Pre-Qualification Investors sheet

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Email *

Full name *

Date of birth *

Status?

Sufficiently funded

Retired/Sufficiently funded

Knowledgeable investor

Sophisticated investor

High Net worth / Ultra High Net worth

Prefer not to indicate this, but I do confirm I have sufficient knowledge & funding

Clear selection

What country are you a citizen of? *

You are about to consider making an investment. Do you understand that making investment in this project could be high risk ? *

Yes

Independent sufficiency status

My financial status is sufficient to make an investment

Confirm how you were approached for this investment? *

Existing relationship with agent/broker

Referral - through friends, family, colleague etc

Attending event, seminar, networking event

Other:

Do you agree to receive investment and marketing materials to the contact details you have provided? *

Yes

No - but please notify me of the status of the project from time to time

Send me a copy of my responses.

Submit

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