Ginkgo MIC Subscription Agreement
Eligible Investor
New Account
Yes
No
Prepare Date - Year
Prepare Date - Short Year
Prepare Date - Month
Prepare Date - Day
Investment
Name of DR.
DR's Tel. Number
Please enter a valid phone number.
Format: (000) 000-0000.
DR's Email Address
example@example.com
Client's Name
Client Type
Individual
Corporation
Investment Amount
Investment Type
Please Select
Open
TFSA
RRSP
RESP
Individual Checklist
KYC Form
Signed Sub. Agreement
ID
Risk Acknowledgement Form
LOD
Cheque payable to issuer
Corporation Checklist
Certificate of Incorporation, Notice of Articles
Trust Declaration
Resolution of Officers and Directors
ID of Signing Authority
OM Date
-
Month
-
Day
Year
Date
Client's Name P11-1
Client's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Client's Tel. Number
Please enter a valid phone number.
Format: (000) 000-0000.
Client's Email Address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Client's Citizenship
Client's S.I.N
Distribution Option
ALL CASH
DRIP
Investment Amount - P11
Share Amount - P11
Date - Short Year - P11
Date - Month - P11
Date - Day - P11
Eligible Investor Status
Net Assets, alone with spouse over $400,000
Net Income over $75,000
Net Asset over $125,000 with spouse
Commission Amount
Exemption Type
EMD Name
Fund Name
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