Select Investor Type

Please select the type of investor you are registering as. This form currently supports individual investors. If you are registering as a company, trust, or NPO/NGO, a member of our team will be in touch to collect additional details after submission.

—Please choose an option—IndividualCompanyTrustNPO/NGO

Personal Information

Provide your basic personal information below. These details are required to establish your investor profile and verify your identity in accordance with our compliance requirements.

Full Name: Date of Birth: Nationality: Gender: —Please choose an option—MaleFemaleOther Marital Status: —Please choose an option—SingleMarriedDivorcedWidowed Contact Number: Email Address:

Physical Address

Please enter your physical address, including any additional details like apartment or unit numbers, and estate or complex names if applicable. Providing a complete address ensures accurate verification and compliance.

Street Address: Apartment/Unit Number (if applicable): Estate/Complex Name (if applicable): Suburb: City: Province/State: Postal Code: Country:

Purpose and Intended Nature of Business for the Relationship

Please select the primary reason for engaging with DAMREV. This information helps us better understand your investment goals and tailor our services accordingly.

Purpose and Intended Nature of Business: —Please choose an option—Investment and Capital Growth (For purchasing tokens as part of an investment strategy.)Speculative Trading (For short-term buying and selling of crypto assets.)Wealth Management/Portfolio Diversification (For diversifying an existing investment portfolio.)Payment for Goods/Services (For using crypto tokens as a means of payment in business or personal transactions.)Technology/Blockchain Participation (For engaging in blockchain-based projects or services, such as DeFi, NFTs, or staking.)Other (Please Specify) If you selected 'Other', please specify:

Source of Funds

To comply with global Anti-Money Laundering (AML) regulations, we require all investors to disclose the source of their funds. Please select the appropriate option that best describes where your funds are derived from.

Source of Funds: —Please choose an option—Salary or WagesSavingsDebtEarnings from investmentsEarnings from the sale of assetsInheritanceOther

Section 2.1: Foreign Account Tax Compliance Act (FATCA) Information

Please tick the applicable status below to determine your FATCA compliance. If you are a U.S. Person, please provide your Tax Identification Number (TIN) below:

—Please choose an option—I am a U.S. Person, please provide your Tax Identification NumberI am NOT a U.S. Person If U.S. Person, enter Tax Identification Number (TIN):

Section 2.2: Common Reporting Standard (CRS) Information

List all countries, except for South Africa, where you are resident for tax purposes and provide your Tax Identification Number (TIN). If a country does not issue a TIN, complete an equivalent number, such as a social security number or resident registration number.

Are you a tax resident in a jurisdiction other than South Africa? —Please choose an option—YesNo Country 1: TIN: Country 2: TIN: Country 3: TIN: Country 4: TIN:

Domestic Prominent Influential Person ("DPIP") Status

Please select your status with regard to being a DPIP, which includes individuals holding a prominent public function in South Africa for a period exceeding six months.

—Please choose an option—I am NOT nor am I an associate or family member of a DPIPI am a DPIPI am an associate or family member of a DPIP

Foreign Prominent Public Official ("FPPO") Status

Please select your status with regard to being an FPPO, which includes individuals holding a prominent public function in a foreign country for the last 12 months.

—Please choose an option—I am NOT nor am I an associate or family member of a FPPOI am a FPPOI am an associate or family member of a FPPO

Section 2.3: Exchange Control Information (Non-Residents Only)

Please select the applicable confirmation status below. If you have been registered as a South African resident or permanent resident at any point, additional documentary confirmation issued by SARS must be provided.

—Please choose an option—I was born in South AfricaAt some point registered as South African Permanent ResidentI was not born in South Africa and never registered as a South African Permanent Resident

Financial Information and Compliance

Planned Transaction Sizes: —Please choose an option—Less than R 100,000.00Between R 100,000.00 and R 5 MillionMore than R 5 MillionI confirm that my planned transaction(s) fall within my financial means.

Document Upload

Upload the necessary documents for identity verification and address confirmation. A selfie holding your identity document is also required to ensure a match between your provided ID and your profile.

Upload Identification Document (ID, Passport, Driver’s License): Upload Proof of Address (Utility Bill, Bank Statement, etc.): Upload a Selfie Holding the Identity Document:

Compliance and Consent

By submitting this form, you acknowledge and consent to the collection, processing, and storage of your personal data in accordance with the **Protection of Personal Information Act (POPIA)** and the **General Data Protection Regulation (GDPR)**. DAMREV is committed to maintaining the confidentiality and security of your data and will use this information solely for compliance, identity verification, and regulatory screening purposes.

As part of the onboarding process, DAMREV will perform various compliance checks, including **Know Your Customer (KYC)**, **Anti-Money Laundering (AML)**, and **Counter-Terrorism Financing (CTF)** screenings to meet local and international legal requirements. This may involve validating your identity against government databases, conducting background checks, and screening for any affiliations with politically exposed persons (PEPs) or sanctioned entities.

Third-Party Service Providers: Your information will be shared only with regulated and compliant third-party service providers to perform these checks and will not be disclosed to any unauthorized parties. These third-party providers operate independently and in accordance with strict data protection standards. DAMREV relies on their methodologies and structures to ensure that compliance is maintained at every stage.

Ongoing Monitoring and Consent for Future Screenings: By providing your consent, you agree that DAMREV and its authorized partners can use the provided information to conduct ongoing compliance monitoring and verification checks as needed. This includes continuous screening against updated sanction lists, re-verification upon major updates to your account information, and transaction monitoring for risk management purposes.

Your Data Rights: You have the right to access, modify, or delete your data in accordance with applicable laws and DAMREV’s internal data protection policies. If at any stage you wish to withdraw your consent or have concerns about how your data is being handled, please reach out to us at [email protected]. Withdrawal of consent may limit your ability to engage with DAMREV’s platform, as regulatory compliance is a core requirement for participation.

By providing your consent, you acknowledge that the submission of this information does not guarantee the opening of an investment account and that further documentation may be requested during the verification process to meet regulatory requirements.

I have read, understood, and consent to the collection, processing, and storage of my personal data for the purpose of compliance checks, identity verification, and ongoing regulatory monitoring in accordance with POPIA, GDPR, and other applicable laws and regulations. I also consent to the sharing of my data with regulated third-party providers for the purposes of compliance and identity verification.