(a sub-fund of rams global investment fund … 1 of 37 india fixed income fund (a sub-fund of rams...

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INDIA FIXED INCOME FUND (a Sub-Fund of RAMS GLOBAL INVESTMENT FUND (UCITS) ICAV)

APPLICATION FORM FOR THE PURCHASE OF SHARES

Investors who are either "Accredited Investors" or "Institutional Investors" willing to subscribe for shares in India Fixed Income Fund (the "Fund"), a sub-fund of RAMS Global Investment Fund (UCITS) ICAV (the “ICAV”), an open-ended umbrella type Irish collective asset-management vehicle registered with and authorised by the Central Bank of Ireland to carry on business as an ICAV, pursuant to Part 2 of the Irish Collective Asset-management Vehicles Act, 2015 and established as an undertaking for collective investment in transferable securities pursuant to the European Communities (Undertakings for Collective Investment in Transferable Securities) Regulations, 2011 (S.I. No. 352 of 2011) (the “UCITS Regulations”) with segregated liability between its sub-funds, must complete this form (the “Application Form”) and send it together with the identification documents that are outlined in Appendix 1 to Part I of this Application Form by facsimile or via email as a PDF attachment with the original to follow in the post directly to CACEIS Ireland Limited (the “Administrator”) at the following address: Fax: +353 1 790 0451 Email: [email protected] CACEIS Ireland Limited One Custom House Plaza, IFSC, Dublin 01 C2C5, Ireland With a copy to: Reliance Asset Management (Singapore) Pte. Ltd. 9 Raffles Place #18-05 Republic Plaza Singapore 048619 E-mail: [email protected] No redemption or conversion or transfer requests may be processed prior to receipt of this original form and supporting documentation. Subsequent applications may be made by facsimile or via email as a PDF attachment (no requirement to forward the original). Unless the context otherwise requires, capitalised terms not defined herein shall have the meaning given to them in the latest prospectus (including supplements) of the ICAV (the “Prospectus”). This Application Form is in two parts: PART I : INVESTOR'S INFORMATION PART II: DECLARATIONS

India Fixed Income Fund Application Form

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PART I INSTRUCTIONS TO SECTION A Applicants are identified in the following categories:

# CATEGORY OF APPLICANTS SECTIONS TO BE COMPLETED

1. Regulated Financial Institution (RFI) RFI to complete Section A.1.

Details of the RFI representative is to be provided in Section A.4.

Includes RFI acting in its capacity as intermediary on behalf of Investors.

2. Legal Entity (including Non-Regulated FIs) Legal Entity to complete Section A.2.

Details of the Beneficial Owner of the Legal Entity is to be provided in Section A.5.

3. Individual Individual applicant to complete to Section A.3.

Details of the Beneficial Owner if different from the Individual applicant to be provided in Section A.5.

Documents to be provided by each category is listed in Appendix 1 to Part I of this Application Form.


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SECTION A.1. INVESTOR PROFILE FORM - Regulated Financial Institution (RFI) Please complete this section in BLOCK CAPITALS. Important note: FI's that are not regulated/ licensed should fill up Section A.2 and must provide additional information and documentation of itself and the underlying investors upon request of the Fund and/ or the Investment Manager. Name _________________________________________________________________________________ (the "Applicant" or "We") Legal entity name

Registered Office _________________________________________________________________________________ Street/ Number _________________________________________________________________________________ Post Code/ City _________________________________________________________________________________ Country Mailing Address * _________________________________________________________________________________ (if different from above) Street/ Number

_________________________________________________________________________________ Post Code/ City _________________________________________________________________________________ Country Place of Incorporation, Registration or Establishment ____________________________________________________________ Date of Incorporation, Registration or Establishment ____________________________________________________________ Registration # _________________________________________________________________________________________ Nature of business ________________________________________________________________________________________ Contact person/ department ________________________________________________________________________________ Telephone number _______________________________________________________________________________________ Fax number _________________________________________________________________________________________ Email address _________________________________________________________________________________________ Legal form Public limited company Private limited company

Partnership Limited Partnership

Other: _________________________________________________________________

Financial Regulator _________________________________________________________________________

Listed Yes, stock exchange: _____________________________________________________

No

Is the RFI owned or controlled by a government / government entity? Yes: ___________________________________

No

Is the RFI member of a financial corporate group? Yes, name: ______________________________________________

No


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SECTION A.1. INVESTOR PROFILE FORM - Regulated Financial Institution (RFI) - continued Please complete this section in BLOCK CAPITALS.

Background of the subscription Order of a client Discretionary mandates

Investment fund management Investment fund custody

Other: ____________________________________________________________________

Type of underlying investor Individual Listed company

Investment fund Pension fund

Holding company / Trust Government agency

Other: _________________________________________________________________


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SECTION A.2. INVESTOR PROFILE FORM - Legal Entity (Including Non-Regulated FIs) Please complete this section in BLOCK CAPITALS. Name _________________________________________________________________________________ (the "Applicant" or "We") Legal entity name

Registered Office _________________________________________________________________________________ Street/ Number

_________________________________________________________________________________ Post Code/ City _________________________________________________________________________________ Country

Mailing Address * _________________________________________________________________________________ (if different from above) Street/ Number


Place of Incorporation, Registration or Establishment ____________________________________________________________ Date of Incorporation, Registration or Establishment ____________________________________________________________ Registration # _________________________________________________________________________________________ Nature of business ________________________________________________________________________________________ Contact person/ department ________________________________________________________________________________ Telephone number _______________________________________________________________________________________ Fax number _________________________________________________________________________________________ Email address _________________________________________________________________________________________ Legal form Public limited company Private limited company


Unlimited Company Association

Trust Other: _____________________________

Listed Yes, stock exchange: _____________________________________________________

No

Purpose of the Company _________________________________________________________________________

Industry / Company details _________________________________________________________________________

Number of employees _________________________________________________________________________

Does the Company conduct any form of commercial operation (operating activity)? Yes No

Is the Company wholly owned by an operational group? Yes: ___________________________________________

No

Is the Company owned or controlled by a government / government entity? Yes: _____________________________

No


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SECTION A.3. INVESTOR PROFILE FORM - Individual Please complete this section in BLOCK CAPITALS. Name _________________________________________________________________________________ (the "Applicant" or "We") Surname, first name(s) Address _________________________________________________________________________________ Street/ Number _________________________________________________________________________________ Post Code/ City _________________________________________________________________________________ Country Mailing Address * _________________________________________________________________________________ (if different from above) Street/ Number


Nationality _________________________________________________________________________________________ Telephone number _______________________________________________________________________________________ Fax number _________________________________________________________________________________________ Email address _________________________________________________________________________________________ Profession Salaried employment Employer ________________________________________________

Industry ________________________________________________

Job/Position ________________________________________________

Self-employed Name of company ________________________________________________

Industry ________________________________________________

Turnover/earnings ________________________________________________

Number of staff ________________________________________________

Retired Last position held ________________________________________________

Other Remarks ________________________________________________

Source(s) of income _________________________________________________________________________ (e.g. salary, investment income, real estate income)

Tax Identification Number __________________________________________________________________________________ Did you qualify as a "Politically Exposed Person" (PEP)*? Yes: ___________________________________________ Position / Location

No * In application of the EU Directive 2006/70/EC implementing measures for Directive 2005/60/CE of the European Parliament on the fight against money laundering and terrorist financing, defines PEPs as natural persons who are or have been entrusted with prominent public functions and immediate family members or persons known to be close associates of such persons. "Natural persons who are or have been entrusted with prominent public functions" means all natural persons, including: heads of State, heads of government, ministers and deputy or assistant ministers; members of parliament; members of supreme courts, of constitutional courts or of other high-level judicial bodies whose decisions are not subject to further appeal except in exceptional circumstances; members of courts of auditors or of the boards of central banks; ambassadors, chargés d’affaires and high-ranking officers in the armed forces; members of the administrative, management or supervisory bodies of State-owned enterprises; leaders of political parties."Immediate family members" means all natural persons, including: the spouse; any partner considered by national law as equivalent to the spouse; the children and their spouses or partners; the parents. "Persons known to be close associates" means all natural persons, including: any natural person who is known to have joint beneficial ownership of legal entities or legal arrangements together with a person who is or has been entrusted with a prominent public function, or to have any other close business relations with such a person; any natural person who has sole beneficial ownership of a legal entity or legal arrangement which is known to have been set up for the benefit de facto of a person who is or has been entrusted with a prominent public function.


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SECTION A.4. REPRESENTATIVE PROFILE FORM (For Regulated Financial Institutions) Please complete this section in BLOCK CAPITALS. Important note: This form must be completed for an authorized representative of the investor, which is not a FI. Name _________________________________________________________________________________________ Surname, first name(s) / Legal entity name

Relationship to the Investor _________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Did you qualify as a "Politically Exposed Person" (PEP)*? Yes: ___________________________________________ Position / Location

No

In addition, if the Representative is a legal entity:

Company registration number _________________________________________________________________________

Legal form Public limited company Private limited company


Unlimited company Association

Trust Other: _____________________________

Purpose of the Company _________________________________________________________________________

Number of employees _________________________________________________________________________

Is the Company owned or controlled by a government / government entity? Yes: _____________________________

No

* In application of the EU Directive 2006/70/EC implementing measures for Directive 2005/60/CE of the European Parliament on the fight against money laundering and terrorist financing, defines PEPs as natural persons who are or have been entrusted with prominent public functions and immediate family members or persons known to be close associates of such persons. "Natural persons who are or have been entrusted with prominent public functions" means all natural persons, including: heads of State, heads of government, ministers and deputy or assistant ministers; members of parliament; members of supreme courts, of constitutional courts or of other high-level judicial bodies whose decisions are not subject to further appeal except in exceptional circumstances; members of courts of auditors or of the boards of central banks; ambassadors, chargés d’affaires and high-ranking officers in the armed forces; members of the administrative, management or supervisory bodies of State-owned enterprises; leaders of political parties."Immediate family members" means all natural persons, including: the spouse; any partner considered by national law as equivalent to the spouse; the children and their spouses or partners; the parents. "Persons known to be close associates" means all natural persons, including: any natural person who is known to have joint beneficial ownership of legal entities or legal arrangements together with a person who is or has been entrusted with a prominent public function, or to have any other close business relations with such a person; any natural person who has sole beneficial ownership of a legal entity or legal arrangement which is known to have been set up for the benefit de facto of a person who is or has been entrusted with a prominent public function.


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SECTION A.5. BENEFICIAL OWNER FORM Please complete this section in BLOCK CAPITALS. Important note: If more than one beneficial owner exists, further copies of this form must be completed as required. In relation to the investment in Shares, applied by and in the name of: Name of the Applicant _____________________________________________________________________________

the individual, as detailed below, hereby declares that he/she is the beneficial owner* of the assets concerned. Title Mr Mrs Other: ____________________________________________________

Name of the beneficial owner _____________________________________________________________________________ Surname

_____________________________________________________________________________ First name(s)

Nationality _____________________________________________________________________________

Date and place of birth _____________________________________________________________________________ Day / Month / Year City Country

Residential address _____________________________________________________________________________ Street number and name

_____________________________________________________________________________ Postal code City Country

Identification document Identity Card Passport Number: _________________________________________

Country of issue _____________________________________________________________________________

Tax residence and TIN _____________________________________________________________________________ Country of residence for tax purposes Tax identification number (TIN)

* A "Beneficial Owner" in relation to a Applicant means, inter alia, the natural person who ultimately owns 10% or more or controls the Applicant or the natural person on whose behalf this application is made, and includes any person who exercises ultimate effective control over the Applicant.


