Signing log

Contract generated
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Contract signed
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Personal information of the signer

First name
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Last name
{{#if lastName}} {{lastName}} {{else}} {{#if constantData.lastName}} {{constantData.lastName}} {{else}} N/A {{/if}} {{/if}}
Date of Birth
{{#if dateOfBirth}} {{dateOfBirth}} {{else}} {{#if constantData.dateOfBirth}} {{constantData.dateOfBirth}} {{else}} N/A {{/if}} {{/if}}

Device info of the signer

IP Address
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User Agent
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The Digital Asset Investment Strategy Funds (DAISYs) are an initiative of Agga Fund Management B.V.

DAISY Subscription Form

Attention! This investment falls outside AFM supervision. No License and no procespectus required for this activity.


SUBSCRIPTION PROCEDURE

The information you provide in this form is required to process your subscription in one or more of the DAISYs and will be shared with AssetCare, the Administrator of the DAISYs. AssetCare will process your subscription and will contact you in case additional information is necessary.

Please do not hesitate to contact the Administrator on +31 (0)20 244 00 92 or info@assetcare.nl should you need help completing this form and/or if you have any questions about it.

INFORMATION ABOUT DAISYs

The documentation below gives important information about the characteristics of the DAISYs, such as the investment objectives, policies and the risks. It is recommended that you read the documents carefully before you make an investment in any of the DAISYs.

DAISYs

⇢ Information on Memorandum

⇢ Key Information Document (KID)

⇢ Terms & Conditions (Annex 2 of IM)

DETAILS OF THE INVESTOR (FUTHER REFERRED TO AS UNIT HOLDER)

Please enter the information in the table below.

{{#if (equalsTo areYouA "legalEntity")}} {{/if}}

First Unit Holder

Second Unit Holder [1]

Company name [2]

{{companyNameFU1}} {{companyNameFU2}}

Full name

 {{fullNameFU1}} {{fullNameFU2}}

Email address

 {{emailAddressFU1}} {{emailAddressFU2}}

Phone number

 {{phoneNumberFU1}} {{phoneNumberFU2}}

Address [3]

{{addressFU1}} {{addressFU2}}

Postal code3

 {{postalCodeFU1}} {{postalCodeFU2}}

City3

 {{cityFU1}} {{cityFU2}}

Country of residence3

 {{countryOfResidenceFU1}} {{countryOfResidenceFU2}}

Nationality

 {{nationalityFU1}} {{nationalityFU2}}

Date of birth

 {{dateOfBirthFU1}} {{dateOfBirthFU2}}

Which country/countries are you liable to pay taxes in? 3

{{countryTaxFU1}} {{countryTaxFU2}}

Employment

{{employmentFU1}}

{{employmentFU2}}

Profession [4]

{{professionFU1}} {{professionFU2}}

Name employer4

 {{nameEmployerFU1}} {{nameEmployerFU2}}

City of employer4

 {{cityOfEmployerFU1}} {{cityOfEmployerFU2}}

Sector

 {{sectorFU1}} {{sectorFU2}}
1Only required in case of joint subscription.
2Only required in case of corporate subscription.
3Fill in the details of the company in case of a corporate subscription.
4Fill in the details of your last profession if you currently do not have a profession or leave it blank if you have no work experience yet

SUBSCRIPTION

The minimum subscription amount per DAISY is € 100.000. The name associated with the bank account from which the subscription amount is transferred must be the same as the name(s) of the Unit Holder.

Please indicate per DAISY the subscription amount and from which bank account the deposit(s) will be made.

