account statement: Additional Contact 1: Name of the Additional Contact/Interested Party : Address of the Additional Contact/Interested Party: Street: Postal Code: City: Country: Telephone: Fax: Email: Additional Contact 2 Name of the Additional Contact/Interested Party : Address of the Additional Contact/Interested Party: Street: Postal Code: City: Country: Telephone: Fax: Email:

Annex C STORAGE OF PERSONAL DATA The applicant acknowledges that our administrative agent and registrar and transfer agent, may engage affiliated and unaffiliated third parties to evaluate and comply with any anti-money laundering, regulatory, central administration (including data processing, including personal data processing, and storage), tax duties and tasks applicable to the Company as determined is necessary or desirable by the Company. This will include the use of parties and IT infrastructure located outside of the European Union, including the United States. The undersigned: _________________________________ having his/her (professional) residence at: 1. On the protection of persons with regard to the processing of personal data, as amended, I/we acknowledge that the Company, acting as data controller, collects, stores and processes, by electronic or other means, the personal data that I/we provide in my/our subscription agreement with the Company or in any other document related to my/our subscription (the “Personal Data”) for the purpose of fulfilling the services that I/we required and/or for complying with Company’s legal and regulatory obligations. /we agree, in particular, that my/our Personal Data will be processed for the purposes of (i) maintaining the register of shareholders of the Company, (ii) processing my/our subscriptions and payments of dividends, (iii) calculating and processing fees, (iv) complying with applicable anti-money laundering rules, (v) providing financial reports services and reporting. The Personal Data will not be used for marketing purposes. 2. I/we authorise the administrative agent to forward personal data concerning the Investor. I expressly acknowledge that the data protection laws applicable to the administrative agent may provide less protection than EU data protection laws; (ii) I authorise the administrative agent to transfer my Personal Data to SunGard Data Systems Inc. (“SunGard”) for storage. The administrative agent has acquired a software licence from SunGard and will input my Personal Data in such software for purposes of accounting, reporting and investor-related administrative services. The software and the data will be stored in a data centre of SunGard in the United States. The Investor expressly acknowledges that the data protection laws applicable to SunGard may provide less protection than EU data protection laws. Such disclosure of personal data to the Recipients is made in my/our own interest as it eases and supports the communication between me/us and the Company in relation to financial accounts, audit reports, net asset value calculations, convocations to general meetings of shareholders of the Company, capital calls or distributions. The present instruction consent is given as for so long as I/we maintain a position in the Company. I/we acknowledge that I/we have a right of access and of rectification of my/our Personal Data in cases where such data is incorrect or incomplete. This right may be exercised by writing to the Central Administration Agent. Such data will not be kept for longer than necessary for the purposes it has initially been collected, subject always to applicable legal retention periods. Done in ……………………………….. , on ………………………………………..

Signature

Annex D POLITICALLY EXPOSED PERSON Status as a Politically Exposed Person (“PEP”) Is the Investor, or any director, equity of beneficial owner thereof or any immediate family member or close associate of such person a senior government, political or military official (a “politically exposed person”)? __________ Yes __________ No If yes, please provide the following details: Circle party potentially considered a PEP Investor Director Beneficial Owner Immediate Family Close Associate State individual considered a potential PEP _____________________________ Which Government: _____________________________ Which Government position: ______________________________ Period in the Government position: _____________ to ______________

Annex E SOURCE OF FUNDS DECLARATION Please summarise the sources of funds used to make this investment (for example, business profits (if so, state type of business), investment income, savings, etc.): _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Annex F BENEFICIAL OWNERSHIP INFORMATION If you have completed this form but you are not the ultimate beneficial owner(s) please delete the relevant wording in the application form, and complete the box(es) below with details of the beneficial owner(s) . If the investor is a regulated financial institution in a country with anti-money laundering (“AML”) regulations, it is not required to complete this annex. An ultimate economic beneficiary is the final beneficiary of the investment and who owns, directly or indirectly, more than 25% of the value of the shares subscribed. I/we declare that the final beneficiary of my/our investment is: Full Name: ____________________________________________ Registered of residential address: ______________________________________________________________________________________ ______________________________________________________________________________________ Date of Birth (for Individuals): ___________________________________________________________ Registration number for corporation: ________________________________________________________ Occupation (for Individuals): _______________________________________________________________ Citizenship (for Individuals) or Principal Place of Business (for Entities): _____________________________

Annex G BANK DETAILS FOR REDEMPTION AND DIVIDENDS If you wish the redemption proceeds or dividends to go to a different bank account than the account listed in page 2 of the form – Applicant Information, please complete the following annex C. By leaving the annex E blank, redemption and dividend monies will be paid to the account listed in page 2 of the form – Applicant Information.

ALL PAYMENTS WILL BE MADE IN THE NAME OF THE REGISTERED SHAREHOLDER ONLY. NO THIRD PARTY PAYMENTS WILL BE EFFECTED. Bank details for redemption and dividends: Bank Name: ____________________________________ Bank address: _________________________________________________________ SWIFT: ____________________________ For account number: ____________________________ In the name of: ____________________________________

Subscription Form - Institutional Investment - KO GYO HOLDINGS ...

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