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Northern 3 VCT PLC Application Form - Clubfinance

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(w) warrantthatyouarenota“USperson”asdefinedintheUnited<br />

States Securities Act of 1933 (as amended) nor a resident of<br />

CanadaandthatyouarenotapplyingforanySharesonbehalfof<br />

orwithaviewtotheiroffer,saleordelivery,directlyorindirectly,<br />

to or for the benefit of any US person or resident of Canada,<br />

Australia,theRepublicofSouthAfrica,theRepublicofIrelandor<br />

Japan;<br />

(x) warrantthattheinformationcontainedinthe<strong>Application</strong><strong>Form</strong>is<br />

accurate;and<br />

(y) agreethatifyourequestthatOfferSharesareissuedtoyouona<br />

dateotherthan5April2012andsuchOfferSharesarenotissued<br />

onsuchdatethatnoneoftheCompany,theirrespectiveagentsor<br />

Directors will have any liability to you arising from the issue of<br />

suchOfferSharesonadifferentdate.<br />

<br />

6. No person receiving a copy of the Offer Document or an<br />

<strong>Application</strong><strong>Form</strong>inanyterritoryotherthantheUnitedKingdom<br />

maytreatthesameasconstitutinganinvitationoroffertohimor<br />

her,norshouldheorsheinanyeventusesuch<strong>Application</strong><strong>Form</strong><br />

unless,intherelevantterritory,suchaninvitationoroffercould<br />

lawfully be made to him or her or such <strong>Application</strong> <strong>Form</strong> could<br />

lawfullybeusedwithoutcontraventionofanyregistrationorother<br />

legalrequirements.Itistheresponsibilityofanypersonoutside<br />

theUnitedKingdomwishingtomakeanapplicationhereunderto<br />

satisfyhimselforherselfastothefullobservanceofthelawsof<br />

anyrelevantterritoryinconnectiontherewith,includingobtaining<br />

any requisite governmental or other consents, observing any of<br />

the formalities requiring to be observed in such territory and<br />

paying any issue, transfer or other taxes required to be paid in<br />

suchterritory. <br />

<br />

7. TheOfferShareshavenotbeenandwillnotberegisteredunder<br />

theUnitedStatesSecuritiesAct1933,asamended,orunderthe<br />

securities laws of any state or other political subdivision of the<br />

UnitedStates,andmaynotbeofferedorsoldintheUnitedStates<br />

ofAmerica,itsterritoriesorpossessionsorotherareassubjectto<br />

itsjurisdiction(the“USA”).Inaddition,theCompanyhasnotbeen<br />

and will not be registered under the United States Investment<br />

Company Act of 1940, as amended. The Manager will not be<br />

registeredundertheUnitedStatesInvestmentAdviserActof1940<br />

(as amended). No application will be accepted if it bears an<br />

addressintheUSA.<br />

<br />

8. The application is addressed to the Company. The rights and<br />

remedies of the Company under these Terms and Conditions of<br />

<strong>Application</strong>areinadditiontoanyrightsandremedieswhichwould<br />

otherwisebeavailabletoit,andtheexerciseorpartialexerciseof<br />

onewillnotpreventtheexerciseofothers.<br />

<br />

9. ThedatesandtimesreferredtointheseTermsandConditionsof<br />

<strong>Application</strong>maybealteredbytheCompany.<br />

<br />

10. Authorisedfinancialadviserswho,actingonbehalfoftheirclients,<br />

return valid <strong>Application</strong> <strong>Form</strong>s bearing their stamp and Financial<br />

