CFS Debt Fund L.P. | Term DepositPrepared from the CFS Debt Fund L.P. onboarding documents. For wholesale and qualifying investors only.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Term Deposit Investor Information - Step 1 of 5Before completing this form Warning This investment is not suitable or available for retail investors. The usual regulated offer disclosure requirements do not apply to wholesale or qualifying investor offers. It is an offence to give a certificate knowing that it is false or misleading in a material particular. 1. Investor detailsFull Legal Name *Email Address *Date of Birth *ID Type *NZ Driver LicenceNZ PassportOverseas PassportOtherID Number *ID exp date *NZ Driver Licence VersionCountry of issueNew ZealandAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and The South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-lesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweID Type Name *Mobile Number *PhoneOccupationCurrent Residential Address *Next2. Wholesale investor certificate Please tick the option that applies. Only complete this section if you are satisfied that the relevant category applies to you. Seek advice if unsure.Multiple ChoiceInvestment activity You meet the investment activity criteria under Schedule 1 of the FMCA.Investment business Your principal business involves investing, underwriting, financial advice, client money/ property services or trading financial products.Large investor You meet the relevant NZD $5 million net assets or turnover test.Eligible investor You have relevant previous experience and must complete the adviser/accountant/lawyer confirmation.Close business associate You meet a close business associate exclusion category.PreviousNext3. Subscription selection Subscription Term Selected Value: 12 Months Rate per annum (%)Interest payment options#Interest payment optionsAt maturityInterest payment optionsQuarterlyInterest payment optionsMonthlyPreviousNext4. Tax details Company NameNew Zealand Business Number (NZBN) IRD Number *RWT RateAre you a foreign tax resident? *YesNoUS tax resident? *YesNoForeign tax jurisdiction and tax numberAdditional foreign tax jurisdiction and tax numberPreviousNext I/we authorise the Credit Provider to disclose personal information about me/us to a credit agency for the purposes of compiling a credit report, creating a credit profile, merchandising, market research and offering additional services including newsletters from or the offer of additional credit facilities. The information that may be disclosed includes name, address and telephone number, the loan amount of any facility, any debits made, the frequency and amounts of payments made including details of overdue payments. I/we understand that I/we have the right to access and request correction of my personal information held by the credit reporting agency. I/We fully read and fully understood Crown Financial Services' Privacy Policy, Credit Consent and AMLCFT Consent outlined in these terms and conditions. Paragraph TextPreviousApply
