olympic wealth fund new application form

O L Y M P I C W E A L T HM A N A G E M E N T G R O U P L T D

FORMAPPLICATION

PLEASE INSERT SHARE CLASS HEREFROM MINIMUM LUMP SUM INVESTMENT KEY BELOW

SHARE CLASS A-B-C-D-E-F

for Shares in Olympic Wealth Management Group Ltd,Javelin Global Emerging Markets Fund SP. Please consult the O.M. for further details.

STEP ONE INITIAL INVESTMENT AMOUNT

STEP TWOfor Shares in Olympic Wealth Management Group Ltd,

Javelin Global Emerging Markets Fund SP.

Application Form OLYMPIC WEALTH MANAGEMENT GROUP LTD

PLEASE SEND YOUR COMPLETED APPLICATION FORM TO:

Registered office: c/o Pathway Asset Management, Winchester House, 259-269 Old Marylebone Road, London, NWI 5RA, telephone +44 (0) 203 755 3457, email - [email protected]

PAGE 2

Olympic Wealth Management Group (the company)

c/o Pathway Asset Management, Winchester House,259-269 Old Marylebone Road, London, NWI 5RA

USD $25,000

MINIMUM LUMP SUM INVESTMENT

CLASS A

USD $5,000 to $24,999CLASS B

GBP £25,000CLASS C

GBP £5,000 to £24,999CLASS D

EURO €25,000CLASS E

EURO €5,000 to €24,999CLASS F

JAVELINGLOBAL EMERGING MARKETS FUND SP



for Shares in Olympic Wealth Management Group Ltd,Marathon Freedom Fund SP. Please consult the O.M. for further details.



Marathon Freedom Fund SP.

IMPORTANT

If you do not receive an acknowledgement of this instruction within 48

hours please contact the Share Registration team at Pathway AssetManagement using the above contact details.

USD $25,000


CLASS A

USD $5,000 to $24,999CLASS B

GBP £25,000CLASS C

GBP £5,000 to £24,999CLASS D



MARATHONFREEDOM FUND SP



for Shares in Olympic Wealth Management Group Ltd,Biathlon Horizon Fund SP. Please consult the O.M. for further details.



Biathlon Horizon Fund SP.

PLEASE LET US KNOW WHO INTRODUCED YOU TO OUR SERVICES.

USD $25,000


CLASS A

USD $5,000 to $24,999CLASS B

GBP £25,000CLASS C

GBP £5,000 to £24,999CLASS D



BIATHLONHORIZON FUND SP

e e

Do any of the Principals hold any public office?

If yes, provide details

Please indicate source of funds

Yes No

Date of birth D D M M Y Y

Place of birth Nationality

Residential/registered address

If corporation state full name

If corporation state full name

Post/zip code

Post/zip code

Email

Tel. no. work Tel. no. mobile

Forename

Title Surname

FIRST APPLICANT

IncomeSale of existing assets SavingsInheritance

Type of assets sold

Correspondence address (if different from residential)



PAGE 3

SECTION 1 Account Registration (Personal details)

Relationship to First Applicant

Do any of the Principals hold any public office?

If yes, provide details

Please indicate source of funds

Yes No

Date of birth D D M M Y Y

Place of birth Nationality

Residential/registered address

Post/zip code

Post/zip code

Email

Tel. no. work Tel. no. mobile

Forename

Title Surname

SECOND APPLICANT (if applicable)

IncomeSale of existing assets SavingsInheritance

Type of assets sold

Correspondence address (if different from residential)

A Payment by Cheque or Banker’s Draft. I/We enclose herewith a cheque(s)/banker’s draft(s) for the sum(s) specified above, payableto Olympic Wealth Management Group - Client Account. Please take note that drafts maytake 4-6 weeks for international clearance.