ServicesAuthoritynumberwillbeentitledtocommissiononthe<br />

amountpayableinrespectoftheOfferSharesallocatedforeach<br />

such <strong>Application</strong> <strong>Form</strong> at the rates specified in the paragraph<br />

headed "Commission" in Part I of this document. Authorised<br />

financial advisers may agree to waive part or all of their initial<br />

commissioninrespectofanapplication.Ifthisisthecase,then<br />

suchapplicationwillbetreatedasanapplicationtosubscribefor<br />

thesumstatedinboxnumber2ofthe<strong>Application</strong><strong>Form</strong>together<br />

withanumberofadditionalOfferSharesequivalenttotheamount<br />

of commission waived. NVM and the Registrar are accordingly<br />

authorisedtoamendsuchboxnumber2.Financialadvisersshould<br />

keeparecordof<strong>Application</strong><strong>Form</strong>ssubmittedbearingtheirstamp<br />

tosubstantiateanyclaimfortheircommission.<br />

<br />

11. ThesectionheadedNoteson<strong>Application</strong><strong>Form</strong>formspartofthese<br />

TermsandConditionsof<strong>Application</strong>.<br />

<br />

12. It is a condition of the Offer to ensure compliance with the ML<br />

Regulations. NVM is therefore entitled to require, at its absolute<br />

discretion,verificationofidentityfromanyApplicantincluding,without<br />

limitation,anypersonwhoeither(i)tenderspaymentbywayofacheque<br />

or banker’s draft drawn on an account in the name of a person or<br />

personsotherthantheApplicantor(ii)appearstoNVMtobeactingon<br />

behalf of some other person. Pending the provision of evidence<br />

satisfactorytoNVMastotheidentityoftheApplicantand/oranyperson<br />

on whose behalf the Applicant appears to be acting, NVM may, in its<br />

absolute discretion, retain an <strong>Application</strong> <strong>Form</strong> lodged by an Applicant<br />

and/or the cheque or other remittance relating thereto and/or the<br />

Registrar may not enter the Applicant on the register of members or<br />

issueanysharecertificatesinrespectofsuchapplication.Ifverification<br />

of identity is required, this may result in delay in dealing with an<br />

applicationandinrejectionoftheapplication.TheCompanyreservesthe<br />

right,initsabsolutediscretion,foritorNVMtorejectanyapplicationin<br />

respect of which NVM considers that, having requested verification of<br />

identity,ithasnotreceivedevidenceofsuchidentitysatisfactorytoitby<br />

suchtimeaswasspecifiedintherequestforverificationofidentityorin<br />

any event within a reasonable period. In the event of an application<br />

beingrejectedinanysuchcircumstances,theCompanyreservestheright<br />

initsabsolutediscretion,butshallhavenoobligation,toterminateany<br />

contractofallotmentrelatingtoorconstitutedbysuch<strong>Application</strong><strong>Form</strong><br />

(inwhicheventthemoneypayableorpaidinrespectoftheapplication<br />

will be returned (without interest) to the account of the drawee bank<br />

fromwhichsuchsumswereoriginallydebited)and/ortoendeavourto<br />

procure other subscribers for the Shares in question (but in each case<br />

without prejudice to any rights the Company may have to take<br />

proceedingstorecoverinrespectoflossordamagesufferedorincurred<br />

by it as a result of the failure to produce satisfactory evidence as<br />

aforesaid). The submission of an <strong>Application</strong> <strong>Form</strong> will constitute an<br />

undertaking by the Applicant to provide promptly to NVM such<br />

informationasmaybespecifiedbyitasbeingrequiredforthepurposeof<br />

theMLRegulations.<br />

<br />

13. Therightisalsoreservedtotreatasvalidandbindinganyapplicationnot<br />

complyingfullywiththeseTermsandConditionsof<strong>Application</strong>ornotin<br />

allrespectscomplyingwiththeNoteson<strong>Application</strong><strong>Form</strong>.Inparticular,<br />

but without limitation, the Company may accept applications made<br />

otherwise than by completion of an <strong>Application</strong> <strong>Form</strong> where the<br />

ApplicanthasagreedinsomeothermanneracceptabletotheCompany<br />

toapplyinaccordancewiththeseTermsandConditionsof<strong>Application</strong>.<br />

<br />

<br />

<br />

<strong>Northern</strong> 3 <strong>VCT</strong> <strong>PLC</strong> 12

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