Nameoftheinvestor
Addressoftheinvestor
Postcodeandtownoftheinvestor
From(NameoftheSender)
Date
SUBSCRIPTION ORDER
Nameofthesub‐fund
EFANumber
Subscriptionin Amount* Shares*
DESCRIPTION ORDER DETAILS
Referencenumber(optional)
TypeofShareClass+Currency(ISOCODE)
Typeofcertificate*BearerCertificate UncertificatedBearer GlobalCertificate
RegisteredCertificate UncertificatedRegister
Internationalseccode:ISIN‐WKN‐TELEKURS
Numberofshares
Amount
FULL NAME OF INVESTOR, IF DIFFERENT FROM SENDER
Nameandfirstname
Fullregisteredaddress(streetandnumber)
PostalCodeandtown
Country
EFAclientID
EFAregisteredaccount
CLEARING INSTRUCTIONS (EXTERNAL DELIVERIES)
Freeofpayment
AgainstPayment(Clearingsystem+ID)
CASH IN PAYMENT INSTRUCTIONS IN FAVOUR OF THE SUB-FUND
Currency(ISO)ifdifferentfromsub‐fundcurrency
Cashtransferredfrombank(BICorfullname)
Nameofaccountholder
IBANaccount
Cashtransferredtobank(BICorfullname)
IBANaccount
Specialcondition(s)expressedin %(optional)
*Pleasemarktick()whereappropriate
Authorizedsignatures
DD/MM/YYYY
The original copy of this form once completed and signed must be sent by post along with to the Fund’s Administrator at European Fund Administration S.A., Attention: TA Operations, Shareholders Services and AML, 2, rue d’Alsace, L-1122, Luxembourg.
Alternatively, you may send a copy of the completed and signed form to the Fax number: +352 48 65 61 8002.
IIFL Fund - Additional Subscription Form