B Payment by Electronic Transfer I/We have instructed my/our Bank to remit the sum(s) specified above with my/our nameas reference to the account of Olympic Wealth Management Group at the following Bank:

Ref(Applicants name):

Reference

IMPORTANT - Please fill out your details bellow

PAYMENT INSTRUCTIONS FOR JAVELIN GLOBAL EMERGING MARKETS FUND SP

Correspondent bank: The Bank of New York Mellon, NY SWIFT BIC Code: IRVTUS3N Aba No.: 021 000 018

Beneficiary Bank: Butterfield Bank (Cayman) Limited, Grand CaymanSWIFT BIC Code: BNTBKYKYAccount: 803 326 5086

For final credit: Beneficiary account name: Olympic Wealth Management Group Ltd.Beneficiary account number: 840 145893 0012

Instructions for sending United States dollars (USD) to a Butterfield Bank (Cayman) Limited account are as follows:

Correspondent bank: Natwest Bank, LondonSWIFT BIC Code: NWBKGB2L

Beneficiary Bank: Butterfield Bank (Cayman) Limited, Grand CaymanSWIFT BIC Code: BNTBKYKYAccount: 550/00/10002332


Instructions for sending Euro (EUR) to a Butterfield Bank (Cayman) Limited account are as follows:

Correspondent bank: Natwest Bank, LondonSort Code: 60-00-04SWIFT BIC Code: NWBKGB2L



Instructions for sending Great British Pounds (GBP) to a Butterfield Bank (Cayman) Limited account are as follows:

Please note that the mandatory use of IBANs for euro payments relates only to euro payments between European banks. Butterfield Bank (Cayman) Limitedis not in the European Union (EU) or European Economic Area (EEA) and is exempt from this requirement.



PAGE 4

Each individual must include the following documents with this application form(where these documents are not in English a certified translation must also be provided):

(a) An originally certified true copy* of the relevant pages of passport, national identity card, driver’s licence or armedforces identity card (the copy must be clear enough to identify the individual concerned).

(b) An originally certified true copy** of a recent utility bill as proof of address or a formal letter from a reliable third party***confirming proof of residential address (not a PO Box and not more than three months old).

ADDITIONAL DOCUMENTS MAY BE REQUESTED IF DEEMED NECESSARY BY THE TRANSFER AGENT.DOCUMENTS MAY BE EMAILED BUT THE ORIGINAL CERTIFIED TRUE COPIES MUST FOLLOW BY POST.

* Certification of documents. Copies should be certified as correct copies of the original by a respectedprofessional person (i.e. a notary public, lawyer, accountant, banker or financial advisor), using substantiallythe following form of certification:

“I [name of person], hereby certify that the copy of the identification document attached heretois a true and correct copy of the original document produced to me.”

** The certifier should sign and date the copy document (printing his or her name clearly underneath) andclearly indicate their position or capacity on it together with a contact address and phone number.

*** A reliable third party is defined as: a business professional (e.g. a director, officer or manager of a regulatedfinancial services business operating in an equivalent financial jurisdiction; an embassy, consulate or highcommission of the country of issue of documentary evidence of identity; a member of the judiciary, a seniorcivil servant or a serving police or customs officer; a lawyer or notary public; an actuary; or an accountantholding a recognised professional qualification.

All redemption proceeds will be remitted to the same bank account that yoursubscription money has been sourced from. No third party payments will be effected.

SECTION 2 Bank Details for Redemption of Shares

Bank/address

Account holder(s)

Account number

SWIFT code

Sort code

IBAN number



PAGE 5

A Payment by Cheque or Banker’s Draft. I/We enclose herewith a cheque(s)/banker’s draft(s) for the sum(s) specified above, payableto Olympic Wealth Management Group - Client Account. Please take note that drafts maytake 4-6 weeks for international clearance.

B

A

BPayment by Electronic TransferPayment by Electronic Transfer I/We have instructed my/our Bank to remit the sum(s) specified above with my/our nameas reference to the account of Olympic Wealth Management Group at the following Bank:


Reference


PAYMENT INSTRUCTIONS FOR MARATHON FREEDOM FUND SP














Payment by Cheque or Banker’s Draft. I/We enclose herewith a cheque(s)/banker’s draft(s) for the sum(s) specified above, payableto Olympic Wealth Management Group - Client Account. Please take note that drafts maytake 4-6 weeks for international clearance.

Payment by Electronic TransferPayment by Electronic Transfer I/We have instructed my/our Bank to remit the sum(s) specified above with my/our nameas reference to the account of Olympic Wealth Management Group at the following Bank:


Reference


PAYMENT INSTRUCTIONS FOR BIATHLON HORIZON FUND SP














Please read the following information on charges & performance fees for investing in Olympic Wealth Javelin Global Emerging Markets.

