Business Advisors | Crypto Trading Platform, Strategies & Market

For more information: info@think10capital.com
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This Application Form is given solely to the recipient of the Information Memorandum for the Think10 Capital Management Digital Yield Fund.

Please confirm that you have carefully considered the content of the Information Memorandum for this fund

I confirm I have read the Information Memorandum for the Fund.(Required)

I confirm I have read the Information Memorandum for the Fund.

Know Your Customer (KYC) Requirements

We are required to verify information about you (and your investment entity) to comply with Anti-Money Laundering and Counter Terrorism Financing (AML/CTF) and Know Your Customer (KYC) legislation.

I agree my information can be shared with for AML/CTF and KYC purposes(Required)

I agree my information can be shared with for AML/CTF and KYC purposes

I agree my information can be used for AML purposed to verify my identity, to verify my entity details and those of any beneficial owners with 25% or more interest in the entity(Required)

I agree my information can be used for AML purposed to verify my identity, to verify my entity details and those of any beneficial owners with 25% or more interest in the entity

CAPTCHA

Select Investor Type(Required)

Individual Form

If applicable, please select ‘joint holdings below’

Given Name(Required)

Surname(Required)

Registered for tax in australia(Required)

Yes

Tax File Number(Required)

It is not compulsory to supply a TFN or ABN for tax reasons, but if you don’t and the entity is the taxable we will withhold tax at the highest marginal tax rate from distributions we pay to you.

This account is joint holdings?(Required)

Yes

This account is a sole trader?(Required)

Yes

Company Form

Australian Company / Foreign Company / Proprietary / Public

Company Registration Name

Type of Trust(Required)

Please select the Country of incorporation(Required)

Registered for tax in australia(Required)

Yes

Company ABN

Company TFN

It is not compulsory to supply a TFN or ABN for tax reasons, but if you don’t and the entity is the taxable we will withhold tax at the highest marginal tax rate from distributions we pay to you

Trusts / SMSFs

Trustee / Self Managed Super Fund / Other Trust etc.

Individual or Corporate Trustee(s)(Required)

Trustee Name(Required)

Type of Trust(Required)

Full Name of Trust(Required)

Registered for tax in australia(Required)

Yes

Company TFN

CAN / ABN / ABRN

Contact Details

Given Name

Surname

Please provide a primary contact email for your application

Phone (Mobile)(Required)

Phone (work)

Address

City

State / Province / Region

Zip / Postal Code

Country(Required)

Communication Preferences

Do you want to add an advisor to receive fund communications?

Send correspondence to my financial advisor

Advisor Name

Advisor Email

Advisor Phone

Advisor Address

Advisor Address 2

City

State / Province / Region

Zip / Postal Code

Country(Required)

Account Details

Australian Bank Account
Bank Details

Account Name(Required)

Bank Name(Required)

Bank Account Number(Required)

BSB Number(Required)

Distributions Note

Depending on the Investment Manager, any net income distributions may be reinvested for you into new units in the Fund. Please contact the Investment Manager or consult the Information Memorandum if you wish to have your distributions paid to your bank account instead.

Distributions Instructions*

Reinvest my Distributions

Pay my distributions into my bank account

Foreign Bank Account
Bank Details

Account Name(Required)

Bank Name(Required)

Bank Account Number(Required)

Bank Branch

Swift Code(Required)

Bank Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country(Required)

Distributions Note
Depending on the Investment Manager, any net income distributions may be reinvested for you into new units in the Fund. Please contact the Investment Manager or consult the Information Memorandum if you wish to have your distributions paid to your bank account instead.

Distributions Instructions*

Reinvest my Distributions

Pay my distributions into my bank account

FACTA Self Certification Declaration
This certification must be completed by all investors to declare their FATCA status or U.S. tax status. U.S. IRS Form W-8 or W-9 is accepted in place of this declaration. Please refer to section 8 for explanations of FATCA terms before completing this form. We strongly encourage you to seek the advice of an experienced tax or professional adviser in relation to completing this form.

PURPOSE OF THIS FORM
The Foreign Account Tax Compliance Act (FATCA), a United States regulatory requirement that aims to deter tax evasion by U.S. taxpayers, was introduced in 2010. From 1 July 2014 financial institutions (being managed investment funds) are required to identify investors that hold certain “financial accounts” and are U.S. persons or that are entities with substantial U.S. owners. Information on accounts and investments held by these U.S. investors must then be reported to the U.S. Internal Revenue Service (IRS) via the Australian Taxation Office (ATO).
Hyperlink: ‘FACTA Terms Glossary

Full Legal Name

Personal / Trust / Superannuation Fund / Company

Select only ONE of the following options that best describes the Superannuation Fund and provide the information requested.

I am an Australian Retirement Fund

I am not an Australian Retirement Fund

We’ll record your FATCA status as an Exempt Beneficial Owner

GIIN (if applicable)

FACTA status

FACTA Declaration*(Required)

▪ I/we declare that the information provided in this form is correct and where relevant reflects my/our tax status for purposes of FATCA ▪ I/we will promptly notify A4 Funds and provide it with any changes to the information provided by me/us in connection with this form and on request provide any further information reasonably required by Think10 Capital Management to comply with any obligation under FATCA

I agree by completing this form

Investor Funnel

Individual Form

Company Form

Trusts / SMSFs

Contact Details