Green Bond Investor Application

Greetings,

In order for us to process your green bond application as smoothly and as quickly as possible, please fill out this form completely.

Note;

Everything with a red * is mandatory.
Please break down all pdf documents into separate PDF’s.
You may save this form at any time for completion at a later date, your entries will be saved for 14 days. (save button is at bottom of this form)

If you require any assistance, please do not hesitate to contact me on the below.

Best Regards,

Gareth Cookson
gareth@plantationsinternational.com
+66 62 765 4890 (Also on Whatsapp)

Who is this form Prepared by? *

What is your full name?

Introducers Name *

Who is repsonsible for this investor introduction?

------ Investor Identification Section ------

Investors Title *

How shall the investor be addressed?

Investors Nationality *

Investors Full Name *

First, Middle, Last

Investors Preferred Language *

Date of Birth *

Investors date of birth

Passport / Govt. ID# *

Note: This exact same document must be uploaded on the below upload field.

Country of Issuance *

What country issued the above mentioned document?

Document Expiry Date *

------ Contact Section ------

Investors Residential Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Investors Email *

Confirm Email

Investors Mobile Phone *

Investors Home / Office Phone *

------ Investment Section ------

Preferred Investment Vehicle *

Please select from our Green Mango or Durian Bonds.

Investment Currency *

USD, EUR or CHF Only

Investment Amount? *

Enter investment amount. Eg. 50000 , do not use any commas or symbols - numbers only!

Investors country of residency for tax purpose *

Investors tax identification number (TIN)* *

Investor Type? *

Investors relationship to Plantations International.

Does the investor request to be treated as a professional client in respect to the subscription of the note. *

------ KYC & AML Section ------

The below is required for us to be in compliance with Luxembourg and European Union anti-money laundering regulations.

Investors Martial Status *

If the investor is married or in a civil partnership please indicate the full name of their spouse/partner

How many children does the investor have? *

Childrens full names (sepearated by comma)

You only need to answer this question if you answered that the investor has children to the above question. The reason for this personal question is just in case something happens to the investor.

Investors Occupation *

What do they do for a living, how do they earn their income?

Investors employer or the name of the company they work for *

What do they do for a living, how do they earn their income?

Is the investor a politically exposed person? *

How is the investor politically exposed?

You only need to answer this question if you answered yes to the above question.

Is the investor related to a politically exposed person? *

Son, father, spouse, etc.

How is the investor relative politically exposed?

You only need to answer this question if you answered yes to the above question.

Investors source of wealth? *

Son, father, spouse, etc.

Explanation of source of wealth *

The source of wealth explains the source of funds for this subscription ( Example: I was the director of ABC Limited between the 2019 and 2021. My salary was $80,000 per year. I was in charge of operations.)

Is the investor a U.S. person *

Is the investor currently or have they ever been a U.S. citizen, resident or green card holder?

------ Banking Section ------

The below section is about the bank that we are recieving the funds from. The funds may only come from the below bank or they will be declined and returned.

Full Name of Account Holder *

Who is sending the funds?

Swift or BIC Code *

The sending Account.

Bank Full Name *

Example: HSBC, Barclays, Lloyds, Etc..

Bank Country *

What country is the bank located in?

IBAN / Account Number *

The sending Account.

Bank Address *

Full address of the bank branch that the funds are origination from.

------ Documentation Upload Section ------

Identification Document(s) *

Click or drag files to this area to upload. You can upload up to 3 files.

Passport or National I.D. Cards

Proof of Address (Utility Bill) *

Click or drag files to this area to upload. You can upload up to 3 files.

Electric Bill , Water Bill, etc...

Bank Statement *

Click or drag files to this area to upload. You can upload up to 3 files.

Bank statement showing the funds prior to sending.

Comments that we should be aware of

Anything that you can think of that will enable us to service this investor better.

How would you rate us? *

How would you rate your interactions and service that you have received from plantations International?

Comment

Save and Resume Later