INSIGHT GLOBAL FUNDS II PLC - Insight Investment

(b) Corporate shareholders orcorporate trustee:Place of IncorporationFull title of body corporate / corporate trustee for registrationAccount Designation(s) (if applicable)AddressPostcodeEmail addressTelephone numberFax numberFor trusts/estates please indicate name hereMailing contact nameMailing addressPostcodeEmail addressTelephone numberFax number3. MY/OUR BANK ACCOUNT DETAILSPlease complete the relevant sectionwith the details of the bank account intowhich you wish redemption payments tobe made. Please be aware that paymentswill be witheld until full bank accountdetails are provided. You can provide bankaccount details at a later date, but theymust be provided in writing accompaniedby an original signing authority before anypayments can be made.Payments will only be made to a bankaccount in the name of the registeredShareholder. No third party paymentswill be made.Amendments to an investor’s paymentinstructions will only be effected uponreceipt of an original instruction which hasbeen signed by an authorised signatory.In the case of joint accounts, instructionswill only be carried out upon receipt of aninstruction signed by all account holders.NO THIRD PARTY PAYMENTSWILL BE ACCEPTEDPayment should come from theaccount of the applicant(s).For GBP Share ClassesCorrespondent bank (if applicable)Correspondent bank ABA / BIC code (if applicable)Intermediary bank nameSort code / BICAccount nameAccount numberIBAN (if applicable)For EUR Share ClassesCorrespondent bank (if applicable)Correspondent bank ABA / BIC code (if applicable)Intermediary bank nameSort code / BICAccount nameAccount numberIBAN (if applicable)4

For USD Share ClassesCorrespondent bank (if applicable)Correspondent bank ABA / BIC code (if applicable)Intermediary bank nameSort code / BICAccount nameAccount numberIBAN (if applicable)For CAD Share ClassesCorrespondent bank (if applicable)Correspondent bank ABA / BIC code (if applicable)Intermediary bank nameSort code / BICAccount nameAccount numberIBAN (if applicable)For CHF Share ClassesCorrespondent bank (if applicable)Correspondent bank ABA / BIC code (if applicable)Intermediary bank nameSort code / BICAccount nameAccount numberIBAN (if applicable)4. ELECTRONIC REPORTINGWe can send you contract notes, statements and other reports by email or fax rather than by post. Information not sent electronically will beissued by post.Please state the name, email address, telephone and fax number of all individuals to which electronic reporting should be made available.Full nameEmail addressFax numberTelephone numberOnly investors who do NOT want to receive electronic reporting should tick the box below.By ticking the box, I hereby confirm that I do not wish to receive contract notes, statements and other reports which may be issued fromtime to time in accordance with Irish Law by the Administrator in respect of my holdings in the Company by electronic means.5

An Individual and Joint Investor/sIf you, as applicant(s) or transferee(s) is/are an Individual(s) please supply the followingdocuments.In the case of joint account holders, please supply the relevant documentation in respect ofall holders.• A copy* photographic identity document and two forms of proof of address.Note: the Company or the Administrator may require further documentation to be providedupon written request.* All of the above copies can be certified by any of the following; a police officer, charteredand certified public accountant, notaries public, solicitor, embassy and consular staff andyour bank or Investment Adviser if authorised and regulated in Australia, Austria, Belgium,Bermuda, Canada, Denmark, Finland, France, Germany, Gibraltar, Greece, Guernsey, HongKong, Iceland, Ireland, Italy, Japan, Jersey, Luxembourg, Isle of Man, Netherlands, NewZealand, Norway, Portugal, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey,United Kingdom, United States, (please note this list is subject to change).Where the investor is not present for identification purposes or where an electronic form ofverification is provided, the first payment must be made from an account in the investor’sname with a credit institution from an Equivalent Jurisdiction.6. SAVINGS DIRECTIVE(INDIVIDUAL AND JOINTINVESTORS ONLY)To verify your identity for tax purposes,please attach an original documentcontaining your Tax Identification Numberor if not available, an identity documentcontaining details of your place and date ofbirth.In accordance with the requirements of Council Directive 2003/48/EC (‘Savings Directive’),individual investors are required to supply the following