Deuterium Global Dynamic Allocation Long/Short Fund - Application Form for Shares (For Use Only by US Persons)

Sep 19, 2026

Application form for subscribing to shares in the Deuterium Global Dynamic Allocation Long/Short Fund (a sub-fund of Deuterium UCITS ICAV), restricted to US persons. The document instructs applicants to provide complete application details and supporting documentation, follow subscription deadlines, and send dealing and payment instructions to the Administrator at the listed RBC Investor Services Ireland address. It describes handling of personal information under data protection legislation and sets price terms by share currency.

LanguageEnglish

CategoryForms

FormatPDF

Pages43

Reading Time15 min

AccessFree to download

Application

Personal information and legal processing

Subscription agreement and submission method

Incomplete applications and anti-money laundering checks

Share classes and pricing

Payment and bank account details

Deuterium UCITS ICAV (the “Fund”) APPLICATION FORM FOR SHARES IN THE Deuterium Global Dynamic Allocation Long/Short Fund (the “Sub-Fund”) FOR USE ONLY BY US PERSONS To: Deuterium UCITS ICAV c/o RBC Investor Services Ireland Limited 4th Floor One George’s Quay Plaza George’s Quay Dublin 2 Ireland Attention: Investor Services Department Tel: + 353 1 4406555 Fax: + 353 1 6130401 [Email: Dublin_TA_Customer_Support@rbc.com](Email: Dublin_TA_Customer_Support@rbc.com) Your personal information will be handled by the RBC Investor Services Ireland Limited (the“Administrator”) or its duly appointed delegates as Data Processor for the Fund in accordance with the Data Protection Legislation. Your information provided herein will be processed for the purposes of complying with the Data Protection Legislation and this may include disclosure to the Irish Revenue Commissioners. Please ensure that you have read the current prospectus of the Fund (the“Prospectus”) and relevant supplement of the Sub-Fund (the“Supplement”) in issue as at the date of the investment to which this Application Form relates in full before completing this Application Form. Defined terms used in this Application Form are those used in the Prospectus and Supplement unless such terms are otherwise defined herein orthe context otherwise requires. Accordingly, any reference to the Fund shall include reference to the SubFund. This Application Form is to be used for investing in the Sub-Fund, a sub-fund of the Fund. This Application Form, including all appendices to this Application Form constitutes your agreement to subscribe for Shares. You may e-mail or fax this Application Form (the original hard copy Application Form and supporting documentation must also be forwarded by post) to the Administrator at the address provided above. No redemption payments (or dividends/distributions if applicable) may be made until the original Application Form and supporting documentation has been received and the Administrator is satisfied that all necessary antimoney laundering checks have been completed in full. Incomplete Application Forms (where compulsory information has not been provided) may be rejected and subscription monies received may be returned. If an application is rejected, the Administrator at the cost and risk of the Applicant will, subject to any applicable laws, return application monies or the balance thereof, without interest, expenses or compensation by electronic transfer to the account from which it was paid. ALL SECTIONS (INCLUDING EACH APPENDIX) MUST BE COMPLETED BEFORE AN APPLICATION WILL BE PROCESSED. * Delete as appropriate A. Application I/We* hereby irrevocably apply for such number of Shares in the Sub-Fund (including fractions) as may be subscribed for with the amount specified below, at a price of US$10 per Share denominated in USD, € 10 per Share denominated in Euro, £10 per Share denominated in GBP and CHF 10 per Share denominated in CHF, subject to receipt of this Application Form and any applicable supporting documentation by the Administrator by no later than 5:00pm (Irish time) five (5) Business Days immediately preceding the relevant Subscription Day and receipt of cleared funds in the relevant currency by the Administrator by no later than 5:00pm (Irish time) one (1) Business Day immediately preceding the relevant Subscription Day. | Amount in figures | | US$ / € / £ | | --- | --- | --- | | Amount in words | | US$ / € / £ | | Class (please tick one only)
If you wish to subscribe for more than one Class of Share, please complete a separate application form for each Class of Share. Please refer to the section of the Sub-Fund Supplement headed“Share Classes” for a summary of share class terms. | | Class F (CHF) Accumulation Shares- ISIN Code: IE000SFBDSV9 | | | | Class F (EUR) Accumulation Shares- ISIN Code: IE000Y2LMKK5 | | | | Class F (GBP) Accumulation Shares- ISIN Code: IE000YM4GDI

FAQs

Who is allowed to use this application form?

The form is for use only by US persons.

What documents and sections are required for processing?

All sections (including each appendix) must be completed, and supporting documentation must be provided as required before an application will be processed.

When do dealing instructions and payments need to be received?

Dealing instructions must be received before the time specified in the prospectus, and cleared funds must be received by the Administrator by the stated deadlines based on the relevant Subscription Day.

Sep 19, 2026

Upload by Taylor Morgan