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Title  :

First name^* :

Last name^* :

Company  :

Job Title  :

Phone^* :

Email^* :

Address  :

City  :

Zip  :

State  :

Login^* :

Password^* :

Password (check)^* :

Investor type  : InstitutionelPrivater

Qualified investor^{1 *} : Yes No

Country  :

Note  :

^* mandatory fields :

¹ By qualified investors pursuant to the CISA (Collective Investment Schemes Act) specifically means:

• a. regulated financial intermediaries such as banks, securities traders, fund management companies and asset managers of collective investment schemes, as well as central banks;
• b. regulated insurance institutions;
• c. retirement benefits institutions with professional treasury operations, companies and public entities with professional treasury operations;
• d. individuals who have concluded a written discretionary management agreement with a bank or an independent asset manager unless they have declared in writing that they do not wish to be deemed as such (opting out);
• e. individuals declare in writing that they wish to be deemed qualified investors, who have specific individual education and professional experience in the financial sector and hold assets of at least CHF 500 000;
• f. individuals declare in writing that they wish to be deemed qualified investors, and they hold assets of at least CHF 5 million (may comprise immovable assets of up to CHF 2 million calculated on the basis of the market value less all debt associated with the immovable asset) (attributed to the assets: bank credit balances at sight or on demand; trust funds; securities including collective investment schemes and structured products; derivatives; precious metals; life insurance policies with a surrender value but no occupational pension assets (LPP)).

Q1. You are completing this information on behalf of

	Yourself
	Your Organization
	Both

Q2. Are you an accredited investor in accordance with Rule 501(a) of Regulation D of the Securities Act of 1933 ?

	No
	Yes, I am a natural person who owns at least $5,000,000 in investments (as defined in Rule 2a51-1 under the Investment Company Act of 1940).
	Yes, I represent a company that (i) owns at least $5,000,000 in investments and (ii) is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouses (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons.
	Yes, I represent a trust that was not formed for the specific purpose of acquiring the securities offered, as to which the trustee or other person authorized to make decisions with respect to the trust, and each person who has contributed assets to the trust, is a qualified purchaser described in clauses (i), (ii), or (iv) of Section 2(a)(51) of the Investment Company Act of 1940.
	Yes, I am a natural person or an entity who/which is acting for its own account or the accounts of other qualified purchasers and who/which in the aggregate owns and invests on a discretionary basis at least $25,000,000 in investments.
	Yes, I am a qualified institutional buyer as defined in Rule 144A under the Securities Act of 1933 that is acting for its own account, the account of another qualified institutional buyer, or the account of a qualified purchaser, provided that I am not (1) a dealer described in Rule 144A(a)(1)(ii), that owns and invests on a discretionary basis less than $25,000,000 in securities of issuers that are not affiliated persons of the dealer, or (2) a plan referred to in Rule 144A(1)(1)(i)(D) or (E), or a trust fund referred to in Rule 144A(a)(1)(i)(F) that holds the assets of such a plan, the investment decisions with respect to which are made by the beneficiaries of the plan, unless the investment decisions are made solely by the fiduciary, trustee, or sponsor of such plan.
	Yes, I represent an entity the outstanding securities of which are beneficially owned solely by qualified purchasers.

Q3. Are you a qualified purchaser in accordance with Section 2(a)(51) of the Investment Company Act of 1940?

	No
	Yes, I am a natural person who owns at least $5,000,000 in investments (as defined in Rule 2a51-1 under the Investment Company Act of 1940).
	Yes, I represent a company that (i) owns at least $5,000,000 in investments and (ii) is owned directly or indirectly by or for two or more natural persons who are related as siblings or spouses (including former spouses), or direct lineal descendants by birth or adoption, spouses of such persons, the estates of such persons, or foundations, charitable organizations, or trusts established by or for the benefit of such persons.
	Yes, I represent a trust that was not formed for the specific purpose of acquiring the securities offered, as to which the trustee or other person authorized to make decisions with respect to the trust, and each person who has contributed assets to the trust, is a qualified purchaser described in clauses (i), (ii), or (iv) of Section 2(a)(51) of the Investment Company Act of 1940.
	Yes, I am a natural person or an entity who/which is acting for its own account or the accounts of other qualified purchasers and who/which in the aggregate owns and invests on a discretionary basis at least $25,000,000 in investments.
	Yes, I am a qualified institutional buyer as defined in Rule 144A under the Securities Act of 1933 that is acting for its own account, the account of another qualified institutional buyer, or the account of a qualified purchaser, provided that I am not (1) a dealer described in Rule 144A(a)(1)(ii), that owns and invests on a discretionary basis less than $25,000,000 in securities of issuers that are not affiliated persons of the dealer, or (2) a plan referred to in Rule 144A(1)(1)(i)(D) or (E), or a trust fund referred to in Rule 144A(a)(1)(i)(F) that holds the assets of such a plan, the investment decisions with respect to which are made by the beneficiaries of the plan, unless the investment decisions are made solely by the fiduciary, trustee, or sponsor of such plan.
	Yes, I represent an entity the outstanding securities of which are beneficially owned solely by qualified purchasers.

Q4. Do you invest in hedge funds?

	Yes
	No

Q5. Have you invested in hedge funds or alternative investment funds for more than five years?

	Yes
	No

Q6. Do you understand the risks involved in investing in hedge funds?

	Yes
	No

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Q7. Your contact at Diapason is 

(please note if you do not have a contact please leave blank and someone will be in touch with you)

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Thank you very much for your time. By pressing the "Submit" button below, you agree that you have filled in this questionnaire completely, truthfully and to the best of your ability and that you also have read and agree to the Terms of Use Agreement which you should review carefully. You also agree to be classified as an “elective professional client”, as defined by the UK Financial Services Authority. As an elective professional client, you understand the risks associated with investing in unregulated collective investment schemes and you will not be afforded the same protections as retail clients such as access to the Financial Services Compensation Scheme and the Financial Ombudsman Service..