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SECTION B.1. Subscription Amount, Bank Details, Return of Values and Electronic Reporting Please use the English notation using the comma as thousand-separator when expressing figures (e.g. 1,000,000.00 for one million) We hereby irrevocably subscribe such amount as set out below in the class (the "Class") of shares of the Fund (the “Shares”) (please complete the boxes and insert subscription amount):

Class of Shares ISIN

Currency

Amount

We acknowledge that: (a) once submitted, this application form shall, subject to applicable law and regulation, be irrevocable by, and

binding on, the Applicant; (b) this subscription may be accepted or rejected by the ICAV, in its sole and absolute discretion and that if this

Application Form is rejected, then it shall have no force or effect; and (c) we are aware of and will comply with the minimum subscription amount and the minimum subsequent

subscription amount for the abovementioned Class asset out in the Prospectus. Details of the bank account from which Subscription will be made Please complete this section in BLOCK CAPITALS. Important Note: All redemptions will also be made to this bank account. No third party payments are accepted or made. If this section is not completed payments to the Applicant may be delayed. Currency USD GBP

Bank _______________________________________________________________________

Address _______________________________________________________________________

Account name _______________________________________________________________________

Account number _______________________________________________________________________

Sort code / IBAN code _______________________________________________________________________

Swift code _______________________________________________________________________

ABA number (if applicable) _______________________________________________________________________


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SECTION B.1. Subscription Amount, Bank Details, Return of Values and Electronic Reporting - continued Return Of Values (Investment Undertakings) Regulations 2013 The ICAV must collect additional information in order to satisfy Return of Values (Investment Undertakings) Regulations 2013 (S.I. 245 of 2013). Therefore any individual, company or any unincorporated body of persons which are an Irish resident or ordinarily Irish resident must provide the following additional information: Tax Identification Number (TIN) / PPS Number: ____________________________________________________________ Any one of the following additional documents is required to verify the TIN or PPS Number (either a copy or the original is sufficient)

P60 P45 P21 Balancing Statement Payslip (where employer is identified by name or tax number) Drug Payment Scheme Card European Health Insurance Card Tax Assessment Tax Return Form PAYE Notice of Tax Credits Child Benefit Award Letter /Book Pension Book Social Services Card Public Services Card

In addition, any printed documentation issued by the Revenue Commissioners or by the Department of Social Protection which contain your name, address and tax reference number will also be acceptable. In the case of joint account holders, the additional documentation is required for each Applicant. Your personal information will be handled by the Administrator or it’s duly appointed delegates as Data Processor for the ICAV in accordance with the Data Protection Acts 1988 to 2003. Your information provided herein will be processed for the purposes of complying with the Return of Values (Investment Undertakings) Regulations 2013 and this may include disclosure to the Irish Revenue Commissioners. Electronic Reporting Please complete and notify the relevant contacts and email addresses for the non-encrypted electronic receipt of statements and other reports that may be issued from time to time by the Administrator, CACEIS Ireland Limited. By completing the below, the applicant acknowledges and agrees to assumes all risks e.g those arising from an error in communication or comprehension as well as those arising from fraud, resulting from the use of this communication mean and relieving CACEIS Ireland Limited from any and all responsibility in this respect. (Please use Capital Letters).

Name _______________________________ Email _________________________________________

Name _______________________________ Email _________________________________________

Comment: ____________________________________________________________________________________


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SECTION B.2. Wire Instructions The full purchase price of the Shares subscribed must be received in immediately available funds by the custodian of the ICAV or its agent in the reference currency of the Class concerned, in line with the cut-off time for payment of subscription monies which is stated in the Fund's Prospectus. If timely settlement is not made, an application may lapse and be cancelled at the Applicant’s cost. Please instruct payments by SWIFT only for the respective Class as follows:

CCY SWIFT FIELD:

USD CORRESPONDENT BANK

SWIFT: CHASUS33

CORRESPONDENT BANK: JP Morgan Chase NY

CHIPS / ABA No:: 0002 / 021000021

BANK ACCOUNT: 826213360

BENEFICIARY BANK SWIFT : ISAEIE2D

BENEFICIARY BANK: CACEIS Bank– Ireland Branch

BENEFICIARY ACCOUNT NAME: RAMS GLOBAL INVESTMENT FUND (UCITS) ICAV

REFERENCE / REMITTANCE

INFORMATION : “ISIN CODE or FUND NAME” – “INVESTOR NAME”

GBP CORRESPONDENT BANK

SWIFT: MIDLGB22

CORRESPONDENT BANK: HSBC Bank Plc

IBAN : GB56 MIDL 4005 1576 8882 55

BENEFICIARY BANK SWIFT: ISAEIE2D

BENEFICIARY BANK : CACEIS Bank– Ireland Branch

BENEFICIARY ACCOUNT NAME: RAMS GLOBAL INVESTMENT FUND (UCITS) ICAV

REFERENCE / REMITTANCE

INFORMATION : “ISIN CODE or FUND NAME” – “INVESTOR NAME”


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SECTION C. Eligible Investor Qualification The Applicant must be and at all times continue to be an "accredited investor" or an "institutional investor" within the meaning of the Securities and Futures Act (Cap. 289) of Singapore. In this regard, the Applicant warrants that the Applicant qualifies as such under one of the categories of "accredited investor" or "institutional investor" set out below. Please tick the box which indicates the basis on which the Applicant (and in the case where the Applicant is a financial institution, broker or other person applying to acquire the Shares on behalf of its clients, each of the Applicant's clients) qualifies as an "accredited investor" or an "institutional investor", each as defined under the Securities and Futures Act (Cap.289) of Singapore and the subsidiary legislation relating thereto. Accredited Investors (a) an individual –

(A) whose net personal assets exceed in value S$2 million (or its equivalent in a foreign currency) or such other amount as the Monetary Authority of Singapore ("MAS") may prescribe in place of the first amount; or

(B) whose income in the preceding 12 months is not less than S$300,000 (or its equivalent in a foreign currency) or such other amount as the MAS may prescribe in place of the first amount;

(b) a corporation (as defined in Section 4(1) of the Companies Act (Cap. 50) of Singapore) with net assets

exceeding S$10 million in value (or its equivalent in a foreign currency) or such other amount as the MAS may prescribe, in place of the first amount, as determined by:

(A) the most recent audited balance sheet of the corporation; or

(B) where the corporation is not required to prepare audited accounts regularly, a balance-sheet

of the corporation certified by the corporation as giving a true and fair view of the state of affairs of the corporation as of the date of the balance-sheet, which date shall be within the preceding 12 months;

(c) the trustee of a trust of which all property and rights of any kind whatsoever held on trust for the

beneficiaries of the trust exceed S$10 million in value (or its equivalent in a foreign currency), when acting in that capacity;

(d) an entity (other than a corporation) with net assets exceeding S$10 million in value (or its equivalent in

a foreign currency).

For the purpose of this category, an "entity" includes an unincorporated association, a partnership and the government of any state, but does not include a trust;

(e) a partnership (other than a limited liability partnership within the meaning of the Limited Liability

Partnerships Act 2005 (Act 5 of 2005) of Singapore) in which each partner is an accredited investor; (f) a corporation (as defined in Section 4(1) of the Companies Act (Cap. 50) of Singapore), the sole

business of which is to hold investments and the entire share capital of which is owned by one or more persons, each of whom is an accredited investor; or

(g) such person as the MAS may prescribe. Institutional Investors (a) a bank that is licensed under the Banking Act (Cap. 19) of Singapore; (b) a merchant bank that is approved as a financial institution under Section 28 of the Monetary Authority

of Singapore Act (Cap. 186) of Singapore;


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(c) a finance company that is licensed under the Finance Companies Act (Cap. 108) of Singapore; (d) a company or co-operative society that is licensed under the Insurance Act (Cap. 142) of Singapore to

carry on insurance business in Singapore; (e) a company licensed under the Trust Companies Act 2005 (Act 11 of 2005) of Singapore; (f) the Government of Singapore; (g) a statutory body established under any Singapore Act; (h) a pension fund or collective investment scheme; (i) the holder of a capital markets services licence for:

(A) dealing in securities; (B) fund management; (C) providing custodial services for securities; (D) real estate investment trust management; (E) securities financing; or (F) trading in futures contracts;

(j) a person (other than an individual) who carries on the business of dealing in bonds with accredited

investors or expert investors; (k) the trustee of such trust as the MAS may prescribe, when acting in that capacity; (l) a designated market-maker (as defined in the Second Schedule to the Securities and Futures (Licensing

and Conduct of Business) Regulations); (m) a headquarters company or Finance and Treasury Centre which carries on a class of business involving

fund management, where such business has been approved as a qualifying service in relation to that headquarters company or Finance and Treasury Centre under Section 43E(2)(a) or 43G(2)(a) of the Income Tax Act (Cap. 134) of Singapore, as the case may be;

(n) a person resident in Singapore who undertakes fund management activity in Singapore on behalf of

not more than 30 qualified investors (as that term is defined under the Second Schedule to the Securities and Futures (Licensing and Conduct of Business) Regulations);

(o) a Service Company which carries on business as an agent of a member of Lloyd's (as defined in

Regulation 2 of the Insurance (Lloyd's Asia Scheme) Regulations (Cap. 142, Rg 9) of Singapore); or (p) such person as the MAS may prescribe.


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SECTION D. Tax Residency Status Where the applicant is not the beneficial owner, please complete this section based on the beneficial owner’s circumstances.

1. Is the Applicant / beneficial owner1 a natural person?

Yes No

If the answer is "yes", please proceed to Item 2. If the answer is “no”, please proceed to Item 3.

2. Is the natural person a Singapore citizen or a Singapore tax resident?

Yes No Please proceed to Item 6.

3. In the case where the Applicant / beneficial owner1 is a corporation or other entity (other than a partnership or a

trust):

(a) Is the Applicant / beneficial owner1 a designated person2?

Yes No

If the answer is "yes", please proceed to Item 6. If the answer is "no", please proceed to Item 3(b).

(b) Is the beneficial owner is an “approved person” under Section 13X of the Income Tax Act of Singapore, and has met

all the stipulated conditions under Section 13X?

Yes No If the answer is "yes", to proceed to Item 6. If the answer is "no", please proceed to Item 3(c).

(c) Is the Applicant / beneficial owner1 tax resident in Singapore?

Yes No If the answer is "yes", please proceed to Item 5. If the answer is "no", please indicate the jurisdiction of tax residence: ________________ and proceed to Item 3(d).

1 delete as appropriate 2 A "designated person" means:

(a) the Government of Singapore Investment Corporation Pte. Ltd.; (b) the Monetary Authority of Singapore; or (c) any company which is wholly owned, directly or indirectly, by the Minister (in his capacity as a corporation established under the

Minister for Finance (Incorporation) Act (Cap. 183) of Singapore) and which is approved by the Minister or such person as he may appoint.


