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INSTRUCTIONS

KNOW YOUR CLIENT FORM - INDIVIDUAL INVESTORS

Please complete this form if you are investing directly with Acorn Global Investments Inc. Instructions for completing the Know Your Client form are outlined below. If you have any questions, please feel free to contact us at 905-257-0773 or service@acorn.ca .

Step 1 Complete each section of the form. We review this information to determine if you meet the definition of an
Accredited Investor, and are therefore eligible to purchase our Fund. The specific definitions are listed in Schedule C of the Acorn Subscription form. When completing the form, please pay special attention to the definitions of Financial and Net Assets. Financial Assets include cash, securities and insurance contracts but not real estate holdings. By comparison, Net Assets include all of your assets including real estate minus all of your liabilities. We keep this information on file and review it from time to time to make sure our records are up to date. Please contact us at any time with any questions.

Step 2 Certify identification. You are required to provide certified copies of an original identification document (ID). This
includes a valid birth certificate, drivers license, passport, record of landing or permanent resident card. Certification can be attained as follows: (a) If an Acorn representative has met you in person, a photocopy of an original ID is all that is required. (b) If we have not met you in person, we need your ID verified using the following method: Attestation method: Provide us with a legible photocopy of an ID with an original signature (not a photocopy) by a qualified guarantor. The attestation must be on the photocopy of the document and include the name, profession, address, and signature of the guarantor. In this context, a guarantor has to be an individual engaged in one of the following professions in Canada: dentist, medical doctor, chiropractor; judge, magistrate or a lawyer; a notary (in Quebec) or a notary public; an optometrist or a pharmacist; an accredited public accountant (APA), a chartered accountant (CA), a certified general accountant (CGA), a certified management accountant (CMA), a public accountant (PA) or a registered public accountant (RPA); a professional engineer (P. Eng., in a province other than Quebec) or engineer (Eng. in Quebec); or a veterinarian. Certified ID as well as a cleared cheque or wire payment upon investment satisfies the record keeping and client identification requirements of the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) when opening a new account.

Step 3 Deliver originals of the Know Your Client form as well as the certified copies of the identification to:
Acorn Global Investments Inc. 1267 Cornwall Road, Suite 201 Oakville, Ontario, Canada L6J 7T5

Clear Form

Acorn Global Investments Inc.


1) INVESTOR INFORMATION
Individual Street: City: Postal Code: Social Insurance Number: Home Phone Number: Cell Phone Number: E-mail Address: Fax Number: Province: Country: Date of Birth: Joint Subscriber (If applicable) Street: City: Postal Code: Social Insurance Number: Home Phone Number: Cell Phone Number: E-mail Address:

Know Your Client Form Individuals

Province: Country: Date of Birth:

Fax Number:

Employer Information:
Name of Employer: Type of Business: Occupation/Position: Work Phone Number: Fax Number:

Joint Subscriber Employer Information:


Name of Employer: Type of Business: Occupation/Position: Work Phone Number: Fax Number:

2) FINANCIAL INFORMATION, OBJECTIVES AND RISK TOLERANCE - FOR INDIVIDUAL AND JOINT SUBSCRIBERS
Investors Annual Income: Investors Household Income: Household Financial Assets: Household Net Assets:

(individual income)

Under $200,000 $200,000 - $500,000 Over $500,000


Investors Objective:

(income combined with spouse)

Under $300,000 $300,000 - $500,000 Over $500,000


Investors Risk Tolerance:

Under $1,000,000 $1,000,000 - $5,000,000 Over $5,000,000


Investors Investment Knowledge:

(excludes real estate)

Under $1,000,000 $1,000,000 - $5,000,000 Over $5,000,000


Investors Time Horizon:

(includes real estate)

Aggressive growth Growth

Speculative High

Balanced Medium Will any other person have trading authority on this account?

Sophisticated Good

Limited Long Term Will any other person have a financial interest in this account?

Short Term Medium Term

If Yes, please specify ________________________________ If Yes, please specify _________________________________ Are you or your spouse an insider of a public company? (Are you a director or officer of a public company, or do you control more than 10% of the voting rights of a public company?) No Yes (If Yes, please provide name of company, symbol(s) and exchanges(s) use separate page if necessary) Politically Exposed Foreign Person (PEFP) Are the subscriber(s) or their family members or persons connected to this account a politically exposed foreign person or has ever held an office or position in or on behalf of a foreign state, such as senior government official, military general, leader of a political party, ambassador, tribunal or president of a government-owned corporation? No Yes (If Yes, please request a separate PEFP form from Acorn) By signing this form, the Investor(s) certify that all information disclosed in this form is complete and true and acknowledge that such information shall be deemed complete, true and unchanged until such time as Acorn Global Investments Inc. is advised in writing by the Subscriber of any change pertaining thereto. The investors(s) certify that it is their responsibility to notify Acorn Global Investments Inc. of any changes to the above information. Investors Signature: Date Signature of Joint Subscriber (if applicable) Designated Officer Signature Date Date

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