Company Subscription

After filling out this form you will receive an email with the Profit Participation Note (PPN) Subscription Agreement that you will have to sign electronically in order to complete your subscription for PPNs in Quantrom P2P Lending DAC. You will also receive a link to the Offering Memorandum dated 25 October 2018 with detailed information about the Profit Participation Note Program.

Subscription form

Please enter the information about the company that wants to subscribe

Company name*

Company number*

Address*

Postal code*

City*

Country*

Please enter name of the primary contact person

Primary contact first name*

Primary contact last name*

Primary contact Email*

Primary contact mobile number*

Primary contact phone number

Please enter a primary signatory person for the company

Primary signatory first name*

Primary signatory last name*

Primary signatory Email*

Primary signatory mobile number*

Primary signatory phone number

Please enter your banking information

During the subscription process you will have to present a proof that you own the bank account from which you will transfer your investment to Quantrom

Bank*

IBAN Number*

Bic code*

Enter the amount you want to subscribe

Amount you want to subscribe*

Source of Wealth

Source of wealth: eg:retained earnings, share capital, sales of the company, etc

Your business activities and the industry that your organisation works in

what industry are you primarily active in and what is the purpose of your company, e.g. holding structure, operating/investment company, etc.

Why do you subscribe to Quantrom P2P Lending (purpose of your investment)

Enter purpose of investment here

Please select one of the below KYC methods:

KYC method*

The Offering Memorandum has been prepared by Quantrom P2P Lending DAC and is being delivered to persons who have expressed an interest in investing the Profit Participation Note Program. It is for information purposes only and does not constitute an offer or solicitation to buy or sell securities. Tax information contained in the Offering Memorandum is for general guidance purposes only.

Prospective investors are advised to make their own independent commercial assessment of the information contained therein and seek appropriate independent professional advice before deciding to subscribe for PPNs.

An investment in the PPN Program should only be undertaken by investors who are able to bear the economic risk of the investment, and who can afford to sustain a total loss of their investment.

While all reasonable care has been taken in preparing the Offering Memorandum, the PPN Subscription Agreement and all related documents and information in respect of the PPN Program, no warranties or representations expressed or implied, are given by the company or its advisors in relation to the accuracy, fairness or completeness of the information contained therein. The company, its shareholders, directors, employees and advisors shall not be responsible or liable losses incurred by investors in the PPN Program.

By signing this subscription agreement, you agree to invest the subscription amount with Quantrom subject to the satisfactory completion of the Quantrom P2P Lending AML investor onboarding process. This process may require further information from your company to meet AML/CTF requirements. Unsatisfactory information provided during this regulatory process may result in a refusal of your subscription at a later stage.

I confirm that I have read the above terms and agree with them

Subscription Process

Please prepare the following documents:

Updated structure chart dated, including Ultimate Beneficial Owners, that is signed no longer than 3 months ago-Articles of Association (or equivalent document)
Business register extract (or equivalent)
Extract of register of beneficial ownership
Board decision to invest in Quantum P2P Lending DAC
Authorised signatories list, if available/applicable
ID documentation + proof of address for each UBO/controlling person (note that a controlling person owns more than 25%)
ID documentation + proof of address for each director authorized to sign on behalf of the company
Information whether the UBOs have more than 1 nationality

These information will have to upload to our web-page before the Profit Participation Note Subscription Agreement can be send.

Contact

client@quantrom.com