Signing log

Contract generated
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Contract signed
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Personal information of the signer

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First name
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Last name
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Date of Birth
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Device info of the signer

IP Address
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User Agent
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Contract hash

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Investor declaration
with respect to
Quadrum Investment Fund IV Coöperatief U.A.
(the 'FUND')
an initiative of
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Name of Investor {{#unless (equalsTo chooseType 'naturalPerson')}} {{#if entityName1}} {{entityName1}} {{/if}} {{/unless}} {{#if (equalsTo chooseType 'naturalPerson')}} {{#if firstName}} {{firstName}} {{else}} {{#if constantData.firstName}} {{constantData.firstName}} {{/if}} {{/if}} {{#if lastName}} {{lastName}} {{else}} {{#if constantData.lastName}} {{constantData.lastName}} {{/if}} {{/if}} {{/if}}
Registered Address
Address {{#if naturalPersonAddress}} {{naturalPersonAddress}} {{/if}} {{#if naturalPersonAddress2}} {{naturalPersonAddress2}} {{/if}}
City {{#if naturalPersonCity}} {{naturalPersonCity}} {{/if}}
Postal Code {{#if naturalPersonZipCode}} {{naturalPersonZipCode}} {{/if}}
Country {{#if naturalPersonCountry}} {{naturalPersonCountry}} {{/if}}
Address {{#if legalentityadd}} {{#if (equalsTo legalentityadd.mode 'manual')}}
Address {{#if legalentityadd.address.address1}} {{legalentityadd.address.address1}} {{/if}} {{#if legalentityadd.address.address2}} {{legalentityadd.address.address2}} {{/if}}
City {{#if legalentityadd.address.city}} {{legalentityadd.address.city}} {{/if}}
Postal Code {{#if legalentityadd.address.zip}} {{legalentityadd.address.zip}} {{/if}}
Country {{#if legalentityadd.address.country}} {{legalentityadd.address.country}} {{/if}}
Telephone number {{#if telephoneNumber}} {{telephoneNumber}} {{/if}}
Email address {{#if emailAddress}} {{emailAddress}} {{/if}}
Date of Birth
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Social Security Number
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Trade Register number
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(the "Investor")

Whereas:
  1. the articles of association of the Fund;
  2. the information memorandum relating to the offering of the units in the Fund;
  3. the essential information document (EID) relating to the offering of the units in the Fund;
  4. the execution copy of the Fund Agreement; and
  5. the Subscription Form;

Declares the following:

The Investor is aware that the Investment involves substantial risks; it is fully aware of the risks associated with committing to and investing in the Fund, and it has determined that the Investment is a suitable investment for the Investor and that, at this time, it could bear a complete loss of its Investment.