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(d) Is the Applicant / beneficial owner1 a non-bona fide entity3? Yes No If the answer is "yes", please complete items 3(e) in respect of each beneficial owner of the Applicant / beneficial owner1 which is not a non-bona fide person. If the answer is "no", please proceed to Item 3(e).

(e) Does the Applicant / beneficial owner1 have a permanent establishment4 in Singapore or carry on a business in Singapore? Yes No If the answer is "yes", please proceed to Item 3(f). If the answer is "no", please proceed to Item 6.

(f) Are the funds used to invest in the Fund from its permanent establishment4 and/or operations in Singapore? Yes No If the answer is "yes", please proceed to Item 5. If the answer is "no", please proceed to Item 6.

4. In the case where the Applicant / beneficial owner2 is a partnership or trust, please complete items 1 to 3 in respect of each beneficiary of the trust / each partner of the partnership (except a partnership that has been granted Section 13X status and that has met all the conditions under Section 13X5).

5. For those who have answered “yes” to items 3(c) and 3(f), please answer the following:

(a) Does the Applicant /beneficial owner/any of the partners/any of the beneficiaries of the trust have an

Associate(s) that also beneficially owns, directly or indirectly, the Fund’s Shares? Yes

3 A non-bona fide entity means a person not resident in Singapore (excluding a permanent establishment in Singapore) who –

(a) Is set up solely for the purpose of avoiding or reducing payment of tax or penalty under the Income Tax Act of Singapore; or (b) Does not carry out any substantial business activity for a genuine commercial reason.

4 "Permanent establishment" within the meaning of the Income Tax Act of Singapore means a fixed place where a business is wholly or

partly carried on including — (a) a place of management; (b) a branch; (c) an office; (d) a factory; (e) a warehouse; (f) a workshop; (g) a farm or plantation; (h) a mine, oil well, quarry or other place of extraction of natural resources; (i) a building or work site or a construction, installation or assembly project, and without prejudice to the generality of the foregoing, a person shall be deemed to have a permanent establishment in Singapore if that person – (i) carries on supervisory activities in connection with a building or work site or a construction, installation or assembly

project; or (ii) has another person acting on that person’s behalf in Singapore who —

(A) has and habitually exercises an authority to conclude contracts; (B) maintains a stock of goods or merchandise for the purpose of delivery on behalf of that person; or (C) habitually secures orders wholly or almost wholly for that person or for such other enterprises as are

controlled by that person. 5 For a partnership that has been granted Section 13X status and that has met all the conditions under Section 13X of the Income Tax Act of Singapore, please proceed to Item 6.


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No (b) If the answer to Item 5(a) is "yes", please provide the following details:

Name of Associate6: (Please provide a separate list if the space provided is not sufficient) Effective combined percentage of ownership in the Fund together with Applicant / beneficial owner / partner / beneficiary of the trust: (Please provide a separate list if the space provided is not sufficient) Please proceed to Item 6.

6. I/We agree to promptly notify the Investment Manager and the Administrator of any change with

respect to the foregoing information, and to provide such further information as the Investment Manager and the Administrator may reasonably require.

The Investment Manager may from time to time, and will, after the financial year-end of the Fund, notify all Shareholders of their shareholding in the Fund. I/We irrevocably undertake to notify the Investment Manager and the Administrator promptly if, as at any date or at the financial year end of the Fund, the Shareholder and/or any beneficial owner, together with the Shareholder's and/or any beneficial owner's associates6 (excluding individuals and designated persons2), beneficially own more than 30% of the total value in the Fund, and if so, I/we further undertake to furnish in writing in relation to the beneficial owner and their associates6 (excluding individuals and "designated persons"2) to the Investment Manager and the Administrator, the respective name(s), tax reference numbers and the addresses of the beneficial owners in the Fund.

6 For the purpose of determining whether an investor of a qualifying fund is an associate of another investor of the fund, the two investors

shall be deemed to be associates of each other if: (a) at least 25% of the total value of the issued securities in one investor is beneficially owned, directly or indirectly, by the other; or (b) at least 25% of the total value of the issued securities in each of the two investors is beneficially owned, directly or indirectly, by a

third entity, unless any of the two investors is an independent listed entity and does not have 25% or more shareholding in any other investor.

The "deemed associate" tests in (a) and (b) above do not apply where: (i) no third person (other than an individual or a "designated person" (as defined above) beneficially owns, directly or indirectly, at

least 25% of the total value of issued securities of the two investors; and (ii) the holding of at least 25% of the total value of the issued securities in each of the two investors is held either directly by an

individual or a "designated person", or indirectly through a nominee company or a trust fund by an individual or a "designated person"; or

(iii) one of the investors is an “approved person” under Section 13X of the Income Tax Act of Singapore which, at all times during the basis period for the year of assessment for which the income of the fund is exempt from tax under Section 13CA of the Income Tax Act: (1) beneficially owns directly any of the issued securities of the fund; and (2) satisfies all the conditions in regulation 3(2) of the Income Tax (Exemption of Income Arising from Funds Managed by Fund

Manager in Singapore) Regulations 2010.


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SECTION E. Designated Tax Offences Questionnaire Instructions Under the Corruption, Drug Trafficking and other Serious Crimes (Confiscation of Benefits) Act (Cap. 65A) of Singapore ("CDSA") and the Monetary Authority of Singapore's Notice to Capital Markets Services Licensees on Prevention of Money Laundering and Countering the Financing of Terrorism (MAS Notice SFA04-N02) ("MAS AML/CFT Notice"), the Investment Manager is required to prevent the holding of assets and to detect and deter proceeds from serious tax crimes that are designated as money laundering predicate offences. Your responses to the Designated Tax Offences Questionnaire below will be used by the Investment Manager, amongst other factors, to determine: (a) whether the Applicant may invest in the Fund; and (b) where an offer by the Applicant to subscribe for Shares in the Fund is accepted, whether the Investment Manager is required to file a Suspicious Transaction Report ("STR") under the CDSA. Please respond to each question by checking the applicable box. Where there are joint Applicants, please complete the questionnaire in respect of each of the Applicants. Definitions "Income Tax" means any tax levied by any government, including state and local governments, on individual or business income. "Consumption Tax" means any tax levied by any government, including state and local governments, on goods and services, including sales tax, value-added tax or such similar taxes by any other name. Part I. Has the Applicant been (i) convicted by a court of law in any jurisdiction, and/or (ii)

the subject of or is the Applicant currently under any investigation by any tax authority, for any of the following:

YES NO

1. Willfully with intent to evade Income Tax or to assist any other person to evade Income Tax:

(a) omitted from a return made to any tax authority any income which ought to have been included in such tax return?

(b) made any false statement or entry in any return made to any tax authority?

(c) given any false answer, whether verbally or in writing, to any question or request for information asked or made by any tax authority?

(d) where the Applicant is not required to file a tax return in any jurisdiction, has made any false statement or provided any false information in any notification given to the tax authority of that jurisdiction in relation to the understatement or omission of income or in relation to any tax deduction or tax relief that is excessive or wrongly granted?

(e) where the Applicant is not required to file a tax return in any jurisdiction and has a duty to give notice or otherwise inform the tax authority of that jurisdiction regarding the understatement or omission of income or in relation to any tax deduction or tax relief that is excessive or wrongly granted, failed to give such notice or so inform that tax authority?

(f) prepared, maintained or authorized the preparation or maintenance of any false books of account or other records or falsified or authorized the falsification of any books of account or records?

(g) made use of any fraud, art or contrivance or authorized the use of any such fraud, art or contrivance?

2. Willfully with intent to evade Consumption Tax or to assist any other person to evade Consumption Tax:

(a) omitted or understated any output tax or overstated any input tax in any return made to any tax authority?

(b) made any false statement or entry in any return, claim or application made to any tax authority?

(c) given any false answer, whether verbally or in writing, to any question or request for information asked or made by any tax authority?


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(d) prepared, maintained or authorized the preparation or maintenance of any false books of account or other records or falsified or authorized the falsification of any books of account or records?

(e) made use of any fraud, art or contrivance (including, for the purpose or with the effect of evading Consumption Tax, and without the permission of the relevant tax authority: (i) destroying, damaging, erasing or altering any data stored in, or used in connection with a computer; (ii) causing such destruction, damage, erasure or alteration; or (iii) interfering with, interrupting or obstructing the lawful use of that computer or the data stored in that computer) or authorized the use of any such fraud, art or contrivance?

3. Willfully with intent to evade Consumption Tax: (a) caused, attempted to cause, did any act with intent to cause or defaulted in the

performance of any duty imposed upon the Applicant by the relevant Consumption Tax legislation with intent to cause the refund to the Applicant by the relevant tax authority of any amount in excess of the amount properly so refundable to the Applicant?

Part II. (For non-individual Applicants only) - Do you (the authorized signatory) have any personal knowledge or are there any reasonable grounds to suspect that the Applicant has committed any of the matters in Part I:

YES NO

If the response is affirmative, please indicate which matter is referred to: _________________________________________________________ _________________________________________________________ _________________________________________________________

If your answer to any of the above questions is "YES", please provide details in a separate sheet. BASED ON YOUR ANSWERS TO THE ABOVE QUESTIONS, THE ADMINISTRATOR AND/OR THE INVESTMENT MANAGER MAY REQUIRE ADDITIONAL INFORMATION AND/OR DOCUMENTATION AND, BASED ON SUCH INFORMATION AND/OR DOCUMENTATION, WILL DETERMINE WHETHER THE FUND MAY ACCEPT THE APPLICANT'S OFFER TO SUBSCRIBE FOR SHARES IN THE FUND AND, WHERE SUCH OFFER TO SUBSCRIBE IS ACCEPTED, WHETHER AN STR MUST BE FILED IN SINGAPORE. THE APPLICANT UNDERSTANDS THAT THE ADMINISTRATOR AND/OR THE INVESTMENT MANAGER WILL BE RELYING ON THE ACCURACY AND COMPLETENESS OF THE STATEMENTS MADE AND INFORMATION PROVIDED BY THE APPLICANT HEREIN AND REPRESENTS AND WARRANTS THAT SUCH STATEMENTS AND INFORMATION MAY BE RELIED UPON BY THE FUND, THE INVESTMENT MANAGER, THE ADMINISTRATOR AND THEIR AFFILIATES AND ANY ENTITIES OR MANAGERS WITH WHICH THE FUND INVESTS, IN COMPLYING (OR ATTEMPTING TO COMPLY) WITH THE CDSA AND THE MAS AML/CFT NOTICE. FOR SO LONG AS THE APPLICANT DIRECTLY OR BENEFICIALLY OWNS SHARES IN THE FUND, THE APPLICANT AGREES TO NOTIFY THE INVESTMENT MANAGER AND THE ADMINISTRATOR IMMEDIATELY IN WRITING IF ANY OF THE INFORMATION CONTAINED IN THIS DESIGNATED TAX OFFENCES QUESTIONNAIRE IS NO LONGER ACCURATE AS OF ANY DATE AND SHALL IMMEDIATELY PROVIDE CORRECTED/UPDATED INFORMATION TO THE INVESTMENT MANAGER AND THE ADMINISTRATOR. THE FUND, THE INVESTMENT MANAGER AND/OR THE ADMINISTRATOR IN THEIR SOLE AND ABSOLUTE DISCRETION MAY TREAT A FAILURE TO FULLY COMPLETE OR RETURN THIS QUESTIONNAIRE AS REASONABLE GROUNDS FOR DECLINING TO ACCEPT THE APPLICANT’S OFFER TO SUBSCRIBE FOR SHARES IN THE FUND.


