Confidential — For Client Identification & Compliance

Client Registration

DEMGTTOKEN / DEMGT Ecosystem

Issued by DE Asset Management

Complete this form to register your interest in purchasing DEMGT and joining the ecosystem. Our compliance team will review your submission and follow up with next steps for identity verification and onboarding.

Application Type

IndividualBusiness / Entity

Section 1 — Client Information

First / Given Name

Legal Last / Family Name

Middle Name(s)

Date of Birth (YYYY/MM/DD)

Residential Address

City

Province / State

Postal / ZIP Code

Country

Primary Telephone

Email Address

Country of Citizenship

Section 2 — Occupation / Principal Business

Current Occupation

Employer / Company Name

Industry / Sector

Position / Title

Primary Source of Funds

Section 3 — Identity Verification

ID Type

Issuing Country

Document Number

Expiry Date

Section 5 — Purpose of Your DEMGT Account

Primary Purpose

Section 6 — Expected Account Activity

Expected Monthly Transaction Volume

Expected Transaction Frequency

Section 12 — Risk Tolerance

Willingness to Accept Potential Losses

Section 8 — Politically Exposed Person (PEP) Declaration

Are you a PEP, or a close family member/associate of one?

No Yes Unsure

Section 9 — Sanctions & Compliance Declaration

Are you currently subject to financial sanctions or restrictions?

No Yes Unsure

Section 14 — Client Declaration & Consent

I certify that the information provided is true, complete and accurate to the best of my knowledge. I understand that DEMGT may request additional documentation to verify my identity and meet applicable legal and regulatory requirements, including FINTRAC reporting. I understand that providing inaccurate or misleading information may result in my application being delayed, restricted or declined.

By submitting, you consent to DE Asset Management processing your information in accordance with our Privacy Policy.