information. Under these requirements,the relevant paying agent may be required to disclose this information to the relevant taxauthority depending on the investment and distribution policy of the relevant Fund.Applicant 1Your place of residence for tax purposesYour Tax Identification Number in your place of residence for tax purposesTown and country of birth (for those without a Tax Identification Number)Applicant 2Your place of residence for tax purposesYour Tax Identification Number in your place of residence for tax purposesTown and country of birth (for those without a Tax Identification Number)7. FINANCIAL ADVISERAUTHORISATIONThis section should be completed if you areinvesting on the advice of a financial adviser.I/We hereby appoint the following financial adviser and authorise you to give him/herinformation relating to my/our account.Contact nameThis will help us keep your adviser up to datewith the progress of your investment.This section should be completedby your financial adviser.Adviser signatureFinancial adviser’s stamp / addressCompanyNameFCA / local regulator / Insight TOB numberI/We confirm that the applicant(s) is/are applying on his/her own behalf and not asnominee, trustee or in a fiduciary capacity for any other person not disclosed on thisapplication form.9

8. DECLARATION OF RESIDENCEOUTSIDE THE REPUBLICOF IRELANDApplicants resident outside Ireland arerequired by the Irish Revenue Commissionersto make the following declaration which isin a format authorised by them, in order toreceive payment without deduction of tax.It is important to note that this declaration,if it is then still correct, shall apply inrespect of any subsequent acquisitions ofshares. Terms used in this declaration aredefined in the Prospectus.Delete (a) or (b) as appropriate.IMPORTANT NOTES1. Non-resident declarations are subjectto inspection by the Irish RevenueCommissioners and it is a criminal offenceto make a false declaration.2. To be valid, the application form(incorporating the declaration required bythe Irish Revenue Commissioners) mustbe signed by the applicant. Where thereis more than one applicant, each personmust sign. If the applicant is a company, itmust be signed by the company secretaryor another authorised officer.3. If the application form (incorporating thedeclaration required by the Irish RevenueCommissioners) is signed under power ofattorney, a copy of the power of attorneymust be furnished in support of thesignature.(a) Declaration on own behalfI/We* declare that I am/we are* applying for the shares on my own/our own behalf/onbehalf of a company* and that I am/we are/the company* is entitled to the shares in respectof which this declaration is made and that I am/we are/the company is* not currently residentor ordinarily resident in Ireland, and should I/we/the company* become resident in IrelandI will/we will* so inform you, in writing, accordingly.* Delete as appropriate (mandatory)(b) Declaration as IntermediaryI/We* declare that I am/we are* applying for shares on behalf of persons:• who will be beneficially entitled to the shares; and,• who, to the best of my/our* knowledge and belief, are neither resident nor ordinarilyresident in Ireland.I/We* also declare that:• unless I/we* specifically notify you to the contrary at the time of application, all applicationsfor shares made by me/us* from the date of this application will be made on behalf of suchpersons; and,• I/we* will inform you in writing if I/we* become aware that any person, on whose behalf I/we* hold shares, becomes resident in Ireland.* Delete as appropriate (mandatory)Applicant name and addressSignature of applicant orauthorised signatory (declarant)Capacity of authorised signatory (if applicable)DateJoint applicants should also complete the following:NameNameSignatureSignature9. DECLARATION OF RESIDENCE It is important to note that this declaration, if it is still then correct, shall apply in respect of anyWITHIN THE REPUBLIC OFacquisitions of shares.IRELAND. DECLARATION• I/We declare that the information contained in this declaration is true and correct.REFERRED TO IN SECTION 739D(6)• I/We also declare that I am/we are applying for the shares on behalf of the applicant namedTAXES CONSOLIDATION ACT,1997 1 below who is entitled to the shares in respect of which this declaration is made and is aperson referred to in Section 739D(6) of the Taxes Consolidation Act, 1997 (“TCA 1997”),being a person who is:10Please tick as appropriateA pension schemeA company carrying on life business within the meaning of section 706 TCA 1997An investment undertakingA special investment schemeA unit trust to which section 731(5)(a) TCA 1997 applies;A charity being a person referred to in section 739D(6)(f)(i) TCA 1997;A qualifying management companyA specified companyEntitled to exemption from income tax and capital gains tax by virtue of section 784A(2)TCA 1997* or by virtue of Section 848E TCA 1997*, (see further requirements forQualifying Fund Manager/Qualifying Savings Manager below).A PRSA AdministratorA credit union within the meaning of Section 2 of the Credit Union Act 1997