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SECTION F.1. FATCA AND CRS Self-Certification – Individual Investor and Controlling Person

Instructions for completion

We are obliged under Section 891E, Section 891F and Section 891G of the Taxes Consolidation Act 1997 (as amended) and regulations made pursuant to those sections to collect certain information about each investor’s tax arrangements. Please complete the sections below as directed and provide any additional information that is requested. Please note that in certain circumstances we may be obliged to share this information with relevant tax authorities. For further information on FATCA or CRS please refer to Irish Revenue website at: http://www.revenue.ie/en/business/aeoi/index.html or in the case of CRS only the following link: http://www.oecd.org/tax/automatic-exchange/. If any of the information below about your tax residence or FATCA classification changes in the future, please ensure you advise us of these changes promptly. If you have any questions about how to complete this form, please contact your tax advisor.

Please note that where there are joint account holders each investor is required to complete a separate Self-Certification form. Section 1: Declaration of U.S. Citizenship or U.S. Residence for Tax purposes: Please tick either (a) or (b) or (c) and complete as appropriate.

(a) � I confirm that I am a U.S. citizen and/or resident in the U.S. for tax purposes (green card holder or resident under the substantial presence test) and my U.S. federal taxpayer identifying number (U.S. TIN) is as follows:_______________ .

(b) � I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntarily surrendered my citizenship as evidenced by the attached documents.

OR (c) � I confirm that I am not a U.S. citizen or resident in the U.S. for tax purposes.

Complete section 2 if you have non-U.S. tax residencies. Section 2: Declaration of Tax Residency (Note: Declaration of tax residency is requested in the context of the OECD Common Reporting Standard (“CRS”), an initiative to implement automatic exchange of financial account information on a global basis.) Please indicate the Individual’s place of tax residence (if resident in more than one country please detail all countries of tax residence and associated tax identification numbers). Country of Tax Residency Tax ID Number


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SECTION F.1. FATCA AND CRS Self-Certification – Individual Investor and Controlling Person - continued Section 3: Type of Controlling Person (ONLY to be completed by an individual who is a Controlling Person of an entity investor which is a Passive Non-Financial Entity or an Investment Entity located in a Non-Participating Jurisdiction and managed by another Financial Institution) For Joint or multiple Controlling Persons please use a separate Self-Certification form for each Controlling Person

Please Confirm the type of Controlling Person applicable under CRS that applies to you/the investor by ticking the appropriate box

Please Tick Entity Name

Controlling Person of a legal person – control by ownership

Controlling Person of a legal person – control by other means

Controlling Person of a legal person – senior managing official

Controlling Person of a trust – settlor

Controlling Person of a trust – trustee

Controlling Person of a trust – protector

Controlling Person of a trust – beneficiary

Controlling Person of a trust – other

Controlling Person of a legal arrangement (non-trust) – settlor-equivalent

Controlling Person of a legal arrangement (non-trust) – trustee-equivalent

Controlling Person of a legal arrangement (non-trust) – protector-equivalent

Controlling Person of a legal arrangement (non-trust) – beneficiary-equivalent

Controlling Person of a legal arrangement (non-trust) – other-equivalent Section 4: Declaration and Undertakings: I declare that the information provided in this form is, to the best of my knowledge and belief, accurate and complete. I undertake to advise the recipient promptly and provide an updated Self-Certification form within 30 days where any change in circumstances occurs which causes any of the information contained in this form to be incorrect. Where legally obliged to do so, I hereby consent to the recipient sharing this information with the relevant tax information authorities.


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SECTION F.2. FATCA AND CRS Self-Certification - Entity

Instructions for completion

We are obliged under Section 891E, Section 891F and Section 891G of the Taxes Consolidation Act 1997 (as amended) and regulations made pursuant to those sections to collect certain information about each investor’s tax arrangements. Please complete the sections below as directed and provide any additional information that is requested. Please note that in certain circumstances we may be obliged to share this information with relevant tax authorities. For further information on FATCA or CRS please refer to Irish Revenue website at: http://www.revenue.ie/en/business/aeoi/index.html or in the case of CRS only the following link: http://www.oecd.org/tax/automatic-exchange/. If any of the information below about the Investor’s tax residence or FATCA classification changes in the future, please ensure that we are advised of these changes promptly. If you have any questions about how to complete this form, please contact your tax advisor. Investors that are individuals should not complete this form and should complete the form entitled “FATCA Self -Certification-Individual”. Section 1: FATCA Declaration Specified U.S. Person*: Please tick either (a), (b) or (c) below and complete as appropriate. a) The Entity is a Specified U.S. Person and the Entity’s U.S. Federal Taxpayer Identifying number (U.S. TIN) is as follows (please also complete Sections 3 and 4): U.S. TIN: _________________________________________________ OR b) The Entity is not a Specified U.S. Person (please also complete Sections 2, 3 and 4) OR c) The Entity is a US Person but not a Specified U.S. Person (please also complete Sections 3 and 4) Section 2: Entity’s FATCA Classification* (the information provided in this section is for FATCA, please note your classification may differ from your CRS classification in Section 5): 2.1 Financial Institutions under FATCA: If the Entity is a Financial Institution, please tick one of the below categories and provide the Entity’s GIIN at 2.2

2.2 Please provide the Entity’s Global Intermediary Identification number (GIIN) _____________________________ 2.3 If the Entity is a Financial Institution but unable to provide a GIIN, please tick one of the below reasons:

I. Irish Financial Institution or a Partner Jurisdiction Financial Institution II. Registered Deemed Compliant Foreign Financial Institution

III. Participating Foreign Financial Institution

I. The Entity has not yet obtained a GIIN but is sponsored by another entity which does have a GIIN Please provide the sponsor’s name and sponsor’s GIIN : Sponsor’s Name:________________________ Sponsor’s GIIN:___________________

II. Exempt Beneficial Owner III. Certified Deemed Compliant Foreign Financial Institution (including a deemed compliant

Financial Institution under Annex II of the Agreement)

IV. Non-Participating Foreign Financial Institution V. Excepted Foreign Financial Institution


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SECTION F.2. FATCA AND CRS Self-Certification - Entity - continued

2.4 Non-Financial Institutions under FATCA: If the Entity is not a Financial Institution, please tick one of the below categories

Section 3: CRS Declaration of Tax Residency (please note that you may choose more than one country)* Please indicate the Entity’s country of tax residence for CRS purposes (if resident in more than one country please detail all countries of tax residence and associated tax identification numbers (“TINs”)). NOTE: Provision of a Tax ID number (TIN) is required unless you are tax resident in a jurisdiction that does not issue a TIN. If the Entity is not tax resident in any jurisdiction (e.g. because it is fiscally transparent), please indicate that below and provide its place of effective management or country in which its principal office is located.

Section 4: Entity’s CRS Classification* (the information provided in this section is for CRS. Please note an Entity’s CRS classification may differ from its FATCA classification in Section 3): For more information please see the CRS Standard and associated commentary. http://www.oecd.org/tax/automatic-exchange/common-reporting-standard/common-reporting-standard-and-related-commentaries/#d.en.345314 4.1 Financial Institutions under CRS:

If the Entity is a Financial Institution, please tick one of the below categories

4.2 Non-Financial Institutions under CRS:

If the Entity is a Non-Financial Institution, please tick one of the below categories

I. Active Non-Financial Foreign Entity II. Passive Non-Financial Foreign Entity

(If this box is ticked, please include individual self-certification forms for each of your Controlling Persons)

III. Excepted Non-Financial Foreign Entity

Country of Tax Residency Tax ID Number

I. Financial Institution under CRS (other than (II) below)

II.

An Investment Entity located in a Non-Participating Jurisdiction and managed by another Financial Institution (If this box is ticked, please include the name of any Controlling Person(s) of the Entity and complete separate individual self-certification forms for each of your Controlling Persons**)

I.

Active Non-Financial Entity – a corporation the stock of which is regularly traded on an established securities market or a corporation which is a related entity of such a corporation

II. Active Non-Financial Entity – a Government Entity or Central Bank

III. Active Non-Financial Entity – an International Organisation

IV. Active Non-Financial Entity – other than (I)-(III) (for example a start-up NFE or a non-profit NFE)

V. Passive Non-Financial Entity (If this box is ticked, please complete separate individual self-certification forms for each of your Controlling Persons**)


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** Controlling Persons: NB: Please note that each Controlling Person must complete a separate Individual Self-Certification form. If there are no natural person(s) who exercise control of the Entity then the Controlling Person will be the natural person(s) who hold the position of senior managing official of the Entity. For further information on identification requirements under CRS for Controlling Persons, see the Commentary to Section VII of the CRS Standard. http://www.oecd.org/tax/automatic-exchange/common-reporting-standard/common-reporting-standard-and-related-commentaries/#d.en.345314 Section 5: Declarations and Undertakings I/We declare (as an authorised signatory of the Entity) that the information provided in this form is, to the best of my/our knowledge and belief, accurate and complete. I acknowledge that the information contained in this form and information regarding the Account Holder may be reported to the tax authorities of the country in which this account(s) is/are maintained and exchanged with tax authorities of another country or countries in which the Account Holder may be tax resident where those countries (or tax authorities in those countries) have entered into Agreements to exchange financial account information. I/We undertake to advise the recipient promptly and provide an updated Self-Certification where any change in circumstance occurs which causes any of the information contained in this form to be incorrect.


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SECTION G. Declaration Of Residence Outside Ireland Important note: This is a form authorised by the Revenue Commissioners which may be subject to inspection. It is an offence to make a false declaration. Applicants resident outside Ireland are required by the Irish Revenue Commissioners to make the following declaration which is in a format authorised by them, in order to receive payment without deduction of tax. It is important to note that this declaration, if it is then still correct, shall apply in respect of any subsequent acquisitions of Shares. Terms used in this declaration are defined in the Prospectus.

Declaration on own behalf *Delete as appropriate (mandatory) I/we* declare that I am/we are* applying for the Shares on my own/our own behalf/on behalf of a company* and that I am/we are/the company* is entitled to the Shares in respect of which this declaration is made and that

I am/we are/the company is* not currently resident or ordinarily resident in Ireland, and should I/we/the company* become resident in Ireland I will/we will* so inform you, in writing, accordingly.

Declaration as Intermediary *Delete as appropriate (mandatory) I/we* declare that I am/we are* applying for Shares on behalf of persons:

who will be beneficially entitled to the Shares; and, who, to the best of my/our* knowledge and belief, are neither resident nor ordinarily resident in Ireland. I/we*

also declare that: unless I/we* specifically notify you to the contrary at the time of application, all applications for Shares made by

me/us* from the date of this application will be made on behalf of such persons; and, I/we* will inform you in writing if I/we* become aware that any person, on whose behalf I/we* holds Shares,

becomes resident in Ireland. 1. Non-resident declarations are subject to inspection by the Irish Revenue Commissioners and it is a criminal offence

to make a false declaration. 2. To be valid, the Application Form (incorporating the declaration required by the Irish Revenue Commissioners) must

be signed by the Applicant. Where there is more than one Applicant, each person must sign. If the Applicant is a company, it must be signed by the company secretary or another authorised officer, and signatories may be required to produce evidence of authority. If this Application Form is signed under power of attorney, such power of attorney or duly authorised copy thereof must accompany this Application Form..

