Investor Form

Investor Application

Thank you for your interest in investing in our projects and current investment opportunities.

All information is submitted confidentially and all GDPR rules are in place and processed according to our Privacy Policy. Your Information will only be accessed by our Board of Directors, our Auditors and our Legal advisors. Completing this form does not constitute a contract or any obligation to either party. Your Information will be used to undertake the required checks to ensure the legality of all transactions. If you are accepted as an investor for the selected project(s), we will contact you to complete the legal requirements and disclose confidential information about the selected project(s).

The undersigned herewith applies to invest in a project/venture/company managed by OTI Group Investments (hereinafter the "Fund"). OTI Group. (hereinafter the "Company") is responsible for the collective portfolio management of the Fund.

Please complete all the sections of this form with the relevant documentation.

Please contact us in case of questions or any other inquiries.

List of Sectors of Interest *

FinTech

Finance

Gaming

Property

Environmental

Crypto

Investor Type *

Individual / Private Investor

Corporate Investor

Intermediary

1. Private Investor Information

1. Investor Information

Title *

Mrs

Other

Surname(s) *

First Name *

Date of Birth *

Country of Birth *

Occupation *

Nationality *

Passport / ID Number *

Issuing Country *

Expiry Date *

Double Nationality *

Never

Renounced

Yes, which:

Company Name *

Parent Company / Head Office *

Date of Incorporation *

Country of Incorporation *

Company Register & Number *

Area of Activity *

Stock Exchange Listing *

Yes:

Regulated Entity *

Yes:

Stock Exchange Listing Yes *

Regulated Entity Yes *

License Number *

Regulator web-address *

Street / Number *

Registered Address

Town / Village *

Registered Address

Post Code *

Registered Address

Country *

Registered Address

Is the Mailing Address the same as the Registered Address?

Street / Number *

Mailing Address

Town / Village *

Mailing Address

Post Code *

Mailing Address

Country *

Mailing Address

Telephone *

Fax

Email *

Mobile Phone *

Please include the country code.

Website

Contact Name #1

Contact Name #2

Contact Name #3

Contact Name #4

2. Type of Investment

I/We confirm that the investment into the Fund: *

Is made on my/our own behalf and is not in favour of a third party.

Is made on behalf of third part and that the account will reflect:

a Pooled Account (reflecting a pool of underlying clients typically with a generic designation such as “Clients account” or with a designation that makes reference to a region, product or multiple specific customers)

a Segregated Account (a specific account for a single underlying third party)

In such case, please select either one option below:

the designation of the account will refer to the underlying client name

the designation of the account is coded (the designation contains an internal reference, numbers or combination of letters which do not allow an external party to identify the underlying client)

Please indicate the MIFID category under which you deal with the underlying investor(s) for this account. Please note that if you fail to indicate the category, the underlying investor(s) will be classified as Retail Client. Please note that the information provided is subject to clause 6 of the General Terms and Conditions. *

Retail Client

Professional Client

Eligible Counterparty

Please indicate whether the account is used to transact "advised" or "execution-only" business. Per account only one type is possible. If both types of transactions are used, please be advised that two different accounts need to be opened. Please note that the information provided is subject to clause 6 of the General Terms and Conditions. *

Advised Business

Execution-only business

Pooled accounts need to be classified for different purposes (e.g. RDR Rules, RFA rules, etc.). Please indicate whether the account is used for one of the below mentioned distribution types. Please note that the information provided is subject to clause 6 of the General Terms and Conditions. *

Retail Business (RDR)

Retail Business (RFA)

3. Ultimate Economic Beneficiary

An ultimate economic beneficiary is the final beneficiary of the investment and who owns – directly or indirectly – more than 25% of the value of the shares subscribed. This final beneficiary can be either a private person(s) or a publicly quoted company(ies) for which more than 75% of their capital is listed on a recognized stock exchange.

Important: In case of indirect ownership, please describe on a dated and signed chart all the intermediate levels of ownership with names and percentages.

Please provide the information if any of the account holder or the ultimate economic beneficiary(ies) is/are either: *

a person holding a legislative, administrative or judicial office, whether appointed or elected:

a person exercising a public function, including for a public agency or public enterprise:

an official or agent of a public international organisation

a person or company manifestly close to or connected with the above persons

* the equivalency is determined on the country list applied by the fund, the company, the registrar or any agent appointed by them, please contact the Register for further details.

** Please provide comfort letter together with this form to allow evaluation.

4. Origin of the Monies Invested

(If the Account Holder is a regulated financial institution in an equivalent country and acting on behalf of third parties, or is covered by a KYC/AML comfort letter from a parent company that is a financial institution regulated in an equivalent country, please proceed to the next section)

The Account Holder declares that the origin of the funds used for subscription is coming from: *

Inheritance (please provide some details)

Sale of real estate (please provide some details)

Redemption from other investments (please provide some details)

Savings on salary

Treasury investment (Corporate)

Other (please describe)

Details

Please upload your Comfort Letter

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5. Expected Volumes & Frequency

Please complete the below section with your expectations in terms of investment in the fund.
The expected volumes and frequency provided will not form any kind of commitment from the account holder, the beneficial owners or the intermediary.

Please tick the anticipated frequency. *

Single Transaction

Weekly

Monthly

Quarterly

Semi-annual

Annual

Ad-Hoc

Expected frequency of investment contribution.

Expected Investment Amount *

Please insert the amount or drag up to the amount you expect to invest.

6. Additional Documentation

Please add here any other comments, information that you believe will support your application and was not submitted in previous sections.

Please upload any additional documentation to support your application.

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7. Declarations & Signature

I/we declare that I/we have read and agreed for the Intermediary (acting in its own name) Declaration.

I/we declare that I/we have read and agreed for the Intermediary Declaration.

I/we declare I/we am/are the ultimate economic beneficiary(ies) of the shares being subscribed.

I agree with the General Terms and Conditions and the policies as explained in the Policy Center

Signature: *

First Name