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ny (any person in 0 or (11a -5131 Covered Person'). (2) If you iritialed statement (1) above. you must name each relevant Pubk Company ander Covered Non-Public Company: (3) If you labeled statement (1) above, please initial the following only if such appricabk PublX Company or Covered Non-Public Company:. (a) is c
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
Covered Non-Public Company: (3) II you initialed statement (1) above, please initial the following only if such applicable Public Company or Covered Non-Public Company. (a; is currently a client receiving Investment Banking Services provided by a FINRA member, or has paid compensation to a FINRA member for investme
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
or The Investor, a any person having a Beneficial Interest in the Invests, is (i) an executive officer or director of a Public Company or a Covered Non-Public Company, or (ii) a person receiving Material Support by an executive officer or director of a Public Company or a Covered Non-Public Company (any person in
lient is correct and accurate. IL Investor Qualification for Offshore Fund offerings only: I have reviewed the -Country Qualifications" append& 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 Non-Public Company and the Memorandum

Ghislaine Maxwell
PERSONKeogh
ORGANIZATIONthe Fund Investment Application
ORGANIZATIONBranch Managers
ORGANIZATIONQuickCard
ORGANIZATIONSubscription Booklet
ORGANIZATIONUBS Alternative Investments US
ORGANIZATIONInvestment Banking Services
ORGANIZATIONDelegate
ORGANIZATIONUBS Financial Services Inc.
ORGANIZATIONInvestment Company
ORGANIZATIONUndersigned
ORGANIZATIONCovered Broker Dealer
ORGANIZATIONCollective Investment Account
ORGANIZATIONForm BD
ORGANIZATIONSocial Security/Tax
ORGANIZATIONUBS Financial Advisor
ORGANIZATIONMaterial Support
ORGANIZATIONVI-VIII
ORGANIZATIONthis Investor Application
ORGANIZATION