3. If the Application Form (incorporating the declaration required by the Irish Revenue Commissioners) is signed under

power of attorney, a copy of the power of attorney must be furnished in support of the signature. Declaration of Residence within Ireland Declaration referred to in Section 739D(6) Taxes Consolidation Act, 1997 It is important to note that this declaration, if it is then still correct, shall apply in respect of any subsequent acquisitions of Shares.

I declare that the information contained in this declaration is true and correct. I also declare that I am applying for the Shares on behalf of the Applicant named below who is entitled to the

Shares in respect of which this declaration is made and is a person referred to in Section 739D (6) of the Taxes Consolidation Act, 1997, being a person who is: (please tick as appropriate).

o A pension scheme o A company carrying on life business within the meaning of section 706 TCA 1997 o An investment undertaking o A special investment scheme o A unit trust to which section 731(5) (a) TCA 1997 applies; o A charity being a person referred to in section 739D(6)(f)(i) TCA 1997; o A qualifying management company for the purposes of the Finance Act. o A specified company o Entitled to exemption from income tax and capital gains tax by virtue of sections 784A(2), and 787I of

the TCA 1997, (see further requirements for Qualifying Fund Manager below).


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o A PRSA Administrator; o A credit union to which Section 2 of the Credit Union Act, 1997 applies.

Additional requirement where the declaration is completed on behalf of a pension scheme, a company carrying on life business within the meaning of section 706 TCA 1997, an investment undertaking, a special investment scheme, a unit trust to which section 731(5) (a) TCA applies, a qualifying management company or a credit union to which Section 2 of the Credit Union Act 1997 applies

I undertake that, in the event that the Shares cease to be assets of the *pension scheme/ a company carrying on

life business within the meaning of section 706 TCA 1997/ an investment undertaking/ a special investment scheme/unit trust to which section 731(5) (a) TCA applies/ a qualifying management company/credit union to which Section 2 of the Credit Union Act 1997 applies, including a case where the Shares are transferred to another such entity, I will, by written notice, bring this fact to the attention of the investment undertaking accordingly. (*Delete as appropriate)

Additional requirements where the declaration is completed on behalf of a Charity

I also declare that at the time of making this declaration, the Shares in respect of which this declaration is made

are held for charitable purposes only and; Form part of the assets of a body of persons or trust related by the Revenue Commissioners as a body or trust

established for charitable purposes only, or are, according to the rules or regulations established by statute, charter, decree, deed of trust or will, held for charitable purposes only and are so treated by the Revenue Commissioners.

I undertake that, in the event that the person referred to in paragraph (7) (d) of Schedule 2B TCA 1997 ceases to be a person referred to in Section 739D(6)(f)(i) TCA 1997, I will by written notice, bring this fact to the attention of the investment undertaking accordingly.

Additional requirements where the declaration is completed by a Qualifying ICAV Manager / Qualifying Savings Manager/ PRSA Administrator

I also declare that at the time this declaration is made, the Shares in respect of which this declaration is made;

Are assets of an *approved retirement fund/an approved minimum retirement fund, a special savings incentive

account or a PRSA and Are managed by the declarant for the individual named below who is beneficially entitled to the Shares.

I undertake that, if the Shares cease to be assets of the *approved retirement fund/the approved minimum retirement fund, including a case where the Shares are transferred to another such fund, I will, by written notice, bring this fact to the attention of the investment undertaking accordingly. (* Delete as appropriate)

Additional requirements where the declaration is completed by an Intermediary

I/we* declare that I am/we are* applying for Shares on behalf of persons who

to the best of my/our* knowledge and belief, have beneficial entitlement to each of the Shares in respect of

which this declaration is made; and is a person referred to in section 739D(6) TCA 1997.

I/we* also declare that

unless I/we* specifically notify you to the contrary at the time of application, all applications for Shares made by

me/us* from the date of this application will be made on behalf of persons referred to in section 739D(6) TCA 1997; and

I/we* will inform you in writing if I/we* become aware that any person ceases to be a person referred to in section 739D(6) TCA 1997. * Delete as appropriate


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SECTION H. Signature of the Applicant(s) I/ We confirm that (a) I/ We have read all of this Application Form and (b) the Declarations in Part II of this Application Form are true and accurate. I/ We have completed Sections A to G and enclose the required Identification documents specified in Appendix 1 to Part I of this Application Form. By signing this Application Form, I/ We acknowledge that I/ We are deemed contractually bound by the terms of the Prospectus and the Instrument of Incorporation (the “Instrument”) of the ICAV.

________________________________________________ ________________________________________________ Signature 1 Signature 2

________________________________________________ ________________________________________________ Print name / title Print name / title

________________________________________________ ________________________________________________ Date Date


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APPENDIX 1 to PART I IDENTIFICATION DOCUMENTS

All Applicants are also requested to provide the documents listed below, depending on the type of investor to which the Applicants relate. Please note that the Administrator, the Investment Manager and the Fund each reserves the right to request such further information as is necessary to verify the identity of an Applicant, the natural persons appointed to act on behalf of an Applicant (if any), the Connected Parties of an Applicant (if any) and the source of the payment/and the identity of the Applicant's Beneficial Owners or associates from time to time. Investors are required to provide all documents (to the best of their ability) listed under the applicable investor category: 1 – Individuals 1.1 Original certified copy of a current official identification document in date. 1.2 Original or original certified copies of TWO (2) recent address verification documents (less than six (6) months old). 1.3 Original certified declaration of the source of wealth and supporting documentation for the source of wealth. 1.4 Fully completed original fund application form with bank details. 2 – Regulated company in a prescribed country (Designated Person) 2.1 Original letter of assurance (LOA Intermediary). 2.2 Original or original certified copy of the authorised signatory list. 2.3 Fully completed original fund application form with bank details. 3 – Regulated/listed entities in a non-prescribed country or non-regulated companies 3.1 Certificate of incorporation or certificate to trade (original certified copy). 3.2 Original certified copy of the certificate of registration. 3.3 Original certified copy of the memorandum and articles of association or equivalent. 3.4 Original list of directors' full names, occupations, residential and business addresses and dates of birth. 3.5 A properly authorised mandate of the directors to open/operate the account or establish the business relationship with the

Company (original or original certified copy). 3.6 Original certified copy of the personal identification documents and two (2) address verification documents of at least TWO (2)

directors. 3.7 Original certified copy of the personal identification documents and two address verification documents of TWO (2) authorised

signatories. 3.8 Original list and identification documents of all shareholders holding 25% or more of the issued share capital of the company.

For funds registered in the Cayman Islands the threshold is 10%. - In the case of individual shareholders: Original certified copy of the personal identification documents and two (2) address

verification documents. - In the case of a company: Original certified copy of the certificate of incorporation, memorandum & articles of association,

signatures list, list of directors, identification of two (2) directors and of all authorised signatories, authorised mandate of the directors, and identification of the shareholders.

- We are also obliged to identify the ultimate beneficial owners for all shareholders owning 25% or more of the issued share capital (for funds registered in the Cayman Islands the threshold is 10%).

3.9 Original certified copy of the authorised signatory list printed on company letterhead. 3.10 Fully completed original fund application form with bank details. 3.11 Original certified copy of the Company's latest Audited Financial Statements. 4 – Trusts in a prescribed country* 4.1 Confirmation of name and address (original certified copy or copy from on-line official company registry). 4.2 Authorised signatory list (original certified copy). 4.3 Fully completed original fund application form including bank details. 4.4 Trust deed and any subsequent supplements to the Trust (original certified copy). 4.5 List of trustees’ to include full names, occupations, residential and business addresses, and dates of birth (original or original

certified copy). 4.6 A properly authorised mandate of the trustees to open/operate the account or establish the business relationship (original or

original certified copy). 4.7 Original Certified copy of personal identification documents and TWO (2) Address Verification documents of at least TWO (2)

trustees/directors. - In the case of a company: Original certified copy of the certificate of incorporation, memorandum & articles of association,

signatures list, list of directors, identification of TWO (2) directors and of all authorised signatories, authorised mandate of the directors, and identification of the shareholders (as per section 3).


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- We are also obliged to identify the ultimate beneficial owners for all shareholders owning 25% or more of the issued share capital.

4.8 Original certified copy of the personal identification documents and TWO (2) Address Verification documents of ALL authorised

signatories. 4.9 List of beneficiaries to include full name, occupations, residential and business addresses and dates of birth (original or original

certified copy). Personal identification documents and TWO (2) address verification documents should also be provided (original certified copy). In the case of a company: certified copy of the certificate of incorporation, memorandum and articles of association, signatures list, list of directors, identification of TWO (2) directors and of all authorised signatories, authorised mandate of the directors, and identification of the shareholders (as per section 3).

- We are also obliged to identify the ultimate beneficial owners for all shareholders owning 25% or more of the issued share capital.

4.10 List of settler/grantor/donor to include full name, occupations, residential and business addresses, dates of birth and source of funds (original certified copy). Personal identification documents and TWO (2) address verification documents should also be provided (original certified copy).

4.11 A Source of Wealth Declaration Form and the supporting documentation for the source of wealth (original or original certified copy).

5 – Nominee in a prescribed country with a regulated parent company in a prescribed country 5.1 Original letter of assurance from the parent company (AML letter – LOA nominee with designated person parent company). 5.2 Authorised signatory list for the parent company (original certified copy). 5.3 Original application form in the name of the nominee with bank details. 5.4 Authorised signatory list for the Nominee (original certified copy). 6 – Regulated mutual funds/hedge funds/unit trusts in a prescribed country* 6.1 Fund prospectus/offering memorandum (original certified copy). 6.2 Original fund application form (fully completed). 6.3 Original certified copy of the authorised signatory list for the fund. 6.4 Original letter of assurance from the entity responsible for the AML on the fund and its investors (AML letter – LOA regulated

pension scheme trustee-administrator). 6.5 Original certified copy of the authorised signatory list for the company signing the letter of assurance 6.6 The investment manager and the entity responsible for the AML on the fund and its investors (usually the fund administrator)

are required to provide their AML documents if they are not regulated. Please refer to section 3. “Regulated/listed entities in a non-prescribed country or non-regulated companies”. 7 – Registered pension schemes/plans/schemes in a prescribed country* 7.1 Original certified copy of the trust deed/appointment of trustees. 7.2 Original certified copy of the confirmation of pension registration. 7.3 Original fund application form (fully completed). 7.4 Original certified copy of the authorised signatory list. 8 – Regulated pension trustees or private pension funds/plans/schemes with a regulated trustee or administrator in a prescribed country* 8.1 Original certified copy of the trust deed/appointment of trustees. 8.2 Letter of assurance from the trustee (if regulated) or from the administrator (AML letter – LOA Regulated pension scheme

trustee-administrator). 8.3 Original fund application form (fully completed). 8.4 Original certified copy of the authorised signatory list. Certification In relation to the document certification, copy of the documents must be certified by a suitable person, such as: a notary public; a commissioner for oaths; a police officer; an embassy/consular official; a chartered or certified public accountant; a practising solicitor; or a designated body in a prescribed country. A certified document is one that is stamped, signed and dated as being a true copy of the original at a particular date in time. The certification stamp must be affixed on the document. Personal identification Acceptable Personal identification documents are the original or certified copy of a Passport, Driver's Licence or National Identity Card. The documents must be within expiry date, show a picture of the person, full name, date of birth and signature of the person. Address Verification Acceptable Address Verification documents are the original or certified copies of any TWO (2) of the following: electricity bill, gas bill, water bill, telephone bill, cable television bill, bank statement or credit card statement, social insurance documents, household/motor insurance certificates, statement for Tax/Revenue. Documents must originate from a different source, show the full name and residential address of the individual and must be dated within six (6) months of submission. Please note that mobile phone bills are not admissible.


