Individual Shareholders Questionnaire

ISQ | Individual Shareholders Questionnaire

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Main Principal Applicant

Name of Corporation/Applicant *

Reference number (if you have one)

Do you hold a job or working in a position within the Applicant

Yes

No

If 'Yes', position held *

Are you a professional investor?

Yes

No

Do you have other investments?

Yes

No

If you are human, leave this field blank.

IntaCapital Swiss SA,
Rue du Rhône 80 - 84,
CH - 1204 Genève,
Switzerland