Individual Registration Form

  

1. Contact Information:

First Name (required)
Last Name (required)
Job Title
Employer
 
  Home Information
Home Phone (required)
Home Fax
Address (required)
Address (Cont.)
City (required)
State
Province/Region
Zip / Postal Code (required)
Country (required)
Personal E-mail   (required)
 
  Work Information
Work Phone
Work Fax
Address
Address (Cont.)
City
State
Province/Region
Zip / Postal Code
Country
Work Email  
 

 
2. Investment Experience and Qualifications

 
   a. Years of investment experience   (required)
    
 
   b. Portfolio Size   (required)
    

   c. Percentage allocated to alternative investments   (required)
    

   d. Are you currently invested in any hedge funds?:

       Yes
  No

     If yes, please provide the names of other hedge funds in which you are invested:
    





   e.  Are you a resident/citizen of the United States of America?   (required)
      Yes
  No

     If not, of what country are you currently a resident citizen?:
    

  f. Are you an accredited investor?
Please check all that apply: (required)
 
(i)An individual who had an income in excess of $200,000 in each of the two most recent years (or joint income with his or her spouse in excess of $300,000 in each of those years) and has a reasonable expectation of reaching the same income level in the coming year.
 
 
(ii)An individual who has a net worth (or joint net worth with his or her spouse) in excess of $1,000,000.
 
 
(iii)None of the above apply (further information may be required to determine accredited investor status).
 
  
  g.  Are you a qualified eligible person?
Please check all that apply: (required)

 
(i) A person who has at least $2,000,000 in assets invested in securities (including pooled vehicles) and other investments (including real estate held as an investment).
 
 
(ii)None of the above apply (further information may be required to determine qualified eligible status).
 
      
  
3. How did you find out about Libra Advisors.?
   
4. We will be contacting you by phone. Please list the date, time and number most convenient for you.
   
 
5. Advisory
    Please be advised that in order to provide you with access to the Libra website, one of our staff will be calling you to further discuss your interest in Libra and, if you are a US person, to confirm your accredited/qualified eligible status.
    Please note that Libra Offshore Ltd is not an investment open to US persons unless they are US tax-exempt entities.
 By clicking 'I Agree' below you are stating that the above entered information is true and that you have read the advisory above.