Private Equity - Real Assets - Managed Account Platform - Funds of Hedge Funds

INVESTOR QUALIFICATION QUESTIONNAIRE AND AGREEMENT

The information contained in this Investor Qualification Questionnaire and Agreement is being furnished by you in connection with determining whether you will be granted access to certain password-protected areas of the web site of Sciens Capital Management LLC.

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By submitting this form, I agree to a Sciens representative contacting me to discuss my areas of interest.