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PART II Declarations General 1) I/We confirm that I am/we are 18 years of age or over and have the full right, power and authority to make the

investment pursuant to this Application Form whether this investment is in my/our own name or is made on behalf of another person or institution.

2) I/We, having received and considered a copy of the current Prospectus, any relevant supplements thereto, the

Instrument of Incorporation of the ICAV as may be amended from time to time and the most recent annual and/or semi-annual report of the ICAV (if any), hereby confirm and declare that this application is based solely on the information contained in such documentation and is made pursuant to the terms of this Application Form and that I/we am/are bound by the terms of the Prospectus, Instrument of Incorporation of the ICAV and this Application Form. In addition, I/We confirm that I/We have received and read the information contained in this form and confirm that a copy of the Key Investor Information Document ("KIID") has been supplied to me/us in good time prior to making the application for Shares. I/We confirm that I/We have read the KIID and reviewed and understood the nature and the risks of the investment products that are being offered to me/us, and that any future investments to any other Sub-Fund or Share Class of the ICAV can also be transacted based on this confirmation. I/We hereby acknowledge and agree that the updated KIID for each Share Class is available at the Investment Manager’s website at www.dmsoffshore.com and that I/we will read and review the most up-to-date version of the relevant KIID prior to making any subsequent application for Shares in the ICAV.

3) We are aware that copies of the Prospectus, KIID(s), latest annual and semi-annual reports and other information

may be obtained from the Administrator or the Investment Manager. I/We give full consent to receiving the Prospectus, latest annual and semi-annual reports and KIID(s) by means of electronic* communication. I/we confirm that I/we have elected to receive any relevant documentation, including the KIID, electronically.

4) I/We agree that the issue and allotment to me/us of the Shares is subject to the provisions of the Prospectus, that

subscription for Shares will be governed and construed in accordance with Irish law and I/we confirm that by subscribing for Shares, I/we are not relying on any information or representation other than such as may be contained in the Prospectus and the most recent annual or semi-annual report (if available) thereto.

5) In the event of any dispute or claim arising under this Application Form or the Prospectus, or relating to the

Shares in the ICAV, I/we submit to the exclusive jurisdiction of the Irish Courts. 6) I/We acknowledge that the ICAV reserves the right to reject any application in whole or part without assigning any

reason therefore. 7) I/We certify that I am/we are eligible to invest in the ICAV and I am/we are not acquiring Shares for or on behalf of,

or for the benefit of, any person or entity who/which is not eligible to invest in the ICAV nor do I/we intend transferring any Shares which I/we may purchase to any person or entity who/which is not eligible to invest in the ICAV. I/We confirm that I/we are aware of the risks involved in the proposed investment and of the fact that inherent in such investment is the potential to lose the entire sum invested.

8) I/We agree to notify the ICAV or the Administrator immediately if I/we become aware that any of the

representations, declarations or warranties given by me/us in this Application Form is/are no longer accurate and complete in all respects and agree immediately to take such action as the ICAV may direct, including where appropriate, redemption of my/our entire holding.

9) I/We agree to indemnify and hold harmless the ICAV, the Manager, the Investment Manager, the Administrator,

on its own behalf and as agent of the ICAV, and their respective affiliates, directors, members, partners, Shareholders, officers, employees and agents from and against any and all losses, liabilities, damages, penalties, costs, fees and expenses (including without limitation legal fees and disbursements) which may result, directly or indirectly, from any inaccuracy in or breach of any representation, warranty, covenant or agreement set forth in this section or in any document delivered by me/us to the ICAV or any of them and shall notify the ICAV immediately if any of the representations herein made are no longer accurate and complete in all respects.


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10) I/We understand that the confirmations, representations, declarations, indemnities and warranties made or given

herein are continuous and apply to all subsequent purchases of Shares by me/us in the ICAV. 11) I/We have such knowledge and experience in business and financial matters or have obtained advice from a

professional adviser such that I am/we are capable of evaluating the merits, and the risks, of an investment by me/us in the ICAV.

12) I/We understand that the tax disclosure set forth in the Prospectus is of a general nature and may not cover the

jurisdiction in which I am /we are subject to taxation and that the tax consequences of my/our purchase of Shares depend on my/our individual circumstances.

13) I/We acknowledge the right of the ICAV at any time to require the mandatory redemption of Shares in the

circumstances provided for in the Prospectus. 14) I/We hereby certify that the Shares are not being acquired for the benefit of, directly or indirectly, any U.S. Person

as defined in the Prospectus nor in violation of any applicable law, and that I/we will not, subject to the conditions set forth in the Prospectus, sell or offer to sell or transfer Shares in the United States or to or for the benefit of a U.S. Person.

15) In particular: (a) I/we understand that the ICAV has not been and will not be registered under the Act of 1940, as

amended, that the Shares have not been registered and will not be registered under the United States Securities Act of 1933, as amended, and that the Shares have not been qualified under the securities laws of any state of the United States and may not be offered, sold or transferred in the United States or to or for the benefit of, directly or indirectly, any U.S. Person; (b) I am not/none of us is a U.S. Person; and (c) I am not/none of us is/are acquiring the Shares for the account or benefit, directly or indirectly, of any U.S. Person or with a view to their offer, sale or transfer within the United States or to or for the account or benefit, directly or indirectly, of any U.S. Person.

16) I/We declare that the entity hereby subscribing for Shares is neither a Benefit Plan Investor ("BPI") nor investing

on behalf of or with any assets of a BPI as defined below. BPIs should contact the ICAV. “Benefit Plan Investor” is used as defined in U.S. Department of Labor (“DOL”) Regulation § 2510.3101(f)(2), and includes (i) any employee benefit plan (as defined in Section 3(3) of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”)), whether or not such plan is subject to Title I of ERISA (which includes both U.S. and non-U.S. plans, plans of governmental entities as well as private employers, church plans, and certain assets held in connection with nonqualified deferred compensation plans); (ii) any plan described in Section 4975(e)(1) of the Internal Revenue Code of 1986, as amended, (the “Code”) (which includes a trust described in Code Section 401(a)) which forms a part of a plan, which trust or plan is exempt from tax under Code Section 501(a), a plan described in Code Section 403(a), an individual retirement account described in Code Section 408 or 408A or an individual retirement annuity described in Code Section 408(b), a medical savings account described in Code Section 220(d) and an education savings account described in Code Section 530); and (iii) any entity whose underlying assets include plan assets by reason of a plan’s investment in the entity (generally because 25 per cent. or more of a class of interests in the entity is owned by plans). Benefit Plan Investors also include that portion of any insurance company’s general account assets that are considered “plan assets” and (except if the entity is an investment company registered under the 1940 Act) the assets of any insurance company separate account or bank common or collective trust in which plans invest.

17) If I am/we are a commodity pool, my/our investment is directed by an entity which (i) is not required to be

registered in any capacity with the CFTC or to be a member of the National Futures Association (“NFA”), (ii) is exempt from registration or (iii) is duly registered with the CFTC in an appropriate capacity or capacities and is a member in good standing of the NFA.

Investment Fund Representations:

a) I am/We are neither an investment company required to be registered under the Investment Company Act of

1940, as amended (the “1940 Act”), nor an issuer that, but for an exception from the definition of “investment company” under the 1940 Act, would be an investment company,


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b) I am/We are an investment company subject to registration or would be an investment company but for an exception under the 1940 Act.

I/We have ____ U.S. Person beneficial owner(s). (State the number, not the percentage, of U.S. Person beneficial owners. Investment companies with U.S. Person beneficial owners must contact the Administrator.)

18) I/We, if not a natural person, am/are duly organised, validly existing and in good standing under the laws of the

jurisdiction in which I am/we are organised and I/we have the power and authority to enter into and perform my/our obligations under this Application Form.

19) I/We represent, warrant and confirm that, if I/We are not a natural person, that:

(i) I/we carry out substantial business activities for genuine commercial reasons and does not have as its sole purpose the avoidance or reduction of tax in Singapore;

(ii) I/We have the authority and consent of each such individuals whose information the I/we are providing in this Agreement to collect, use, disclose and process their personal data for the purposes set out in Clause 10 of this Agreement and I/we have complied with all applicable personal data protection laws in the collection, use, disclosure and provision of such information in this Agreement; and

(iii) I/we undertake to update and inform the Administrator, the Investment Manager and the ICAV of

changes to the list of its authorised signatories from time to time, provided that such changes shall not take effect and shall not be binding on the ICAV unless and until (A) the notification of change is received by the ICAV, the Administrator, the Investment Manager and (B) the ICAV, the Investment Manager and the Administrator have received to their satisfaction all information, documents, notices and instruments (including without limitation, information pertaining to the natural persons appointed to act on behalf of me/us, my/our Connected Parties and my/our Beneficial Owners), and to perform such acts and deeds as the Administrator, the Investment Manager, the ICAV may reasonably require.