Additional requirements where the declaration is completed on behalf of a charityI/We also declare that at the time of making this declaration, the shares in respect of whichthis declaration is made are held for charitable purposes only and;• form part of the assets of a body of persons or trust related by the Revenue Commissionersas a body or trust established for charitable purposes only, or• are, according to the rules or regulations established by statute, charter, decree, deed of trustor will, held for charitable purposes only and are so treated by the Revenue Commissioners.I/We undertake that, in the event that the person referred to in paragraph (7) (d) of Schedule 2BTCA 1997 ceases to be a person referred to in Section 739D(6)(f)(i) TCA 1997, I/we will by writtennotice, bring this fact to the attention of the investment undertaking accordingly.Additional requirements where the declaration is completed by a Qualifying FundManager/Qualifying Savings Manager/PRSA AdministratorI/We also declare that at the time this declaration is made, the shares in respect of whichthis declaration is made;• are assets of an approved retirement fund/an approved minimum retirement fund, a specialsavings incentive account or a Personal Retirement Savings Account (PRSA), and• are managed by the declarant for the individual named below who is beneficially entitledto the shares.I/We undertake that, if the shares cease to be assets of the approved retirement fund/theapproved minimum retirement fund, a PRSA, or held in a special savings incentive account,including a case where the shares are transferred to another such fund or account, I/we will,by written notice, bring this fact to the attention of the investment undertaking accordingly.Additional requirements where the declaration is completed by an IntermediaryI/We declare that I am/we are applying for shares on behalf of persons who:• to the best of my/our knowledge and belief have beneficial entitlement to each of theshares in respect of which this declaration is made; and• is a person referred to in Section 739D(6) TCA 1997.I/we also declare that:• unless I/we specifically notify you to the contrary at the time of the application, all applicationsfor shares made by me/us from the date of this application will be made on behalf of personsreferred to in Section 739D(6) TCA 1997; and• I/we will inform you in writing if I/we become aware that any person ceases to be a personreferred to in Section 739D(6) TCA 1997.Name of applicantIrish Tax Reference Number of applicant (note 2)Authorised signatory (Declarant)(Mr./Ms./etc.) (note 3)Capacity in which declaration is madeDate*Personal Retirement Savings Accounts.11

FATCA Classification:Financial Institutions:If you are a Financial Institution, please tick one of the below categories, and provide yourFATCA Global Intermediary Identification Number (GIIN):Irish Financial Institution or a Partner Jurisdiction Financial InstitutionRegistered Deemed-Compliant Foreign Financial Institution (registered deemed-compliantFFI)Participating Foreign Financial Institution (participating FFI)Please provide your Global Intermediary Identification number (GIIN)And/or supply a W-8If you are a Financial Institution but unable to provide a GIIN, please tick one of the below reasons;The Entity is an Inter-Governmental Agreement Partner Jurisdiction Financial Institutionand has not yet obtained a GIINThe Entity has not yet obtained a GIIN but is sponsored by another entity which does havea GIIN.Please provide your sponsor’s name and sponsor’s GIIN:Sponsor’s Name:Sponsor’s GIIN:Exempt Beneficial OwnerCertified Deemed-Compliant Foreign Financial Institution (certified deemed-compliant FFI)(including a Foreign Financial Institution deemed compliant under Annex II of an IGA)Non-Participating Foreign Financial Institution (Nonparticipating Financial Institution)Excepted Foreign Financial Institution (excepted FFI)U.S. Person but not a Specified U.S PersonNon-Financial Institutions:If the Entity is not a Foreign Financial Institution (FFI), please confirm your FATCA status below:The Entity is an Active Non-Financial Foreign Entity (Active NFFE) orThe Entity is a Passive Non-Financial Foreign Entity (Passive NFFE) (If the Entity is a PassiveNon-Financial Foreign Entity, please provide details of any Controlling Persons (whosepercentage of ownership is 25% or greater) which are U.S citizens or residents in the USfor tax purposes. The term Controlling Persons is to be interpreted in a manner consistentwith the recommendations of the Financial Action Task Force.I am an Excepted Non-Financial Foreign EntityINDIVIDUALDeclaration of U.S. Citizenship or U.S. Residence for Tax purposes:Please tick either (a) or (b) and complete as appropriate.