Common use of PERSONAL DETAILS Clause in Contracts

PERSONAL DETAILS. Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.2: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.3: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.4: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No On behalf of the Trust known as We, the trustees, wish to invest £. (min of £5,000 and amounts in excess of £5,000 must be a multiple of £1,000) into the OION Fund subject to the terms set out in the Fund Management Agreement attached to this Application Form. Please select one of the choices below: We wish all of our Commitment to be invested into the Fund, with investment into a portfolio of EIS and SEIS Companies in the proportions outlined in the Fund Management Agreement (subject to sufficient SEIS capacity being available in Investee Companies). OR We wish all of our Commitment to be invested into the Fund, with the following amounts to be applied to SEIS and EIS respectively:

Appears in 1 contract

Samples: Fund Management Agreement

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PERSONAL DETAILS. Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.2: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.3: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.4: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No On behalf of the Trust trust known as We, the trustees, wish to invest £. (min of £5,000 10,000 and amounts in excess of £5,000 10,000 must be a multiple of £1,0005,000) into the OION The Adolescent Care SITR Fund subject to the terms set out in the Fund Management Agreement attached to this Application Form. Please select one We confirm that: • We do not wish to seek SITR Relief; • We are applying on behalf of the choices below: Trust; • We wish all of our Commitment to be invested into the Fund, with investment into a portfolio of EIS and SEIS Companies in the proportions outlined in have read the Fund Management Agreement (subject and Information Memorandum. We have understood and we agree to sufficient SEIS capacity being available in Investee Companies). OR We wish all be bound as a party to the terms of the Fund Management Agreement and the Nominee’s Terms of Business; • In respect of our Fund account we authorise the intermediary below (if applicable) to request information on our account and to receive copies of contract notes confirming the Investments made; • We understand that Commitment to the Fund will be invested into the Fund, with the following amounts to be applied to SEIS and EIS respectively:on or before 5th April 2018;

Appears in 1 contract

Samples: Pack and Fund Management Agreement

PERSONAL DETAILS. Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.2: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.3: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.4: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No On behalf of the Trust trust known as We, the trustees, wish to invest £. (min of £5,000 and amounts in excess of £5,000 must be a multiple of £1,000) into the OION The Greenbackers CleanTech Fund subject to the terms set out in the Fund Management Agreement attached to this Application Form. Please select one of the choices below: We I wish all of our Commitment to be invested into the Fund, with investment into a portfolio of EIS and SEIS Companies in the proportions outlined in the Fund Management Agreement (subject to sufficient SEIS capacity being available in Investee Companies). OR We I wish all of our Commitment to be invested into the Fund, with the following amounts to be applied to SEIS and EIS respectively:

Appears in 1 contract

Samples: Fund Management Agreement

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PERSONAL DETAILS. Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.2: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.3: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No TRUSTEE No.4: Personal Details Title (Mr, Mrs, Ms, Other) Surname Forenames (in full) Permanent residential address Postcode Time at current address If less than 3 years, prior address Postcode Daytime telephone number Email address Date of Birth Town, Country of Birth Nationality National Insurance No On behalf of the Trust known as We, the trustees, wish to invest £. (min of £5,000 and amounts in excess of £5,000 must be a multiple of £1,000) into the OION SFC Fund subject to the terms set out in the Fund Management Agreement attached to this Application Form. Please select one of the choices below: We wish all of our Commitment to be invested into the Fund, with investment into a portfolio of EIS and SEIS Companies in the proportions outlined in the Fund Management Agreement (subject to sufficient SEIS capacity being available in Investee Companies). OR We wish all of our Commitment to be invested into the Fund, with the following amounts to be applied to SEIS and EIS respectively:

Appears in 1 contract

Samples: Fund Management Agreement

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