The Fund has an annual management fee deducted monthly in arrears at 0.166% (zero point one six, six percent).

i) Participating Shares redeemed within the first year of being held by a Shareholder will each besubject to a redemption fee of 5% of the Redemption Price.

ii) Participating Shares redeemed after the 1st and on or before the 2nd anniversary of being heldby a Shareholder will each be subject to a redemption fee of 4% of the Redemption Price.

iii) Participating Shares redeemed after the 2nd and on or before the 3rd anniversary of being heldby a Shareholder will each be subject to a redemption fee of 3% of the Redemption Price.

iv) Participating Shares redeemed after the 3rd and on or before the 4th anniversary of being heldby a Shareholder will each be subject to a redemption fee of 2% of the Redemption Price, and,

v) Participating Shares redeemed after the 4th and on or before 5th anniversary of being held by aShareholder will each be subject to a redemption fee of 1% of the redemption price.

vi) Participating shares redeemed after the 5th anniversary will NOT be subject to a redemption fee.

The Investment Manager is incentivized to maximize the returns to investors through the potential for a payment of aPerformance Fee. This Performance Fee, if applicable, will be calculated on each Share as 25% of the annual increase (ifany) in the Net Asset Value per Share in excess of the previous High Water Mark Net Asset Value (“HWM NAV”) per Share,adjusted for all relevant Subscriptions and Redemptions, calculated as at each Valuation Day, accrued monthly and payablequarterly in arrears. Any accrued Performance Fee will also be calculated and paid by the Redeeming Shareholder out ofredemption proceeds on the Redemption of Shares. The HWM NAV per Share as at each Valuation Day is calculated asthe Net Asset Value per Share without deduction of any Performance Fee, provided that the Net Asset Value per Sharewithout deduction of any Performance Fee is that percentage greater than the previous HWM NAV per Share for the relevantClass as set out below; otherwise the HWM NAV per Share will remain unchanged.

In respect of Class A Participating Shares in both Funds, the HWM NAV per Share as at each Valuation Day is calculatedas the Net Asset Value per Share without deduction of any Performance Fee, provided that the Net Asset Value per Sharewithout deduction of any Performance Fee is 5% greater than the previous HWM NAV per Share; otherwise the HWM NAVper Share will remain unchanged.

In respect of Class B Participating Shares in the Javelin Fund, the HWM NAV per Share as at each Valuation Day iscalculated as the Net Asset Value per Share without deduction of any Performance Fee, provided that the Net Asset Valueper Share without deduction of any Performance Fee is 3% greater than the previous HWM NAV per Share; otherwise theHWM NAV per Share will remain unchanged.

Charges & Performance Fees for Investing in Olympic Wealth Javelin Global Emerging Markets.

Performance Fees

1. I/We hereby apply to subscribe for Shares in the Company at the Subscription Price ruling on the Dealing Day inrespect of which this application is accepted on the terms and subject to the Articles, the conditions set out in the Offering Memorandumof the Company and the latest available audited Annual Report and Accounts of the Company and, if more recent, the latest availableunaudited Interim Report and Accounts of the Company.

2. I/We, the undersigned Applicant, acknowledge having received and read carefully a copy of the Offering Memorandum.It is my/our responsibility to obtain the latest version of the Offering Memorandum from the Company.

3. I/We hereby declare that the Shares are being acquired by a Qualified Holder, and not in violation of any applicable law or the requirementsof any country or governmental authority including, without limitation, exchange control regulations.

4. I/We agree to provide truthful information and documentation, upon request, regarding my/our identity, backgroundsource of investment income, and any other matters that the Company deems necessary to comply with applicableanti money laundering and counter terrorist financing laws. I/We further agree that, if I am/we are investing on behalfof a third party, I/we have obtained sufficient information about that third party to determine that the party (a) is notinvolved in illegal activities, and (b) is investing funds from a legitimate source.

5. I/We understand that, the holder number which will be allocated to me/us on the contract note issued if this applicationis successful must be quoted on all correspondence with the Company, who shall not act upon any instruction unlessit contains such holder number.

6. I/We further understand that, the Company is authorised to accept and execute any instructions given by facsimile,email or otherwise in writing in respect of such Shares irrespective of the amount and, in the case of transfers, of thename or signature of the transferee and the Company shall not be required in any such case to require proof of identitybut shall be entitled to accept my/our holder number as proof of authenticity.

