Manager Information Form Contact Details Investment Manager Name Address Fax Website Company Phone Mobile Email Fund Information Fund Objective Fund Name Anticipated Launch Date Manager Regulated by: Organisation Contact Name Date Authorised Details of Management Fees and Performance Fees Investment Strategy Investment Restrictions Base Currency Type of Investment / Asset Class Bonds Equities Currencies Derivatives Emerging Markets Private Equity Real Estate Commodities Others, please specify below. Number of trades per month < 10 10-30 > 30 Others, please specify below. Number of positions in portfolio < 10 10-30 > 30 Others, please specify below. Size of Fund: At Launch After 1 year Loan to value ratio (%) Leverage Provider Shareholder Information Minimum Shareholder Investment Expected Number of Investors: At Launch After 1 year Lock-in Period Yes No If Yes, how long? Reporting Frequency of Valuations Monthly Weekly Daily Quarterly Others, please specify below. Frequency of Subscriptions Details of Any Subscription Charges Frequency of Redemption Details of Any Redemption Charges Custodian: Name Location Prime Broker(s): Name Location Other Relevant Information Disclaimer: Please note that legal advice should be sought before entering into this arrangement to ensure it is suitable for your requirements.