SA Paulownia Investment Co. (Pty) Ltd

P O Box 586 Gallo Manor, 2052 ```

Tel : (011) 802-1167

Fax : (011) 802-7060

Fax to email: 0866 724 456 (confidential)

SUBSCRIPTION FORM FOR FORESTRY INVESTMENT FRACTIONAL INVESTMENT

 

1.  Investor/Subscriber Information (Personal Details) 

  Surname, Company name

 

ID Number: / Co Reg No.

 

  Full Names of Investor

 

  DOB

 

  Title

 

  Postal Address

 

Physical Address

 

   

 

 

  E-mail Address

 

 

Tel (Home)

  (                )

BANKING DETAILS

  BANK

 

Tel ( Business)        

  (                )

  Account Name

   

  Fax

  (                )

  Branch

 

Branch Code

 

 

Cellphone

 

Account Number

 

 

Cheque/Savings/MM /Other

                         

  2.   INVESTMENT DETAILS

Investment Details Holding Company

HONEYLANE TRADING (PTY) LTD

  Holding Company Registration #:

2006/ 036026 /07

  Investment Amount

  R

  Method of Payment

 

Money Transfer

Cheque

  Deposit Date                

 

   

   

   

INVESTMENTS ARE PAYABLE TO

         

 

Please contact us for details    
                 

PLEASE NOTE THAT NO SUBSRIPTION APPLICATION CAN BE PROCESSED WITHOUT FICA DOCUMENTATION                                                        

ID, Proof of residential address eg utility bill not older than 3 months, proof of banking details and additional documents for trusts namely a copy of trust deed & copy of letter of authority

  3.  ACKNOWLEDGEMENT                                                                               

I/We hereby acknowledge by completing the above form that, an application for an investment in a Forestry Investment Project has been completed and that by concluding this application I/we will be receiving a subscription of shares in the Holding Company that holds 60% of the ownership of the Forestry Investment Project.  I further accept that the terms and conditions of the said interest in the company shall be elucidated in an Agreement following this application and that my interest will be evidenced by a subscription/share certificate issued in my/our favour. 

I/We further acknowledge that the promoter S A Paulownia Investment Company (Pty) Ltd), has chosen TAYFIN as the firm of auditors receiving and holding the invested funds in a trust account (detailed in 2 above) and hereby mandate and render full authority to the said auditors to take the necessary steps to ensure the execution of the terms of this application, i.e. amongst others to:

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·        Invest the money prudently in terms of Section 78 of the Attorney’s Act (Act 53 of 1979) in an interest barring account until the necessary drawdown of funds takes place as per the milestones determined by the Forestry Investment Project;  

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·       Transferring funds (including commissions and administration fees) residual or earmarked to involved financial institutions or the Promoter Company where necessary; and  

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·       Take any other steps necessary to conclude the objectives of the Forestry Investment Project.

 

APPLICANT’S SIGNATURE    _________________________        PRINT NAME    ____________________________

   

DATE                                       _______________________________                          

 

COMPANY

STAMP 

IF APPLICABLE