7. The Applicant represents, warrants and covenants to and in favour of the Company, as follows:

(a) The Applicant is a resident of, or otherwise subject to, the jurisdiction of the province referred to in theApplicant’s address particulars of this Application Form, which address is the residence or place of businessof the Applicant not created or used solely for the purpose of acquiring Shares. The Applicant herebyundertakes to immediately notify the Company in writing of such change in status.

(b) The Applicant agrees to indemnify and hold harmless the Company against any and all losses, liabilities,claims, damages and expenses whatsoever (including, without limitation, any and all expenses reasonablyincurred in investigating, preparing or defending against any litigation commenced or threatened or anyclaims whatsoever) arising out of or based upon any breach or failure by the Applicant to comply with anyrepresentation, warranty, covenant or agreement made by the Applicant herein or in any other documentfurnished by the Applicant to any of the foregoing indemnified persons in connection with this transaction.

(c) If the Applicant is a natural person, he or she has obtained the age of majority and is legally competent toexecute this Application Form and to take all actions required pursuant thereto.

(d) If the Applicant is a corporation, it is duly incorporated and validly subsisting under the laws of its jurisdiction of incorporationand all necessary approval by its directors, shareholders and other such approvals as may be required have been obtainedto authorize the execution of this Application Form on behalf of the Applicant.

(e) If the Applicant is a trust, it is duly created and validly subsisting under its governing law and all necessary approval by itstrustees and other such approvals as may be required have been obtained to authorize the execution of this ApplicationForm on behalf of the Applicant.

(f) Whether the Applicant is a natural person or a corporation, trust or other entity, upon acceptance of thisApplication Form will constitute a legal, valid and binding contract of the Applicant enforceable against theApplicant in accordance with its terms.

(g) The entering into of this Application Form and the transactions contemplated hereby will not result in theviolation of any terms or provisions of any law applicable to or the constituting documents of, the Applicantor of any agreement, written or oral, to which the Applicant may be a party or by which he, she or it is ormay be bound.

Applicant’s Representations, Warranties and Covenants.

Application Form Appendix 1 OLYMPIC WEALTH MANAGEMENT GROUP LTD


PAGE 6



PAGE 7

(h) The Shares are being purchased for investment only and not with a view to resale or distribution and will not be resold orotherwise transferred or disposed of except by operation of law (such as a transfer on the Applicant’s death or bankruptcy,for instance).

(i) The Applicant has such knowledge and experience in financial and business affairs as to be capable ofevaluating the merits and risks of the investment hereunder in Shares and is able to bear the economicrisk of loss of such investment.

(j) All evidence of identity provided by the Applicant is genuine and all related information furnished is accurate, and theApplicant acknowledges that due to applicable anti-money laundering requirements, the Company may require furtheridentification or other information before applications or transactions can be processed.

(k) The Applicant is not relying on the Company to ensure that an investment in the Company by the Applicant is suitable forthe Applicant and that, based on the information in the Offering Memorandum and/or based on the advice of the Applicant’sown advisers, the Applicant has made that determination.

(l) If the Applicant is purchasing or subscribing for Shares for the portfolio of a third party, such portfolio isfully managed by it, and the Applicant is duly licensed or registered to do so pursuant to the applicablesecurities, trust or insurance laws, regulations and policies which govern it and its activities.

(m) The Applicant has no knowledge of a “material fact” or “material change” (as those terms are defined insecurities legislation) in the affairs of the Company that has not been generally disclosed to the public,save knowledge of this particular transaction.

(n) The Applicant is aware that there are securities and tax laws applicable to the holding and disposition ofthe Shares of the Company and has been given the opportunity to seek advice in respect of such lawsand is not relying solely upon information from the Company, or, where applicable, its officers, directors,employees or agents.

(o) The Applicant has received no advice from the Company with respect to tax consequences of an investmentin the Shares. Discussion of the tax consequences arising from investment in the Shares set forth in theOffering Memorandum is general in nature, and the tax consequences to the Applicant of an investment inthe Shares depends on the Applicant’s particular circumstances.

(p) The Applicant has received, reviewed and fully understands the Offering Memorandum and has had theopportunity to ask and have answered any and all questions which the Applicant wished with respect tothe business and affairs of the Company, the Shares of the Company and the application for shares herebymade.

