Horizons Capital Markets S.A.O.C, OMAN.

ALFAJR FUND

Fund IPO Subscription Form

Status of Applicant*

Name*

Investor Number*

Gender*
MaleFemale

Nationality*

OmaniNonOmani

(National ID for Omanis, Passport No. & Resident ID for Non-Omanis, CR Number for Companies/Funds)

ID No*

Expiry Date*

Passport No.

Expiry Date

CR No

Expiry Date

For Minors:

Birth Certificate No.

Father/Guardian ID/Passport

Expiry Date

Contact Details:

P.O. Box*

Postal Code*

Flat / Building No*

Way No*

City*

Country*

Mobile Number*

Land Line

Email*

Details of Subscription:

No. of Units Subscribed (Multilpes of 100)*

Amount : ( To be Calculated here)

In Words*

(The total amount includes Bzs 10 per share towards subscription charges)

Bank Account Details:

Account Name*

Account Number*

Bank Name*

Declaration:

l/we hereby submit an application to subscribe for Units in AL FAJR FUND. l/we confirm that the money invested has originated from a legitimate source. l/we hereby declare that l/we have read and understood the terms and conditions of the Fund mentioned in its Prospectus and understand that the application that is not in accordance with the terms and conditions of the Prospectus is liable to be rejected.

Clicking here, I/We agree to the terms and conditions of Al Fajr Fund

Name*

Date*

By Clicking SUBMIT, your application will be forwarded to Horizons Capital Markets. Kindly make your payment to any one of the following accounts to enable us to complete your subscription.

1. National Bank of Oman:

Account Number : 1074-192915-010

2. Bank Muscat:

Account Number : 0423-0108-6830-0018

ALFAJR FUND

Fund IPO Subscription Form

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ALFAJR FUND

Fund IPO Subscription Form

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