Transcription of Company Reg No 3 21 REDEMPTION - Oasis
1 REDEMPTIONA uthorised by Central Bank of Ireland1 Investment NumberOGMCDDMMYYYYDate: Company Reg. No. 366 9214th Floor One Grand Parade Dublin 6 Ireland Tel: +353-1-495 9800 Fax: +353-1-495 9888 Email: RED 20161020 V31. The Prospectus and Supplementals that apply to the product must be read in conjunction with this form and are available from or Kindly complete all fields in the form using BLOCK This completed form, and any supporting documentation, should be submitted to Oasis as per the contact details indicated We will process this application form once all duly completed documentation and funds are received by the relevant cut-off All Funds, Sub-Funds and/or classes are subject to DETAILS DDMMYYYYT itle: First Name(s):Surname of Unitholder:Date of Birth: (Please print clearly) Title: First Name(s).
2 Surname of Joint Investor:Date of Birth: JOINT INVESTOR DETAILS DDMMYYYY(Please print clearly) CONTACT DETAILSCONTACT DETAILSR esidential Address:Cell: Tel. (H): Country: Postal Code:Residential Address:Cell: Tel.
3 (H): Country: Postal Code:(Please print clearly)(Please print clearly) Fund NameShare ClassCurrencyor UnitsAmountCancel Debit Order1234 REDEMPTION FUND INFORMATION DETAILSThe price at which units are redeemed will be the ruling price on the date that this form has been completed to the satisfaction of Oasis Global Management Company (Ireland) Ltd.
4 Should it be received before the authorized cut-off time of 14H00 (Irish time) on each dealing day. Payment will usually be made within five working days of receipt of this for REDEMPTION :OCGIF RED 20161020 V3 DECLARATION1. I / We warrant that the information contained herein is true and correct and that where this application is signed in a representative capacity, I / we have the necessary authority to do so and that this transaction is within my / our power granted by my / our I / We understand that should I / we hold a balance of less than the minimum investment amount the Oasis Global Management Company (Ireland) Ltd. has the right to redeem the balance of my / our I / We warrant that in respect of this REDEMPTION I / we have complied with all money laundering legislation and regulations applicable to this I / We have read and understood the contents of the Prospectus and agree to be bound by the terms and conditions contained I / We hereby indemnify and hold the Oasis Global Management Company (Ireland) Ltd.
5 , or its contractors, or agents, harmless against any loss, damage, cost or claims arising from or connected with the payment to the above DETAILS (International clients where applicable) - continuedName of beneficiary bank:SWIFT Address: ABA No.:Postal AddressCountry: Postal Code:Beneficiary account name;Beneficiary account number: Postal AddressCountry: Postal Code: BANK DETAILS (Applicable to UK Residents only)Redemptions will only be paid to the bank account specified Name:Name of bank:Branch name: Account number:Sort code: Reference Number:IBAN Number.
6 The Common Reporting Standard ( CRS ) is a new, single global standard on Automatic Exchange Of Information ( AEOI ). It was approved by the OECD in February 2014 and draws on earlier work of the OECD and the EU, global anti-money laundering standards and, in particular, the Model FATCA Intergovernmental Agreement. Under the CRS, participating jurisdictions will be required to exchange certain information held by financial institutions regarding their non-resident investors. The CRS is expected to take effect in Ireland from 1 January 2016. Financial information to be exchanged include information such as account balances, interest and dividend income and sales proceeds from financial this regard, the Oasis Global Management Company (Ireland) Limited is obliged to establish the identity and residence of non-Irish resident investors and therefore, please complete, sign and return the separate Entity or Individual Self-Certification form furnished to you.
7 Please note that the above mentioned financial information in respect of all non-Irish resident investors along with their tax identification information will be reported to the Irish Revenue. The Irish Revenue may exchange this information with other Tax Reporting Standard3To be completed by Broker, Financial Intermediary, Name:Address:Broker Number:Tel No.:Email:FOR OFFICE USE ONLYS ource of LeadSelfGroup LeadGroup ClientDate ReceivedNumber of PagesReviewed by:Approved by: Signature of Investor Signature of Joint Investor DDMMYYYYDDMMYYYYOCGIF RED 20161020 V3