(q) The Applicant is relying solely on the information contained in the Offering Memorandum and this ApplicationForm in connection with its purchase of Shares and not on any information, representation or warrantymade by any person in any other document or otherwise communicated, whether verbally or in writing,and the Applicant is not relying on any representation, warranty or other assurance made as to theperformance of the Company.

(r) The Applicant is aware of the characteristics of the Shares, of their speculative nature, of the risksassociated with an investment in the Shares and of the fact that the Shares may not be resold but mayonly be redeemed in accordance with the rights, privileges, conditions and restrictions thereof, pursuant tothe terms and procedures and subject to the restrictions described in the Offering Memorandum.

(t) The Applicant understands that any dealer or advisor through which it purchases the Shares is not acting as agent for theCompany and has no authority to make any representations on behalf of the Company.

(u) The Applicant is not authorized to transfer his, her or its Shares except by operation of law (such as atransfer on the Applicant’s death or bankruptcy, for instance).

(v) The asset allocation, investment portfolio and trading procedures of the Investment Manager are proprietary to theInvestment Manager and all information relating to such investment portfolio and trading procedures shall be keptconfidential by the Applicant and will not be disclosed to third parties (excluding the Applicant’s professional advisers)without the written consent of the Company and the Investment Manager.

8. Agent or Portfolio Manager Representations, Warranties and Covenants If the Applicant is represented by an agent or portfolio manager(the “Agent”), the Agent:

(a) is purchasing the Shares on behalf of the Applicant;

(b) is duly authorized to execute and deliver this Application Form and all other necessary documentation inconnection with such purchase on behalf of the Applicant, to agree to the terms and conditions containedherein and to make the representations, warranties, covenants and acknowledgements made herein onbehalf of itself and the Applicant;

(c) has carried out identification procedures with respect to and has established the identity of the Applicantand holds evidence of such identity and will maintain such records as required by applicable law; (iv)acknowledges that the Company may be required by law to disclose, on a confidential basis, to certainsecurities and other regulatory authorities, the identity of such Applicant of the Shares for whom the Agentmay be acting; and (v) has adopted and implemented anti money laundering policies, procedures andcontrols that comply and will continue to comply in all respects with the requirements of applicable antimoney laundering laws and regulations.

9. Acknowledgements of the Applicant. The Applicant hereby acknowledges and agrees that:

(a) subject to any applicable securities legislation, this Application Form and subscription is irrevocable by the Applicant, andrequires acceptance by the Company;

(b) the representations, warranties and covenants contained in this Application Form are made by the Applicantwith the intent that they be relied upon by the Company in determining the Applicant’s suitability as apurchaser of Shares and the Applicant hereby agrees to indemnify the Company against all losses, claims,costs, expenses and damages or liabilities of any kind whatsoever, including, without restriction, taxes,interest and penalties which any of them may suffer or incur, caused or arising from reliance thereon andthe Applicant undertakes to notify the Company immediately of any change in the accuracy of anyrepresentation, warranty or other information;

(c) participation in the Company is subject to acceptance of this Application Form by the Company and thecorresponding delivery of the payment of the Subscription Proceeds being honoured upon presentationfor payment;

(d) if required by securities legislation, or by any regulatory authority, the Applicant will execute, deliver, fileand otherwise assist the Company in filing such reports, undertakings, and other documents with respectto the issue of the Shares as may be required;

(e) in purchasing the Shares, the Applicant has relied solely on the Offering Memorandum of the Companyrelated to the Shares of the Company purchased and not upon any written or oral representation to theApplicant made by or on behalf of the Company or any other party, including any representation relating tothe future value or price of the Shares;

(f) no person has made to the Applicant any written or oral representation that any person will refund thepurchase price of any Shares; and

(g) the Applicant understands the tax consequences of an investment in the Shares and has obtained fromqualified independent professionals all legal and tax advice deemed necessary in connection with theexecution, delivery and performance by the Applicant of this Application Form and the transactionscontemplated hereby.

10. Additional Investment. The Applicant, in the circumstances described in the Offering Memorandum, may subscribe for additional Shares.Any such additional subscriptions will be incorporated into and form part of this subscription, and the Applicant will be deemed to haverepeated to the Company the acknowledgements, covenants, certifications, representations and warranties contained herein.