IBAN

 {{iban}}

Account holder name

 {{accountHolderName}}

DAISYs

Subscription amount

  • DAISY Ten out of Ten

    		•

    {{daisyTenOutOfTenE}}€

  • DAISY Bullseye Fifty

    		•

    {{daisyBullseyeFiftyE}}€

  • DAISY DeFi Twenty

    		•

    {{daisyDeFiTwentyE}}€

  • DAISY Proof-of-Stake Fifteen

    		•

    {{daisyProofOfStakeFifteenE}}€

  • DAISY Exchange Twenty

    		•

    {{daisyExchangeTwentyE}}€

  • DAISY Metaverse Fifteen

    		•

    {{daisyMetaverseFifteenE}}€

    DEPOSIT INSTRUCTIONS

    In accordance with the Information Memorandum, Units are issued based on the Net Asset Value per

    Unit on the first possible Trading Date. The Trading Date is generally the first Business Day of a month. Once the subscription is processed, you will receive a confirmation with an overview of your Units.

    We will confirm by email when the total subscription amount can be transferred. For reasons of convenience, the following table contains already the bank details of the DAISYs. So your deposit is not yet required at this time.

    IBAN

    ES52 6891 1000 2831 8917 0210

    Account name

    Stichting Legal Owner Agga Funds

    Description

    Unit Holder name(s)

    Bank Identifier Code (BIC)

    NEOPESBB

    Address Eurocenter I, 7th floor

    Barbara Strozzilaan 310

    1083 HN Amsterdam

    The Netherlands


    SOURCE OF FUNDS

    The Money Laundering and Terrorist Financing (Prevention) Act (Wwft) requires fund managers to, amongst others, identify their Unit Holders, report unusual transactions and have insight in the source of funds. There is also an obligation to keep Unit Holder files up to date. In the context of these regulations, we kindly ask you to complete the information below

    {{#if (equalsTo doYouExpectToMakeMultipleWithdrawals 'yes')}} {{/if}} {{#if (equalsTo doYouExpectToMakeMultipleWithdrawals 'yes')}} {{/if}}

    Do you expect to make multiple deposits?

    {{doYouExpectToMakeMultipleDeposits}}

    If so, can you explain this further (frequency and expected amounts)?

    		{{canYouExplainThisFurtherFrequencyAndExpectedAmounts}}

    Do you expect to make interim withdrawals?

    {{doYouExpectToMakeMultipleWithdrawals}}

    If so, can you explain this further (frequency and expected amounts)?

    		{{canYouExplainThisFurtherFrequencyAndExpectedWithdrawalAmounts}}

    Select the sources below that explain the origin of the funds and include the percentage of each source. The total of the percentages should be 100%.

  • Work

    		•

    {{workP}}%

  • Property

    		•

    {{propertyP}}%

  • Inheritance/gift

    		•

    {{inheritanceGiftP}}%

  • Retirement benefits

    		•

    {{retirementBenefitsP}}%

  • Other:
    • {{pleaseElaborateOther}}

    {{otherP}}%

    Can you substantiate the source of funds that are used for the subscription(s)?

    In order to process your subscription(s) orderly and promptly, we kindly ask you to provide a detailed description and to share documentation as proof (such as salary slips, annual accounts, bank statements, etc).

    {{detailedDescription}}

    GENERAL

    The questions below are meant to give us further insight into your subscription(s).

    What is your connection with the Fund (Manager)? Please select one of the following options and elaborate.

    {{whatIsYourConnectionWithTheFundManagerPleaseSelectOneOfTheFollowingOptionsAndElaborate}} {{profesionalNetworkDesc}} {{friendsOrFamilyDesc}} {{socialMediaWebsiteDesc}} {{otherDesc}}

    Do you qualify as a PEP (Politically Exposed Person)?

    {{doYouQualifyAsAPepPoliticallyExposedPerson}}

    Have you ever been convicted for a (financial) crime?

    {{haveYouEverBeenConvictedForAFinancialCrime}}

    Are you a U.S. Person?

    {{areYouAUsPerson}}
    {{#if (equalsTo areYouA 'legalEntity')}}

    (PSEUDO) ULTIMATE BENEFICIAL OWNER(S) (UBO(S)) OF THE COMPANY 5

    5 The information in the table below is only required in case of a corporate subscription

    Does the entity have one or more UBOs with an interest of 25% or more?

    {{#if (equalsTo doesTheEntityHaveOneOrMoreUbOsWithAnInterestOf25OrMore 'yes')}}

    Yes ⇢ Please find the details of the UBO('s) in the table below.

