The signatory herewith declares that (please tick the relevant box):
I’m the sole beneficial owner of the relevant assets
That the following person / company is the beneficial owner of the relevant assets:
Name / first name
Date of incorporation
Country of registered office
Extract from company register
Planed ICO engagement (minimum €10’000)
Origin of the relevant assets:
Stock exchange winnings
Do you or someone next to you is a PEP?
If yes, what kind of?
I declare with full liability that the above made statements are fully correct.
I declare that I read and understood the legal instructions in the white paper ICO V-Coins dd. 20th September 2017.
I agree to receive a confirmation with all relevant details about my planned financial engagements with payment instructions.
The offer will be valid for 3 days and will automatically expire thereafter.