11. Collection and Use of Personal Information The Applicant consents to the collection and use of the personal information relating to theApplicant contained in this Application Form or gathered in connection with the Applicant’s purchase of Shares (the “Applicant Information”)by the Company and its affiliates in accordance with the Company’s Privacy Protection Policy in order:

(a) to effect purchases of Shares;

(b) to provide the Applicant with ongoing services, if any;

(c) to administer the Applicant’s investment in the Shares, including depositing the redemption proceeds thereof directly intothe bank account of the Applicant;

(d) to determine the Applicant’s eligibility for investment in the Shares and/or other investment products offered by the Companyfrom time to time and to approach the Applicant about those opportunities;

(e) to meet the Company’s ongoing legal and regulatory requirements including any applicable anti-moneylaundering legislation or similar laws and, without limiting the generality of the foregoing, disclosing suchApplicant Information to regulators or self regulatory authorities where such disclosure is required by law;

1 The U.S. Foreign Account Tax Compliance Act and the regulations (whether proposed, temporary or final), including anysubsequent amendments, and administrative guidance promulgated thereunder (or which may be promulgated in the future)(FATCA) impose or may impose a number of obligations on the Company. Accordingly:

a. The Applicant understands that the Company intends to fully comply with FATCA. In order to facilitate and assist withthe Company’s compliance with FATCA, the Applicant agrees to: (i) furnish the applicable U.S. withholding certificates(W-8 BEN or W-9) and any other documentary information the Company may request from time to time; (ii) notify theCompany immediately if there is a change in the Applicant’s circumstances which would render the previously furnishedW-8BEN or W-9 or other documentary information inaccurate; and (iii) furnish such additional information anddocumentation and assistance requested by Company to allow it to comply with FATCA. The Applicant acknowledgesand agrees that the Company may unilaterally terminate the Applicant’s investment at any time if the Company believesit must do so to comply with its obligations under FATCA. The Applicant agrees that the Company may allocate to theApplicant any FATCA withholding tax paid by the Company as a result of the Applicant’s actions;

b. The Applicant acknowledges that, in order to comply with the provisions of FATCA and avoid the imposition of U.S.federal withholding tax, the Company and/or any of its agents, including, but not limited to, the Administrator, may, fromtime to time and to the extent provided under FATCA, (A) require further information and/or documentation from theApplicant, which information and/or documentation may (1) include, but is not limited to, information and/or documentationrelating to or concerning the Applicant, the Applicant’s direct and indirect beneficial owners (if any), or any such person’sidentity, residence (or jurisdiction of formation) and income tax status, and (2) need to be certified by the Applicant underpenalties of perjury, and (B) provide or disclose any such information and documentation to the Internal Revenue Service(IRS) or other governmental agencies of the United States;

c. The Applicant agrees that it shall provide such information and/or documentation concerning itself and its direct andindirect beneficial owners (if any), as and when requested by the Company and/or any its agents as the Company and/oror any of its agents, in its or their sole discretion, determine is necessary or advisable for the Company to comply withits obligations under FATCA;

d. The Applicant agrees to waive any provision of law of any non-U.S. jurisdiction that would, absent a waiver, prevent theCompany’s compliance with FATCA, including, but not limited to, the Applicant’s provision of any requested informationand/or documentation;

e. The Applicant acknowledges that if the Applicant does not timely provide the requested information and/or documentationor waiver, as applicable, the Company may, at its sole option and in addition to all other remedies available at law or inequity, immediately or at such other time or times, require a compulsory redemption of all or a portion of the Applicant’sinvestment, prohibit in whole or part the Applicant from participating in additional investments and/or deduct from theApplicant’s account and retain amounts sufficient to indemnify and hold harmless the Company and each of theCompany’s agents, including, but not limited to, the Administrator, or any other Applicant, or any partner, member,shareholder, director, manager, officer, employee, delegate, agent, affiliate, executor, heir, assign, successor or otherlegal representative of any of the foregoing persons, from any and all withholding taxes, interest, penalties and otherlosses or liabilities suffered by any such person on account of the Applicant’s failure to timely provide any requestedinformation and/or documentation; provided that the foregoing indemnity shall be in addition to and supplement anyother indemnity provided under this Application Form;

f. The Applicant acknowledges that the Company, will determine, in its sole discretion, whether and how to comply withFATCA, and any such determinations shall include, but not be limited to, an assessment of the possible burden toApplicants, the Company and the Administrator of timely collecting information and/or documentation; and

g. The Applicant acknowledges and agrees that it shall have no claim against the Company or any of the Company’sagents, including, but not limited to, the Administrator, or any other Applicant, or any partner, member, shareholder,director, manager, officer, employee, delegate, agent, affiliate, executor, heir, assign, successor or other legalrepresentative of any of the foregoing persons, for any damages or liabilities attributable to any FATCA compliancerelated determinations pursuant to this section; provided that the foregoing exculpation shall be in addition to andsupplement any other exculpation provided under this Application Form.