    Name Direct interest (%) Indirect interest (%)

    {{name}}

    {{directInterest}}

    {{indirectInterest}}

    {{name1}}

    {{directInterest1}}

    {{indirectInterest1}}

    {{name2}}

    {{directInterest2}}

    {{indirectInterest2}}

    {{name3}}

    {{directInterest3}}

    {{indirectInterest3}}

    {{else}}

    No ⇢ Please indicate who is/are considered to be the Pseudo UBO(s)?

    {{#if pseudoUBOname1}} 1) {{pseudoUBOname1}} {{/if}} {{#if pseudoUBOname2}} 2) {{pseudoUBOname2}} {{/if}} {{#if pseudoUBOname3}} 3) {{pseudoUBOname3}} {{/if}} {{#if pseudoUBOname4}} 4) {{pseudoUBOname4}} {{/if}}

    UNDERLYING LEGAL ENITTIES

    If applicable, please indicate in the table below of which legal entities you (the Unit Holder) are a director and/or shareholder (a direct or indirect interest of more than 25%).

    {{/if}}
    Company Name Role(s) Interest (%)

    {{pseudoUBOname1}}

    {{pseudoUBOrole1}}

    {{pseudoUBOinterest1}}

    {{pseudoUBOname2}}

    {{pseudoUBOrole2}}

    {{pseudoUBOinterest2}}

    {{pseudoUBOname3}}

    {{pseudoUBOrole3}}

    {{pseudoUBOinterest3}}

    {{pseudoUBOname4}}

    {{pseudoUBOrole4}}

    {{pseudoUBOinterest4}}

    {{/if}}

    SIGNATURE PAGE

    By signing the Subscription form you declare that you:

    This form and the required documents will be used to process your subscription and perform subsequent services. Please make sure that the form is fully filled out and that the relevant supplementary document(s) have been attached.

    Date

    Date9

    Place

    Place9

    Name first Unit Holder Name second Unit Holder9

    Signature8 Signature8,9

    8 Are you unable to provide a digital signature? Please print the form and place a handwritten signature.

    9 Only required in case of a joint subscription.


    SUBMIT YOUR SUBSCRIPTION

    Please send a signed form to (1) info@assetcare.nl with subscriptions@agga.capital in CC or (2) by regular mail to AssetCare. We will notify you by email should we need additional information and/or when your subscription is processed. The expected processing time is 5 business days.


    Fund Manager and Administrator will protect the privacy of the Unit holders. All privacy-sensitive information provided to us is subject to theprivacy statement . Fund Manager and Administrator make reasonable efforts to keep this information confidential and to use it only for the purposes described in theprivacy statement . Fund Manager and Administrator work in accordance with the Dutch privacy legislation (AVG). In order to process a subscription, Fund Manager and Administrator need information such as the name, bank account and contact details of the investor. We may also use these details to keep you, as Unit Holder, informed of the developments in the Fund or to send you other information which we feel may be of interest to you. This is optional and you are free to opt out (or opt in) to this service at any time.

    Fund Manager and Administrator will not disclose Unit Holders' information to third parties without permission, other than to the parties listed in the Information Memorandum or unless otherwise required by law.

    Fund Manager and Administrator reserve the right to modify the privacy statement in the event there are changes in its policy or business operations or in case law or case law warrant it.

    Please contact us at info@assetcare.nl In case you have any questions or comments about the privacy statement,


    [1] Only required in case of joint subscription.

    [2] Only required in case of corporate subscription.

    [3] Fill in the details of the company in case of a corporate subscription.

    [4] Fill in the details of your last profession if you currently do not have a profession or leave it blank if you have no work experience yet.

    [5] Required for both Unit Holders in case of a joint subscription.

    [6] Required for both the main entity as any underlying corporate shareholders (interest of >25%).

    [8] Are you unable to provide a digital signature? Please print the form and place a handwritten signature.

    [9] Only required in case of a joint subscription.