(a)I confirm that I am a U.S. citizen and/or resident in the U.S. for tax purposes and myU.S. federal taxpayer identifying numberU.S TIN:OR(b)And/or I will supply a W-9I confirm that I am not a U.S. citizen or resident in the U.S. for tax purposes.13

11. SIGNATURES ANDDECLARATIONSThis is a form authorised by the RevenueCommissioners which may be subject toinspection. It is an offence to make afalse declaration.1. I/We hereby acknowledge as part of this application that I/we have been offered theProspectus and the most recent annual reports and accounts for the Company and havebeen provided with the relevant Key Investor Information Documents, and furthermore,that this application is made on the terms thereof and subject to the provisions of theProspectus and Memorandum and Articles of Association of the Company and I/we arebound by the terms of the Prospectus and Memorandum and Articles of Association ofthe Company.2. I/We have made arrangements for payment to be made by electronic transfer inaccordance with Section 3 of this application and acknowledge that the Companyreserves the right to reject in whole or in part this application.3. I/We hereby represent and declare that I/we: (1) am/are not a U.S. Person as defined inthe Prospectus; (ii) have not been solicited to purchase and have not and will not acquireShares while present in the United States; (iii) am/are not applying as a nominee of a U.SPerson and I/we am/are not acting on behalf of nor do I/we intend to transfer any Sharesto a U.S Person(s); (iv) will not transfer any Shares or any interest therein to a U.S Personand will not transfer any Shares within the United States; and (v) will promptly notify theCompany if I/we should at any time become a U.S Person. I/We confirm that I/we have theauthority to make this investment whether the investment is my/our own or is made onbehalf of another person or institution.I/We hereby represent and declare that I/we are/am fully informed as to: (i) the legalrequirements within my/our country for the purchase of the Shares and are permittedto purchase the Shares under the laws and regulations of my/our home country inthe manner in which the Shares have been offered and sold to me/us; (ii) any foreignexchange restrictions applicable to me/us; and (iii) any relevant tax considerations relatingto me/us arising out of our purchase and ownership of Shares.4. I/We hereby agree to indemnify and hold harmless the Company, Custodian,Administrator, Investment Manager, Sub-Investment Manager, Distributor and the otherShareholders and their respective directors, officers and employees against any loss,liability, cost or expense (including without limitation legal fees, taxes and penalties) whichmay result directly or indirectly, from any misrepresentation or breach of any warranty,condition, covenant or agreement set forth herein or in any document delivered by me/usto the Company. The Company, the Custodian, the Administrator, the Distributor and theInvestment Manager will not be responsible or liable for the authenticity of instructionsreceived from me/us or any authorised person and may rely upon any instructionfrom any such person representing himself to be a duly authorised person reasonablybelieved to be genuine. I/We also agree to indemnify and hold harmless the Company,the Custodian, the Administrator, the Investment Manager, the Distributor and the otherShareholders and their respective directors, officers and employees against any loss,liability, cost or expense (including without limitation legal fees, taxes and penalties) whichmay result from my/our holdings of shares in the Company which brings the Companyinto conflict with any requirement of any local regulatory authority or the Companyincurring any liability to taxation or breaching any law or regulation of any local regulatoryor taxation authority.5. I/We acknowledge that the Company intends to take such steps as may be required tosatisfy any obligations imposed by either (i) the Foreign Account Tax Compliance Act(“FATCA”) regulations or (ii) any