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ANTI-MONEY LAUNDERING SUPPLEMENT - …

Page 1 of 9 ANTI-MONEY LAUNDERING SUPPLEMENT A. IDENTIFICATION INFORMATION FOR _____ [SUBSCRIBER NAME] I INDIVIDUALS: Please complete Appendix 1. If the investment is to be registered under more than one person s name, please complete Appendix 1 for each individual. II PRIVATE ENTITIES: Please attach list of authorized signatories Country of Incorporation: _____ Date of Incorporation: _____ Official registration number, if applicable: _____ Registered address: _____ (if different from correspondence address) Please indicate type of organization and complete applicable Appendix: Companies, Partnerships (Appendix 2A) Trusts (Appendix 2B) Not for Profit Organisations (Appendix 2C) Other, please specify type: _____ (Contact Administrator) III FUND OF FUNDS OR NOMINEES Complete Appendix 2D.

Page 1 of 9 ANTI-MONEY LAUNDERING SUPPLEMENT A. IDENTIFICATION INFORMATION FOR _____ [SUBSCRIBER NAME]I …

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