20) I/We represent, warrant and confirm that in the case where I/we are a financial institution, broker or other person

applying to acquire Shares on behalf of its client(s), I/we:

(i) have full power and authority on behalf of the client(s) to subscribe for Shares and to execute any necessary subscription documentation, including this Agreement and, in particular but without limitation to the aforesaid, to make all the representations in this Agreement (including the Appendices) on behalf of such clients as if the client were deemed to be an Applicant under this Agreement, and has the agreement of such clients regarding the collection, use, disclosure and retention of personal data for the purposes set out in Clause 10 of this Agreement;

(ii) represent, warrant and confirm that each of my/our clients is and will at all times continue to be an "accredited investor" or "institutional investor" pursuant to item 63 of Clause 10 of this Agreement. I/We further undertake to inform the Investment Manager immediately if there is any change in the status of any of my/our clients as an "accredited investor" or "institutional investor". In addition, I/we agree to provide such documentary evidence and assurance of the status of my/our clients as "accredited investors" and/or "institutional investors", including financial statements and income statements, as the Investment Manager may from time to time request; and

(iii) represent, warrant and confirm that to the extent that I/we are a financial institution supervised by the Monetary Authority of Singapore or a foreign financial institution incorporated or established outside Singapore that is subject to and supervised for compliance with anti-money laundering / combating the financing of terrorism ("AML/CFT") requirements consistent with the standards set by the Financial Action Task Force (the "FATF"), I/we confirm, warrant and undertake that I/we are responsible for carrying out AML/CFT checks on, and holds appropriate and adequate documentary records of the underlying investors for at least five (5) years following termination of the my/our relationship with the ICAV and that I/we shall upon the ICAV or the Investment Manager's request, provide the ICAV and the Investment Manager with copies of such records and AML/CFT checks on my/our underlying investors;

(iv) represent, warrant and confirm that me/us, the natural person(s) appointed to act on my/our behalf (if any), each of my/our Connected Parties (if any) and each of my/our Beneficial Owners (if any) is not a


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"politically exposed person" or a family member or close associate of a "politically exposed person". For the purposes of this Agreement, the term (iI) "politically exposed person" means a domestic politically exposed person (being a natural person who is or has been entrusted domestically with prominent public functions), foreign politically exposed person (being a natural person who is or has been entrusted with prominent public functions in a foreign country) or international organisation politically exposed person (being a natural person who is or has been entrusted with prominent public functions in an regulated financial international organisation whereby the international organisation is an entity established by formal political agreements between member countries that have the status of international treaties, whose existence is recognised by law in member countries and which is not treated as a resident institutional unit of the country in which it is located) and without prejudice to the generality of the foregoing, this definition shall include heads of state and of government, senior politicians, senior government, judicial and military officials, senior executives of state owned corporations and important party officials; (ii) “close associate” means a natural person who is closely connected to a politically exposed person either socially or professionally; and (iii) “family member” means a parent, step-parent, child, step-child, adopted child, spouse, sibling, step-sibling and adopted sibling of the politically exposed person; and “prominent public functions” includes the roles held by a head of state, head of government, government ministers, senior civil or public servants, senior judicial or military officials, senior executives of state owned corporations, senior political party officials, members of the legislature and senior management of international organisations);

(v) represent, warrant and confirm that where this application is made by me/us as trustee, custodian, nominee or otherwise on behalf of another person or persons, I/we warrant that I/we have carried out reasonable verification checks on and obtained sufficient evidence as to the identity and tax risk status of such person or persons on whose behalf I/we shall be holding the Shares so as to satisfy me/us of the provenance and legitimacy of the source of funds used to subscribe for the Shares and has otherwise complied with the laws and regulations relating to anti-money laundering, anti-corruption and anti-terrorism procedures that are applicable in the jurisdiction where such Shares are offered or distributed, and the Shares on such person's or persons' behalf me/us is confirming that it is satisfied as to the identity and tax status of the underlying beneficial holder(s) and the provenance and legitimacy of the funds being used to subscribe for the Shares and will make such information available to the ICAV, the Investment Manager and the Administrator upon request where required by any of them or pursuant to any applicable law, order or regulation.

21) I am/we are able to bear the economic risk of an investment in the Shares, including, without limitation, the risk of

loss of all or a part of my/our investment. I/we do not have an overall commitment to investments which are not readily marketable that is disproportionate to my/our net worth, and my/our investment in the Shares will not cause such overall commitment to be excessive.

22) I/We agree to provide to the ICAV and the Administrator at such times as each of them may request such declarations, certificates or documents as each of them may reasonably require in connection with this investment. Should any information furnished to any of them become inaccurate or incomplete in any way, I/We hereby agree to notify the ICAV or the Administrator immediately of any such change and further agree to request the redemption of Shares in respect which such confirmations have become incomplete or inaccurate where requested to do so by the ICAV.

23) I/We acknowledge that measures aimed at the prevention of money laundering may require verification of my/our identity and undertake to provide the Administrator or the ICAV with such documentation and information as it may request to verify my/our identity in compliance with applicable anti-money laundering legislation and regulations in force from time to time. I/We acknowledge that the ICAV and/or the Administrator shall be held harmless against any loss arising as a result of a failure to process its application for or request for redemption of Shares if such information and documentation as has been requested by the Administrator has not been provided by the Applicant.

24) I/We hereby acknowledge and agree that where I/we fail to provide the Administrator with the documentation and information referred to above, the Administrator, after notification to the Directors of the ICAV, may reject my/our application, and that the Administrator may make such reports to the relevant regulatory and law enforcement authorities as required under applicable anti-money laundering legislation and regulations. I/We further acknowledge that the Administrator will withhold the proceeds of redemption of my/our Shares until such


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time as the Administrator has received and is satisfied with all the information and documentation requested to verify my/our identity.

25) In respect of joint Applicants only, we direct that on the death of one of us the Shares for which we hereby apply be held in the name of and to the order of the survivor or survivors of us or the executor or administrator of the last of such survivor or survivors.

26) I/We hereby acknowledge that my/our personal information will be handled by the Administrator (as data

processor on behalf of the ICAV) in accordance with the Data Protection Acts 1988 and 2003, as amended from time to time (the “Irish Data Protection Acts”).

27) I/We also acknowledge that this information will be processed by the ICAV and/or its delegates and/or its or their duly authorised agents and any of their respective related, associated or affiliated companies (which includes, without limitation, the Administrator, the Investment Manager and the Depository) (collectively, the “Fund Parties”) in accordance with their respective legal obligations including legal obligations under applicable law, anti-money laundering legislation and the Irish Data Protection Acts.

28) I/We acknowledge, consent and agree that my/our personal data and information supplied on this Agreement and otherwise in connection with my/our subscription for Shares (including any information concerning me/us and my/our investment in the ICAV obtained from other sources from time to time) may be held and processed by the Fund Parties and each of the foregoing persons may collect, use, disclose, process and maintain such personal data and information for the purposes of: (a) managing and administering my/our participation in the Sub-fund (including, without limitation, administering an application for Shares, administering a request for conversion or redemption of Shares, transfer agency; administering the payment of distributions (if any) declared by the ICAV; maintaining the shareholder register; circulating periodic reports, notices of meetings and other circulars relating to the Sub-Fund); (b) carrying out statistical analysis, research and disclosure to the ICAV, its delegates and agents; (c) complying with legal, governmental and regulatory obligations (including any disclosure or notification requirements to which any recipient of the data is subject); (d) any legitimate business interest of the Sub-Fund; (e) administering or managing the ICAV; (f) carrying out my/our instructions or responding to any enquiry purporting to be given by me/us or on my/our behalf, dealing in any other matters relating to my/our holding of Shares (including the mailing of reports or notices), forming part of the records of the recipient as to the business carried on by it; and (g) any other specific purpose to which I/we give specific consent.

29) I/We acknowledge that the processing of my/our personal data may include the disclosure of my/our information to third parties where necessary or for legitimate business interests. This may include disclosure to third parties such as the auditors, third parties identified in the Prospectus, the Irish Revenue Commissioners pursuant to the EU Savings Directive or the Return Regulations and the Central Bank or agents of the Fund Parties who process the data for anti-money laundering purposes or for compliance with foreign regulatory requirements.

30) I/We hereby consent to the processing of my/our information, which may include (1) the recording of telephone calls with the Fund Parties for the purpose of confirming data, (2) the disclosure of my/our information as outlined above to third parties, (3) the disclosure of my/our information where necessary for the Sub-Fund’s legitimate interests, to the parties identified above, (4) the disclosure of my/our information to agents of the Administrator, including companies situated in countries outside of the European Economic Area (“EEA”) which may not have the same data protection laws as in Ireland, (5) purposes as have been set out in this Application Form, (6) and for submitting in evidence in any proceeding to which this Agreement or my/our investment in the ICAV may relate or may be relevant for. In the event of any such data transfers to locations outside of the EEA, the Fund Parties will take reasonable steps so that the my/our data is treated securely and in accordance with the Irish Data Protection Acts.

I/We acknowledge my/our right of access to and the right to amend and rectify my/our personal data, as provided herein.

31) For the avoidance of doubt the ICAV shall be considered a data controller in accordance with the Irish Data Protection Acts and each of the Fund Parties shall be considered a data processor acting on behalf of and to the instruction of the ICAV.


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I/We hereby acknowledges for the purposes of complying with its automatic exchange of information obligation under CRS that the ICAV, or the Administrator on its behalf, is required to collect certain information on an account holder and on certain controlling persons in the case of the account holder being an Entity (e.g. name, address, jurisdiction of residence, TIN, date and place of birth (as appropriate), the account number and the account balance value at the end of each calendar year) to identify accounts which are reportable to the Irish tax authorities under CRS and further acknowledge that such information may in turn be exchanged by the Irish tax authorities with other tax authorities. Further Information in relation to CRS can be found on the Automatic Exchange of Information (AEOI) webpage on www.revenue.ie.

32) I/We acknowledge that the Administrator will provide such information relating to me/us, to the relevant tax or regulatory authorities as it is required to do under the regulations in force in Ireland from time to time pursuant to FATCA and/ or CRS.

33) I/We hereby authorise the ICAV and the Administrator to retain all documentation provided by me/us in relation

to my/our investment in the ICAV for such period of time as may be required by Irish law and by the Investment Manager under Singapore law, including after my/our Shares have been redeemed, the termination of the Administrator's appointment as the administrator and the termination of the Investment Manager's appointment as the investment manager of the ICAV (as the case may be), but for not less than five years after the period of investment has ended. In this regard, I/we undertake to do all such acts and deeds as any of the ICAV, the Investment Manager and the Administrator may reasonably request and to execute, sign and deliver any document instrument or notice if required to do so by any of the Administrator, the ICAV or the Investment Manager for the purpose of ensuring compliance by any of the ICAV, the Investment Manager, the Administrator and/or me/us with prevailing data protection laws from time to time.

34) I/We understand, confirm and acknowledge that ICAV, the Administrator, and/or the Investment Manager may for the purposes set out in this Application Form disclose and transfer (whether in the nature of personal data or otherwise) the information disclosed by me/us in this Agreement (including copies of any application form and application documents), as well as any information concerning me/us and the my/our investment in the ICAV provided by me/us or obtained from other sources from time to time, to each other, and/or the respective auditors of the ICAV, and/or to the auditors of the Investment Manager, and/or to the ultimate holding company of each of the Investment Manager, the Administrator and/or each of their respective subsidiaries and/or affiliates and to each of their respective employees, officers, directors, agents and/or to any third party or data intermediary employed or engaged to provide administrative, computer, advisory or other professional or administrative services or facilities to whom data is provided or may be transferred as aforesaid and/or to any prime broker, custodian or sub-custodian of the ICAV and/or where such disclosure is required by any law or order of any court or any pursuant to any duly authorized direction, request or requirement of, and government or central bank or securities regulator under any applicable law, which persons may be persons within or outside the Republic of Ireland. 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.

35) I/We hereby confirm that: (a) instructions may be sent by fax or e-mail (provided that where the e-mail relates to

an application form it must contain a scanned copy of the completed and signed application form); (b) the Administrator is authorised to act on any facsimile or e-mail instructions without verification which it in its sole discretion believes (in good faith) emanates from me/us and it shall not be liable for any failure in acting on any of the instructions by reason of breakdown, delay or failure of transmission or communication facilities or breakdown of or error in transmission or communication for any other reason.

36) I/We hereby acknowledge and agree that neither fax nor e-mail is a secure means of communicating with or giving instructions to the Administrator I/we confirm that I am/we are aware of the risks involved in communicating in using fax or e-mail and that a request to act on any instruction given by fax or e-mail is for my/our convenience only and I/we hereby indemnify the Fund Parties against any claims and hold each of them harmless from all actions, proceedings, claims, loss, damage, costs (including without limitation, interest and legal fees), charges and expenses which may be brought against me/us or suffered or incurred by me/us and which shall have arisen either directly or indirectly out of or in connection with the relevant Fund Party accepting Instructions by fax or e-mail and acting thereon;


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37) I/We hereby undertake to immediately send the Administrator the original of any instructions for initial subscriptions, and acknowledge that the non-receipt by the Administrator of such written confirmation shall in no way invalidate any authority or indemnity provided by me/us.