provisions imposed under Irish law arising from the intergovernmentalagreement between the Government of the United States of America andthe Government of Ireland (“IGA”) so as to ensure compliance or deemed compliance (asthe case may be) with the FATCA regulations or the IGA from 1 July 2014.I/We agree to provide to the Company, the Investment Manager, the Sub-InvestmentManager, the Administrator and/or the Distributor the necessary FATCA declarations,confirmations and/or classifications at such times as each of them may request andfurthermore provide any supporting certificates or documents as each of them mayreasonably require in connection with this investment by reason of the FATCA regulationsor the IGA, as described above, as amended or supplemented from time to time. Shouldany information furnished to any of them become inaccurate or incomplete in any way,I/we hereby agree to notify the Company, the Investment Manager, the Sub-InvestmentManager, the Administrator and/or the Distributor immediately of any such changeand further agree to immediately take such action as the Company, the InvestmentManager, the Sub-Investment Manager, the Administrator and/or the Distributor maydirect, including where appropriate, redemption of our Shares in respect of which suchconfirmations have become incomplete or inaccurate where requested to do so by theCompany, the Investment Manager, the Sub-Investment Manager, the Administratorand/or the Distributor (as applicable). If relevant, I/we agree to notify the Company andthe Administrator of any change to my/our tax residency status. I/we hereby also agreeto indemnify and keep indemnified the Company, the Investment Manager, the Sub-Investment Manager, the Administrator and/or the Distributor against any loss, liability,cost or expense (including without limitation legal fees, taxes and penalties) which mayresult directly or indirectly as a result of a failure to meet our obligations pursuant to14

or for compliance with the Savings Directive (2003/48/EC) or with foreign regulatoryrequirements. I/We also agree that such information may be transferred to countriesoutside the European Economic Area for these purposes and that such countries may nothave equivalent data protection laws to those in Europe. I /we hereby acknowledge my/our right of access to and the right to rectify my/our personal data. The Company is a datacontroller and will hold any personal information provided by me in accordance with theData Protection Act 1988 as amended by the Data Protection (Amendment) Act, 2003.11. To be valid, this application form must be signed by each applicant and if not fullycompleted to the satisfaction of the Company, the Administrator or the Distributorthe application may be rejected. In the case of a partnership/firm applications shouldbe signed by all the partners/proprietors. In the case of a corporation, applicationsshould be executed under seal or signed by a duly authorised person(s) who shouldstate the representation capacity. In the case of a trust, application should be madein the individual names of the trustees and should be accompanied by duly certifieddocumentation. If this application form is signed under power of attorney, such powerof attorney or a duly certified copy thereof must accompany this application.12. I/We undertake to abide by the restrictions on transfers of shares set out in theProspectus under the headings “Transfer of Shares”. In addition, I/we undertake to ensurethat the transferee completes an Application Form in respect of such transfer.13. I/We hereby confirm that I/we shall be deemed to make, on a continuous basis, each ofthe statements contained herein unless I/we notify you to the contrary in relation to anyShares I/we hold or obtain at any time.14. I/We agree to be bound by the declarations, representations, consents and indemnitiesset out in this Application Form.15. I/We acknowledge that Key Investor Information Documents (“KIIDs”) can be obtainedfrom the Insight Investment website www.insightinvestment.com and consent to beingprovided with the KIIDs in this form via the website. I/We acknowledge and confirm thatI/we will ensure that I/we have received, read and understood the relevant KIIDs prior tosubmitting (by any permitted means) any application to subscribe for Shares.PLEASE SIGN BELOWSignature of all applicant(s) (individuals)or duly authorised signatories(corporate applicants).16. I/We hereby irrevocably apply to invest on the terms set out in this application form.Name (1)Authorised SignatureDateName (2)Authorised SignatureDateName (3)Authorised SignatureDateName (4)Authorised SignatureDate16