Common use of Subscription Information Clause in Contracts

Subscription Information. Trade must be placed by your registered dealer by no later than 4pm EST on the 20th calendar day of the month (or the preceding business day if the 20th falls on a non-business day). The Investor offers to purchase Units of the Fund as described in the Offering Memorandum (please select Series and indicate amount below): Gross Amount $ Sales Commision* $/% Net Invested $ ■ Do you wish to invest into a registered plan or TFSA? For new purchases, if Client Name, please complete INVESTMENT/RRSP APPLICATION or TFSA APPLICATION. Note: this is not eligible for USD purchase options. Do you wish to set up a Pre-Authorized Contribution Plan? Please ■ complete PRE-AUTHORIZED CONTRIBUTION APPLICATION FOR PRIVATE/ALTERNATIVE INVESTMENTS * Applicable only for Series A (between 0%-10%) and Series AP (between 0%-6%) ■ PTL140 - Series A – Portland Private Income Fund ■ PTL141 - Series F – Portland Private Income Fund ■ PTL142 - Series O – Portland Private Income Fund ■ PTL705 - Series AP – Portland Private Income Fund ■ PTL026 - Series FP – Portland Private Income Fund ■ PTL150 - Series A – Portland Private Income Fund - US$ ■ PTL151 - Series F – Portland Private Income Fund - US$ ■ PTL152 - Series O – Portland Private Income Fund - US$ ■ PTL706 - Series AP – Portland Private Income Fund - US$ ■ PTL027 - Series FP – Portland Private Income Fund - US$ SUBSCRIPTION AGREEMENT AND APPLICATION FORM PORTLAND INDIA SELECT BUSINESS PORTFOLIO INC. 3 PIC10-E(01/11) CANADIAN ACCOUNT (07/22)

Appears in 2 contracts

Samples: Instructions and Agreement, Instructions and Agreement

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Subscription Information. Trade must be placed by your registered dealer by no later than 4pm EST on the 20th calendar day of the month (or the preceding business day if the 20th falls on a non-business day). The Investor offers to purchase Units of the Fund as described in the Offering Memorandum (please select Series and indicate amount below): Gross Amount (“Subscription Price”) $ Sales CommisionCommision (between 0%-6%)* $/% $ Net Invested $ ■ Do you wish to invest into a registered plan or TFSA? For new purchases, if Client Name, please complete INVESTMENT/RRSP APPLICATION or TFSA APPLICATION. Note: this is not eligible for purchases of USD purchase optionsproducts. Do you wish to set up a Pre-Authorized Contribution Plan? Please ■ complete PRE-AUTHORIZED CONTRIBUTION APPLICATION FOR PRIVATE/ALTERNATIVE INVESTMENTS Subscription Agreement and Application Form Portland India Select Business Portfolio inc. 3 PIC10-E(01/11) CANADIAN ACCOUNT * Applicable only for Series A (between 0%-10%) and Series AP (between 0%-6%) only ■ PTL140 - Series A – Portland Private Income Fund ■ PTL141 - Series F – Portland Private Income Fund ■ PTL142 - Series O – Portland Private Income Fund ■ PTL705 - Series AP – Portland Private Income Fund ■ PTL026 - Series FP – Portland Private Income Fund ■ PTL150 - Series A – Portland Private Income Fund - US$ USD$ ■ PTL151 - Series F – Portland Private Income Fund - US$ USD$ ■ PTL152 - Series O – Portland Private Income Fund - US$ USD$ ■ PTL706 - Series AP – Portland Private Income Fund - US$ USD$ ■ PTL027 - Series FP – Portland Private Income Fund - US$ SUBSCRIPTION AGREEMENT AND APPLICATION FORM USD$ (10/20) PORTLAND INDIA SELECT BUSINESS PORTFOLIO INC. 3 PIC10-E(01/11) CANADIAN ACCOUNT (07/22)PRIVATE INCOME FUND

Appears in 1 contract

Samples: Instructions and Agreement

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Subscription Information. Trade must be placed by your registered dealer by no later than 4pm EST on the 20th calendar day of the month (or the preceding business day if the 20th falls on a non-business day). The Investor offers to purchase Units of the Fund as described in the Offering Memorandum (please select Series and indicate amount below): Gross Amount (“Subscription Price”) $ Sales CommisionCommision (between 0%-6%)* $/% $ Net Invested $ ■ Do you wish to invest into a registered plan or TFSA? For new purchases, if Client Name, please complete INVESTMENT/RRSP APPLICATION or TFSA APPLICATION. Note: this is not eligible for purchases of USD purchase optionsproducts. Do you wish to set up a Pre-Authorized Contribution Plan? Please ■ complete PRE-AUTHORIZED CONTRIBUTION APPLICATION FOR PRIVATE/ALTERNATIVE INVESTMENTS Subscription Agreement and Application Form Portland India Select Business Portfolio inc. 3 PIC10-E(01/11) CANADIAN ACCOUNT * Applicable only for Series A (between 0%-10%) and Series AP (between 0%-6%) only ■ PTL140 - Series A – Portland Private Income Fund ■ PTL141 - Series F – Portland Private Income Fund ■ PTL142 - Series O – Portland Private Income Fund ■ PTL705 - Series AP – Portland Private Income Fund ■ PTL026 - Series FP – Portland Private Income Fund ■ PTL150 - Series A – Portland Private Income Fund - US$ USD$ ■ PTL151 - Series F – Portland Private Income Fund - US$ USD$ ■ PTL152 - Series O – Portland Private Income Fund - US$ USD$ ■ PTL706 - Series AP – Portland Private Income Fund - US$ USD$ ■ PTL027 - Series FP – Portland Private Income Fund - US$ SUBSCRIPTION AGREEMENT AND APPLICATION FORM USD$ (02/20) PORTLAND INDIA SELECT BUSINESS PORTFOLIO INCPRIVATE INCOME FUND ITEM 3. 3 PIC10-E(01/11DISTRIBUTIONS The Investor elects to: (If no selection is made, distributions will be reinvested unless otherwise notified) CANADIAN ACCOUNT ■ Reinvest any distributions ■ Receive all distributions in cash. Payment will be made to the Dealer for Nominee held accounts. For Client name accounts, please indicate your preference below: ■ Mail a cheque to the Investor ■ Deposit money into Canadian bank account (07/22)please complete the below and attach a cheque marked void to your application) Name of Banking Institution Address of Banking Institution Transit Number Bank Code Account Number Account Name

Appears in 1 contract

Samples: Instructions and Agreement

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