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EPI 4 Investor plc - European Property Investments

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Application Form Part 1Application FormPart 2Please send completed Application Form pages 37 - 38 to:<strong>EPI</strong> 4 <strong>Investor</strong> <strong>plc</strong>, 6th Floor Riverpoint, Bishop’s Quay, LimerickTO: <strong>EPI</strong> 4 <strong>Investor</strong> <strong>plc</strong>I / We hereby apply to invest: €( amount in words )FOR INDIVIDUAL APPLICANTS<strong>EPI</strong> 4 <strong>Investor</strong> <strong>plc</strong>1. Signed, sealed and deliveredbyFirst Applicant in the presence of:Name of Witness:in accordance with and on the terms of and subject to conditions of this application form in respect of the Investmentreferred to in the Information Memorandum dated 17 - 03- 2008.(Block Capitals Please)Signature:Occupation:Individual( s ) / Company:Mr / Mrs / Ms: ( As on Passport )Passport Number:PPS Number:Date Of Birth:2. Signed, sealed and deliveredbyAdditional Applicant in the presence of:Name of Witness:Signature:Occupation:Mr / Mrs / Ms:Passport Number:FOR CORPORATE APPLICANTSPresent when Common SealPPS Number:Date Of Birth:Maiden Name:Insert Company Name(Limited ) was affixed heretoHome / Registered Address:Contact Telephone Number:Signed by:DirectorandDirector / SecretaryContact Name:Email:Company Registration Number:Please send completed Application Form pages 37 - 38 to:<strong>EPI</strong> 4 <strong>Investor</strong> <strong>plc</strong>, 6th Floor Riverpoint, Bishop’s Quay, Limerick38

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