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REGISTRATION FORM




Please use this form to obtain an access login to our web site or to send us any comments or questions.

Fields marked with "*" are mandatory for form submission.

Registrant Information
Full Name:  *
Company/Institution:
Department/Position:
Email:  *
Phone:  *
Address:  *
City:  *
State:
Zip Code:
Country:  *


If you wish to obtain an access login for our web site, please enter your preferred user name and password. Your password must be between 6 and 10 characters and must contain at least one numeric digit. Upon approval we will inform you by e-mail.

Login Information
Preferred Login Name: Please use your email while logging into the systems.
Preferred Password:  *
Confirm Password:  *


* Please check all applies
I/ We confirm that I/we am/are a sophisticated person, meaning that I/we have such knowledge and experience in financial and business matters so as to be capable of evaluating the merits and risks of the prospective investment.
* Please check all applies
I/ We confirm that I/we am/are a sophisticated person, meaning that I/we have such knowledge and experience in financial and business matters so as to be capable of evaluating the merits and risks of the prospective investment.
I/ We am/are NOT a US person or institution.


* I am/We are
An institution – banks, saving and loan, broker-dealer, insurance company, registered investment adviser or business development company. State employee benefit plans with over $5million in total assets or any ERISA plan if the investment decision is made by a plan fiduciary that is an institution or the plan has total assets exceeding $5million or the plan is self-directed and has only accredited investors.
Partnerships, Charitable Organizations and Other Organizations that is a qualified non profit and was not formed for the specific purpose of investing in your securities and that has assets in excess of $5million.
Natural Persons/Income Test- natural persons with income in excess of $200,000 in each of the two most recent years, or joint income with the person’s spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year.
Natural Persons/Net Worth Test –Natural person whose individual net worth or joint net worth with my spouse, exceeds $5 million.
Trusts – Any trust with total assets in excess of $5million, not formed for the specific purpose of acquiring the securities offered and whose purchase is directed by a sophisticated person (e.g. someone who has such knowledge and experience in financial and business matters and is capable of evaluating the merits and risks of the prospective investment)
Other – (Please specify)   :


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Comments / Notes


The material contained in this website is for your private information and GEM Global Equities Management S.A. ("GEM") is not soliciting any action based upon it. The material is based upon information that we consider reliable, but we do not represent that it is accurate or complete, and should not be relied upon as such. Neither GEM, its affiliates nor their respective officers, directors, agents or employees makes any warranty, express or implied, of any kind whatsoever, and none of these parties shall be liable for any losses, damages, costs or expenses, of any kind or description, relating to the adequacy, accuracy or completeness of any information on this website or the use of information on this website. Past performance is not necessarily an indication of future results.


I/ We acknowledge receipt of Part II of the GEM Global Equities management S.A.’s Form ADV.
(click here to read Form ADV Part 2 or right click and save it to your computer).
I/ We acknowledge receipt of Part II of the GEM Global Equities management S.A.’s Form ADV.
(click here to read Form ADV Part 2 or right click and save it to your computer).