38) I/We confirm that I/we consent to and accept that the ICAV and/or the Administrator may provide me/us (or

my/our designated agents) with statements, reports and other communications relating to the ICAV and/or my/our investment in the ICAV, in electronic form, such as e-mail. I/We acknowledge, agree and accept that e-mail messages may not be secure and may contain computer viruses or other defects, may not be accurately replicated on other systems, or may be intercepted, deleted or interfered with without the knowledge of the sender or the intended recipient. I/We acknowledge, agree and accept that the Administrator makes no warranties in relation to these matters. I/We further acknowledge, agree and accept that the Administrator reserves the right to intercept, monitor and retain e-mail messages to and from its systems as permitted by applicable law. I/We confirm that if I/we have any doubts about the authenticity of an e-mail purportedly sent on behalf of the ICAV, the Manager or the Administrator, I/we will contact the purported sender immediately.

39) Where I/we am/are investing as nominee, I/ we shall provide our client(s) with the KIID issued in respect of the

ICAVs and/or Share Class (as the case may be) and I/we shall ensure that we do so in compliance with Commission Regulation (EU) No. 583/2010, as amended from time to time or by any supplemental legislation and in compliance with the applicable legislation in any jurisdiction in carrying out this activity. I/We shall maintain records of my/our provision of the KIID to my/our clients and shall furnish such records to the ICAV, or its delegates, upon request.

40) I/We hereby represent and declare that I/we am/are fully informed as to: (i) the legal requirements within my/our country for the purchase of Shares and are permitted to purchase the Shares under the laws and regulations of my/our home country in the manner in which the Shares have been offered and sold to me/us; (ii) any foreign exchange restrictions applicable to me/us; and (iii) any relevant tax considerations relating to me/us arising out of my/our purchase and ownership of Shares.

41) I/We have made arrangements for payment to be made to the relevant bank account(s) specified above for subscriptions.

42) I/We also warrant and declare that the monies being invested pursuant to this Application Form do not represent directly or indirectly the proceeds of any criminal activity and the investment is not designed to conceal such proceeds so as to avoid prosecution for an offence or otherwise.

43) I/We acknowledge that the ICAV or the Administrator also reserves the right to delay or refuse to make any redemption payment or distribution to a Shareholder without notice if any of the Directors or the Administrator suspects or is advised that the payment of any redemption or distribution moneys to such Shareholder might result in a breach or violation of any applicable anti-money laundering or other laws or regulations by any person in any relevant jurisdiction, or such refusal is considered necessary or appropriate to ensure the compliance by the ICAV, its Directors or the Administrator with any such laws or regulations in any relevant jurisdiction. I/We hereby hold the ICAV and the Administrator harmless and indemnify them against any loss arising as a result of a failure to process the application if such information has been required and has not been provided by me/us.

44) I/We acknowledge that the ICAV reserves the right to cancel without notice any contract for which payment has not been received by the relevant settlement date and to recover any losses incurred.

45) If any of the foregoing representations, warranties or covenants ceases to be true or if the ICAV no longer reasonably believes that it has satisfactory evidence as to their truth, notwithstanding any other agreement to the contrary, the ICAV may be obligated to freeze my/our investment, either by prohibiting additional investments, investment may immediately be redeemed by the ICAV, and the ICAV may also be required to report such action and to disclose my/our identity to the Office of Foreign Asset Control ("OFAC") or other authority. In the event that the ICAV is required to take any of the foregoing actions, I/we understand and agree that I/we shall have no claim against the ICAV, the Directors, the Manager, the Investment Manager, the Administrator, and their respective affiliates, directors, members, partners, Shareholders, officers, employees and agents for any form of damages as a result of any of the aforementioned actions.


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46) I/We understand and agree that any redemption proceeds paid to me/us will only be paid to a bank account in my/our name and with a recognised financial institution. Redemptions will not be processed on third party or non-cleared/verified accounts.

47) We confirm that the persons listed on the attached authorised signatories list and whose specimen signatures appear on that list are duly authorised to give instructions with respect to Shares held by us in the ICAV. (For corporate applicants only).

48) I/We acknowledge that the ICAV intends to take such steps as may be required to satisfy any obligations imposed by either (i) the Foreign Account Tax Compliance Act (“FATCA”) regulations; (ii) the Common Reporting Standard (“CRS”) regulations or (iii) any provisions imposed under Irish law arising from the inter-governmental agreement between the Government of the United States of America and the Government of Ireland (“IGA”) or section 891F or section 891G of the Taxes Consolidation Act 1997 (as amended) (“TCA”) so as to ensure compliance or deemed compliance (as the case may be) with the IGA, CRS, the competent authority Agreement in respect of CRS and any other applicable law in relation to FATCA and CRS.

49) I/We agree to provide to the Administrator the necessary FATCA and/or CRS self-certifications, declarations, confirmations and/or classifications at such times the Administrator may request and furthermore provide any supporting certificates or documents as the Administrator may reasonably require in connection with this investment by reason of the automatic exchange of information obligations relating to FATCA/CRS, the IGA or the law arising out of sections 891F or 891G if the TCA, as described above, or otherwise. Should any information furnished to any of them become inaccurate or incomplete in any way, I/we hereby agree to notify the Administrator immediately of any such change and further agrees to immediately take such action as the Administrator may direct, including where appropriate, redemption of my/our Shares in respect of such confirmations have become incomplete or inaccurate where requested to do so by the Administrator. If relevant, I/we agree to notify the Administrator of any change to my/our tax residency status.

50) I/We acknowledge that the Administrator will provide such information relating to me/us, to the relevant tax or regulatory authorities as it is required to do under the regulations in force in Ireland from time to time pursuant to the IGA and/or CRS.

51) I/We hereby also agree to indemnify and keep indemnified the Administrator against any loss, liability, cost or expense (including without limitation legal fees, taxes and penalties) which may result directly or indirectly as a result of a failure to meet my/our obligations pursuant to this section or failure to provide such information which has been requested by the Administrator and has not been provided by me/us and from any misrepresentation or breach of any warranty, condition, covenant or agreement set forth herein or in any document delivered by me/us to the Administrator.

52) I/We further acknowledge that a failure to comply with the foregoing obligations or failure to provide the necessary information required may result in the compulsory redemption of my/our entire holding in the ICAV, and that the Administrator is authorized to hold back from redemption proceeds or other distributions to me/us such amount as is sufficient after the deduction of any redemption charges to discharge any such liability and I/we shall indemnify and keep indemnified the Administrator against any loss suffered by them or other Shareholders in the ICAV in connection with any obligation or liability to so deduct, withhold or account.

53) I/We request, agree and confirm that save for the valuation statements which are provided to me/us from time to

time, I/We do not require any monthly and quarterly statements, as referred to in Regulation 40 of the Securities and Futures (Licensing and Conduct of Business) Regulations of Singapore, to be furnished.

54) I/We understand, acknowledge and agree that the Prospectus may not disclose all the risks and other aspects of

the futures or leveraged foreign exchange markets (if applicable), and that I/We should therefore carefully study futures and leveraged foreign exchange trading (if applicable) before investing in the ICAV. I/We acknowledge that the risk of loss in investing in the ICAV (and to the extent that the ICAV trades futures contracts, options, foreign exchange and leveraged foreign exchange transactions) can be substantial. In particular, I/We understand that:

(i) if the ICAV purchases or sells a futures contract or leveraged foreign exchange transaction, the ICAV may

sustain a total loss of the ICAV's position. If the market moves against the ICAV's position, the ICAV may


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be called upon to deposit a substantial amount of additional margin funds on short notice in order to maintain its position. If the ICAV does not provide the required funds within the specified time, its position may be liquidated at a loss, and the ICAV will be liable for any resulting deficit in its account;

(ii) under certain market conditions, the ICAV may find it difficult or impossible to liquidate a position; (iii) the placement of contingent orders by the ICAV or the Investment Manager authorised by the ICAV, such

as a "stop-loss" or "stop limit" order, will not necessarily limit the ICAV's losses to the intended amounts, since market conditions may make it difficult or impossible to execute such orders;

(iv) a "spread" position may not be less risky than a simple "long" or "short" position; (v) the high degree of leverage that is often obtainable in futures and leveraged foreign exchange trading

can work against the ICAV as well as for the ICAV. The use of leverage can lead to large losses as well as gains; and

(vi) the ICAV is subject to substantial changes for management and incentive fees. It may be necessary for the ICAV to make substantial trading profits to avoid depletion or exhaustion of its assets.

55) I/We represent, warrant and confirm that my/our name does not and has not at any time appeared on the list of Specially Designated Nationals and Blocked Persons maintained by the Office of Foreign Assets Control or on any lists or resolutions issued by the United Nations (whether through the Security Council or otherwise) pursuant to which dealings with persons specified therein are prohibited, restricted or discouraged.

56) I/We represent, warrant and confirm that the Shares are to be purchased with funds that are from legitimate

sources in connection with my/our or my/our beneficial owner's regular business activities (as the case may be) and which do not constitute: (i) the proceeds of any crime under any applicable anti-money laundering and anti-terrorist financing laws, (ii) the benefits of criminal conduct within the meaning of the Corruption, Drug Trafficking and Other Serious Crimes (Confiscation of Benefits) Act (Cap. 65A) of Singapore, nor (iii) property of terrorists or property provided, collected, used or held for terrorist purposes under the Terrorism (Suppression of Financing) Act (Cap. 325) of Singapore.

57) I/We represent, warrant and confirm that the I/we are, and will at all times continue to be an "accredited investor"

or an "institutional investor", each within the meaning of the Securities and Futures Act (Cap. 289) of Singapore, and qualifies as such under one of the categories of "accredited investor" or "institutional investor" (as the case may be) as set out in Section C. I/we undertake to inform the Investment Manager immediately if there is any change in such status, and to provide documentary evidence and assurance of such status, including financial statements and income statements, as the Investment Manager may from time to time request.

58) I/We represent, warrant and confirm I/we will at all times comply with the transfer restrictions provided for in the

Securities and Futures Act (Cap. 289) of Singapore and as set out in the Prospectus and the Instrument of Incorporation, including without limitation, the resale restrictions in relation to the Shares and (if applicable) the transfer restrictions in relation to equity or beneficial interests in me/us after my/our subscription of the Shares.

59) I/We represent, undertake and confirm that I/we: (i) have not and will not enter into any arrangement that is

illegal and/or may breach any provision of Indian laws; (ii) am/are not an Indian national who is a resident of India; (iii) will not hold interests on behalf of an Indian national who is resident of India and will not source funds from India for the purpose of investing in the ICAV; and (iv) to the best of its knowledge, have no complaints, investigations or other proceedings launched by any regulatory body in India, including, without limitation, the Securities and Exchange Board of India. If, following my/our investment in the ICAV, I/we become a resident of India, I/we hereby irrevocably authorise the ICAV, in its name and on its behalf as its lawful attorney, to transfer or compulsorily redeem the whole of my/our holding of Shares.