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Question:

US Investor

Qualified Purchaser / Accredited Investor

You are a qualified purchaser and accredited investor and acknowledge that Sciens will not provide you with specific fund or investment product information unless you specifically request for Sciens to do so by checking the boxes on this form. Any information provided by Sciens following such a request will be provided on the basis that you have specifically requested the information regarding the fund or investment product and that any such request was initiated solely by you.

Non-US Investor

Qualified Investor

You are a qualified investor and acknowledge that Sciens will not provide you with specific fund or investment product information unless you specifically request for Sciens to do so by checking the boxes on this form. Any information provided by Sciens following such a request will be provided on the basis that you have specifically requested the information regarding the fund or investment product and that any such request was initiated solely by you.