subscription order description order details full … · efa number subscription in amount* shares*...

Name of the investor Address of the investor Postcode and town of the investor From (Name of the Sender) Date SUBSCRIPTION ORDER Name of the sub‐fund EFA Number Subscription in Amount* Shares* DESCRIPTION ORDER DETAILS Reference number (optional) Type of Share Class + Currency (ISO CODE) Type of certificate* Bearer Certificate Uncertificated Bearer Global Certificate Registered Certificate Uncertificated Register International sec code: ISIN‐WKN‐TELEKURS Number of shares Amount FULL NAME OF INVESTOR, IF DIFFERENT FROM SENDER Name and first name Full registered address (street and number) Postal Code and town Country EFA client ID EFA registered account CLEARING INSTRUCTIONS (EXTERNAL DELIVERIES) Free of payment Against Payment (Clearingsystem + ID) CASH IN PAYMENT INSTRUCTIONS IN FAVOUR OF THE SUB-FUND Currency (ISO) if different from sub‐fund currency Cash transferred from bank (BIC or full name) Name of account holder IBAN account Cash transferred to bank (BIC or full name) IBAN account Special condition (s) expressed in % (optional) * Please mark tick () where appropriate Authorized signatures 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

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Page 1: SUBSCRIPTION ORDER DESCRIPTION ORDER DETAILS FULL … · EFA Number Subscription in Amount* Shares* DESCRIPTION ORDER DETAILS Reference number (optional) Type of Share Class + Currency

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

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