Common use of For Individuals Clause in Contracts

For Individuals. Country of residence (domicile) of the Investor: Date of birth of the Investor: Current occupation and business affiliation of the Investor: State or other jurisdiction in which incorporated or formed: Date of incorporation or formation: Type of business of the Investor: Office location of the Investor: Will any other person or persons (other than the Investor) have a beneficial interest in the Units to be acquired hereunder (other than as a shareholder, partner, policy owner or other beneficial owner of equity interests in the Investor)? Yes No

For Individuals. Country of residence (domicile) of the Investor: Date of birth of the Investor: Current occupation and business affiliation of the Investor: State or other jurisdiction in which incorporated or formed: Date of incorporation or formation: Type of business of the Investor: Office location locations of the Investor: Will any other person or persons (other than the Investor) have a beneficial interest in the Units Shares to be acquired hereunder (other than as a shareholder, partner, policy owner or other beneficial owner of equity interests in the Investor)? Yes No