NET4 Holdings Limited
EIS Investment Application Form
To apply, please take the time to fill out the information below.
Paying your Subscription
Please pay by bank transfer if possible. Use the details below to make payment:
Bank name: Bank of Scotland
Account name: NET4 Holdings Limited
Account No: 10319068
Sort Code: 12-11-03
IBAN: GB58 BOFS 1211 0310 3190 68
To pay by cheque: please make your cheque payable to “NET4 Holdings Limited” and enclose with your application.
This Application Form and payment must arrive no later than 1pm on the Closing Date (3rd April 2022), or such later date as NET4 Holdings Limited may at its sole discretion decide to close the Offer.
NET4 Holdings Limited reserves the right to reject an Application Form if it has reasonable cause to do so, for example, if relevant information is not included.
Due to anti-money laundering regulations, you will need to provide two different forms of identification, one to prove your identity (passport or driving licence) and one to confirm where you live (utility bill or bank statement less than three months old). Copies must be certified.
If you are a lawyer or an accountant or other professional person who is subject to professional rules preventing you from making investments in particular EIS-qualifying companies, please advise NET4 Holdings Limited.
NB: We can only accept cheques drawn on an account in your own name. Third party cheques cannot be accepted.
1.1. In order for us to accept your application, we will need to undertake an assessment to determine whether this product is appropriate for you. In order for us to do this we need to consider:
Your knowledge and experience of investing in similar investments;
Your financial situation so that we can assess whether you are able financially to bear the risk of your investment in NET4 Holdings Limited; and
Your investment objectives so that we can assess whether NET4 Holdings Limited meets these objectives.
1.2. In addition, we want to satisfy ourselves that you understand NET4 Holdings Limited and the risks associated with it. We would therefore appreciate it if you could answer the following questions. If you do not answer these additional questions we will not be able to determine whether your investment in NET4 Holdings Limited is appropriate for you which may result in your application being rejected. You must ensure that any information which you give us about your circumstances must be true and not misleading in any material respect and you must notify NET4 Holdings Limited immediately if there is any material change in the information which you have provided.
2. KNOWLEDGE AND EXPERIENCE
2.1. During the last 5 years, in which of the following investments have you invested?
If yes, please state the average numbers and volumes per annum
Is investing in shares similar to depositing money with a bank?
When can I withdraw my investment?
What is the nature of the investment and how is it managed?
What is the nature of EIS relief?
I, the Investor, confirm that:
I have truthfully answered this questionnaire;
I wish to seek EIS relief for my investment in NET4 Holdings Limited;
I am applying on my own behalf;
I acknowledge that NET4 Holdings Limited is not providing investment, legal, financial, tax or other advice and that any tax information provided is only a generic summary of EIS;
I am a person to whom the Memorandum may lawfully be distributed without contravention of the Financial Services and Markets Act 2000;
I agree to be bound by the terms of the Investor Agreement;
I have advised NET4 Holdings Limited if I am a solicitor or accountant or other professional person who is subject to professional rules preventing me from making investments, in particular in NET4 Holdings Limited;
I have supplied the correct anti-money laundering documents as requested in this Application Form;
I recognise that NET4 Holdings Limited is a speculative venture;
I recognise that there is no established market for shares in NET4 Holdings Limited, that it is not expected that there will be such a market at any time and that I may have difficulty in selling my shares or in obtaining reliable information about their value;
I have the financial ability to bear the economic risk of my investment, have adequate means for providing for any current needs and possible contingencies and no need for liquidity of my investment in NET4 Holdings Limited;
I have provided NET4 Holdings Limited with a valid sophisticated investor certificate, self-certified sophisticated investor certificate, certificate of high net worth or such other proof that I am an Applicable Investor as NET4 Holdings Limited may require.
Please upload the following TWO documents:
* Copy of the picture page of you passport (including name and other details)
* Copy of a proof of address (for example, a driver's license or utility bill not more than three months old)
Should you encounter any issues or have any further questions, please contact Martin Taylor at email@example.com.