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s exactly as it should appear on the address labels. • Include the Investor's state of residence or principal place of business, if applicable, and Social Security/Tax ID Number. • Provide the Investors email address. C. Accredited Investor Representation: Please read Schedule 1 and check the appropriate box. G
lient is correct and accurate. 11. Investor Qualification for Offshore Fund offerings only I have reviewed the "Country Cuaifications° appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or stet forth in the instructions on the UBS Intranet and I certify tha
s exactly as it should appear on the address labels. • Include the Investor's state of residence or principal place of business, if applicable, and Social Security/Tax ID Number. • Provide the Investor's email address. C. Accredited Investor Representation: Please read Schedule 1 and check the appropriate box.
ent is correct and accurate. II. Investor Qualification for Offshore Fund offerings only: I have reviewed the "Country Qualifications" appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or set forth in the instructions on the UBS intranet, and I certify tha
s exactly as it should appear on the address labels. • Include the Investor's state of residence or principal place of business, if applicable, and Social Security/Tax ID Number. • Provide the Investor's email address. C. Accredited Investor Representation: Please read Schedule 1 and check the appropriate box.
ent is correct and accurate. II. Investor Qualification for Offshore Fund offerings only: I have reviewed the -Country Qualifications" appendix to the Memorandum or Subscription Agreement and in any applicable supplement to the Memorandum or set forth in the instructions on the UBS intranet, and I certify tha
Entities connected to both Social Security/Tax and the Memorandum

Ghislaine Maxwell
PERSONUBS Alternative Investments US
ORGANIZATIONKeogh
ORGANIZATIONSubscription Booklet
ORGANIZATIONthe Fund Investment Application
ORGANIZATIONQuickCard
ORGANIZATIONBranch Managers
ORGANIZATIONUndersigned
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONDelegate
ORGANIZATIONthis Investor Application
ORGANIZATIONVI-VIII
ORGANIZATIONthe Fund or Placement Agent
ORGANIZATION
the U.S. Treasury Department
ORGANIZATIONThis Placement Fee
ORGANIZATION
George W. Bush
PERSONUBSFA
ORGANIZATION
Limited Liability Company
ORGANIZATIONUBS Online Services
ORGANIZATIONUBS Financial Advisor
ORGANIZATION