This due diligence questionnaire is to enable a company to discharge its responsibilities under the private placement and limited offering exemptions and that, as issuer and/or any of its sales personnel, a company will rely upon the information and representations and warranties contained in this questionnaire.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.