Account Opening Agreement

1 Personal Information

2 General Information

3 Classification

4 Investment Information

5 Certification

Full namefullname

Date of birth

ID number / Passport No

ID/Passport expiration date

Number of dependents

City for correspondenceCity for correspondence

Address for correspondence

Phone for correspondence

Email address

Merak Capital will provide the Client with (Know your Client (KYC) & Investment Account Opening – The Fund Terms & Conditions – The Fund Subscription Form) to the email address above

Employer’s nameEmployment

Employer’s addressEmployment

Employer’s phone numberEmployment

Position/Title

Length of employmentEmployment

Please specify bank name below

Main account number (IBAN)

If the answer is (Yes), please mention name of the companyCertificates

If the answer is (Yes), please mention the positionCertificates

The Client confirms that they are acting as a principal and not as an agent or otherwise on behalf of someone else in their dealings with the Company (excluding estate and trusteeship), and for the purposes of the Capital Market Authority regulations the Company will classify and treat the Client as a ‘Client’, an ‘Execution Only Client’, or a ‘Counterparty’. The Client has been classified as:

Merak Capital will provide the Client with the FATCA form.

Where do you want to send the following

I certify that the information that I have provided in this form is true, correct, and complete.

Please specify belowyour full name

By clicking Agree & Submit, I hereby confirm on all of the above: