Full Name (As per NRIC/Passport/FIN No)*

Are you a Singapore Citizen / Singapore Permanent Resident?*

NRIC*

Passport No/FIN No*

Nationality*

Contact Number*

Residential Address*

Email*

Correspondence Address if different than above

Are you an Accredited Investor ?*

As an accredited investor, I declared that I am

(A) An individual whose income in the preceding 12 months exceeded S$300,000 (or its equivalent in a foreign currency) or such other amount as the Authority may prescribe in place of the first amount; or

(B) An individual whose net personal assets exceed in value S$2 million (or its equivalent in a foreign currency) or such other amount as the Authority may prescribe in place of the first amount; when determining the value of an individual's net personal asset, the value of the individual's primary residence - Ba) is to be calculated by deducting any outstanding amounts in respect of any credit facility that is secured by the residence from the estimated fair market value of the residence; and bb) is taken to be the lower of the following: (i) the value calculated under paragraph (Ba) (ii) $1 million

(C) An individual whose financial assets (net of any related liabilities) exceed in value S$1 million (or its equivalent in a foreign currency) or such other amount as the Authority may prescribe in place of the first amount, where “financial asset” means — Ca) a deposit as defined in section 4B of the Banking Act; Cb) an investment product as defined in section 2(1) of the Financial