SHARE TRANSFER FORM

To: ACCOUNT_JOB_COMPANY

ACCOUNT_JOB_ADDRESS_SINGLE_LINE

           

1. DETAILS OF TRANSFER:

Name of Fund:                              FUND
Class of Shares/Series(if any):  PORTFOLIO
ISIN / SEDOL: (if applicable)  
Name of Transferor            (Existing Shareholder):      
Name of Transferee:      
Transfer Amount: (please specify value OR shares) Shares to the value of:   No. of Shares:  

 

All capitalised words used but not defined herein shall have the meaning given to them in the Fund's Confidential Private Placement Memorandum.

 

2. DECLARATIONS BY THE TRANSFEROR:

The Transferor(s) must complete the following declarations:

 

Ø    BENEFICIAL OWNERSHIP Please indicate the correct response:

o        The above said transfer does represent a change in the underlying beneficial ownership; OR

o     The above said transfer does not represent a change in the underlying beneficial ownership.

 

 

Ø    PURPOSE OF TRANSFER Please indicate the type of transfer being requested:

o        Sales or conveyances of securities from one party to another where there has been a change in beneficial ownership of the securities (a "True Transfer");

o        Change in a nominee or custodian with no change in beneficial ownership ("Re-Registration");

o        Change of name of the registered holder pursuant to a legal change of name (e.g.: marriage, merger of entities, change of entity name) ("Name-Change");

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