The provisions of paragraph [1] shall apply mutatis mutandis in respect of any other information reporting obligations imposed onthe Company by Cayman Law or by any law of any other jurisdiction.

(f) to prevent error and/or fraud;

(g) to respond to inquiries from the Applicant’s Registered Dealer/Advisor;

(h) to permit the Administrator to administer its investments;

(i) to disclose such Applicant Information to:

i. the current, and any future successive, Registrar Agent of the Company;

ii. the current, and any future successive, Depositary of the Company;

iii. the current, and any future successive, Banker of the Company;

iv. the current, and any future successive, Custodian of the Company;

v. the current and, any future successive, Administrator of the Company; (collectively, the “Service Providers”)

The U.S. Foreign Account Tax Compliance Act

The Applicant acknowledges that the representations and warranties contained herein are made by it with the intention that theymay be relied upon by the Company in determining the Applicant’s eligibility to purchase Shares under relevant securities legislation.The Applicant agrees that, by accepting delivery of the Shares on a given day, it will be representing and warranting that the foregoingrepresentations and warranties are true and correct as at that day and that they will survive the purchase by the Applicant of Sharesand will continue in full force and effect notwithstanding any subsequent redemption or further subscriptions by the Applicant of suchShares. In addition, the Applicant undertakes to notify in writing the Company immediately of any change in any representation,warranty, covenant, acknowledgment or other information relating to the Applicant set forth in this Application Form.

The Applicant acknowledges that this and any further subscription, and any further transfer or repurchase, is subject to acceptanceor rejection by the Company, in whole or in part. Acceptance of this Application Form shall be effective upon the Company (or itsdelegate) sending a confirmation thereof to the Applicant. The Company shall, by such acceptance of this Application Form be boundby the terms and conditions hereof.

The Applicant covenants and agrees to deliver such documents, certificates, assurances and other instruments as may be requiredto carry out the provisions of this Application Form.

Survival of Representations and Warranties



PAGE 8

Signature of applicant to indicateacceptance of the above terms.

If a corporation I/we confirm theentity is valid and existing and hasdue authority and capacity to enterinto this subscription agreement.

Print name

Note: Defined terms used in this Application Form shall be construed in accordance with the meanings set out in the OfferingMemorandum unless defined to the contrary in this Application Form, which shall be governed by and construed inaccordance with the laws of the Cayman Islands.

SIGNATURE

Signature of second applicant toindicate acceptance of the above

terms.

If a corporation I/we confirm theentity is valid and existing and hasdue authority and capacity to enterinto this subscription agreement.

Print name

SIGNATURE

Date of signature

Date of signature

Application Form Appendix. OLYMPIC WEALTH MANAGEMENT GROUP LTD


PAGE 9

By signing this application form the applicant(s) agrees to the above disclosure and use of applicant information.

Disclaimer: The Offering Memorandum (OM) refers to Olympic Wealth Fund. Please note the OM is presently being updateddue to new ITC rules.

I/We hereby apply to subscribe for participating shares (“Shares”) in the Company subject to the conditions appended tothis Application Form in Appendix 1. If this form is signed by an attorney or other agent, the original or a certified true copy**of the authority of the attorney or agent must accompany this form. A corporation should execute this form either under itscommon seal or by the signature of a duly authorised officer(s) who should state their representative capacity. The Companywill also require a certified true copy** of the corporation’s authorised signatory list.

I/We have completed the payment instructions.

I/we have read each representation in the Appendix and have signed and agreed to the terms.

I/We am/are a Qualified Holder as defined in the Offering Memorandum of the Company.

SECTION 3 Declarations and Signatures (please tick all boxes upon completion)

olympic wealth fund new application form

Business