Dataroom Access & Authority Confirmation

SECTION 1

Applicant Details

Who you are and how we contact you.

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Full name of individual contact

Company / entity name

Role / title

Email address

Phone number

Website

LinkedIn / professional profile

Country / jurisdiction

Corporate email used?

Yes No

SECTION 2

Applicant Type

How would you classify your organisation and role.

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Please tick all that apply Brief description of your organisation / role

SECTION 3

Authority to Access Materials

Confirm you are authorised to receive Port Elysium materials.

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Are you acting for your own account?

Yes No

Are you authorised to discuss investment, financing, introduction, advisory or strategic partnership matters with Port Elysium?

Yes No

Please briefly describe your authority / mandate Supporting evidence of authority (tick all that apply)

Corporate email Email authority from principal Mandate letter Advisor engagement letter Board / investment committee authority Business card / company profile Other

SECTION 4

Transparency of Investor / Capital Source

Who ultimately stands behind the request for access.

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Port Elysium requires transparency on the party ultimately requesting access to confidential project materials. Access may be refused or revoked where the ultimate investor, capital source, mandate or authority is not disclosed to Port Elysium's satisfaction.

Are you the ultimate investor / capital source?

Yes No

Will Port Elysium be permitted to verify the investor / capital source directly or through its advisors before granting or continuing data-room access?

Yes No

Will any other undisclosed parties receive, review or rely on Port Elysium materials?

Yes No

SECTION 5

Capital Capacity / Investment Interest

Indicative capacity, capital type, and source.

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Port Elysium does not require full bank statements, full source-of-funds evidence or detailed source-of-wealth information at data-room access stage. These may be required later as part of Full Stage 2 KYC / AML before any investment, payment or legally binding engagement.

Indicative capital capacity or investment range

Less than US$1 million US$1 million – US$5 million US$5 million – US$10 million US$10 million – US$25 million US$25 million – US$50 million US$50 million+ Not applicable / advisory role only

Capital type under discussion Source of capital Has capital been allocated or is it subject to approval?

Allocated Subject to investment committee / lender approval Subject to further review Introductory discussion only Not applicable

Can you provide light evidence of capital capacity or mandate if requested?

Yes No

Examples: fund profile, AUM confirmation, bank / lawyer / accountant letter, mandate confirmation, corporate profile, prior transaction evidence, or equivalent.

SECTION 6

Basic Compliance Confirmation

Four short attestations. All required.

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I / we are not subject to sanctions. I / we are not aware of any AML, fraud, corruption, terrorist-financing, criminal or regulatory issue that would prevent lawful engagement with Port Elysium. Any capital introduced or invested will not originate from sanctioned, restricted or unlawful sources. Port Elysium may conduct basic sanctions, adverse media and professional background checks on the applicant, the stated investor / principal, and any disclosed advisor, arranger or capital source before granting or continuing access. If you cannot confirm any of the above, please provide details

SECTION 7

Data Room Access Rules

By submitting you acknowledge each of these.

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I / we have signed or will sign the Port Elysium NDA before access. Data room materials will be used solely to evaluate Port Elysium. Materials will not be copied, forwarded, uploaded, disclosed or shared without Port Elysium's prior written consent. No contact will be made with Port Elysium's consultants, government contacts, sellers, landowners, residents, employees, project advisors or counterparties without Port Elysium's prior written consent. No public announcement or external communication will be made regarding Port Elysium without written consent. Data room access is discretionary and may be refused, restricted, suspended or revoked at any time. Full Stage 2 KYC / AML will be required before any investment, subscription, financing, advisory appointment, introducer appointment, success fee, retainer, commission or payment relationship.

SECTION 8

Light Document Checklist

No upload required at this stage — for reference only.

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Port Elysium may ask for any of the following on a case-by-case basis. You don't need to upload these now — the data room will be opened on Stage 1 approval. Stage 2 has its own dedicated document upload section.

Signed NDA
Business card / corporate email / LinkedIn profile
Company profile or website
Evidence of authority to act (if acting for another party)
Light capital capacity or mandate evidence (if requested)

SECTION 9

Declaration

Sign to submit. Status becomes "complete" only when every required field above is filled.

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I confirm the information provided is true, accurate and complete to the best of my knowledge. I confirm I am authorised to request access to Port Elysium materials. I confirm I have disclosed the true party or parties requesting access and have not withheld the identity of any ultimate investor, principal, capital source, advisor, broker, arranger or other party who will receive, review or rely on the materials. I confirm Port Elysium may conduct reasonable checks on the applicant, the stated investor / principal, and any disclosed advisor, arranger or capital source.

Name

Company

Position

Date

Signature (type your full name)

Typing your full name acts as an electronic signature confirming the declaration above. Submission is recorded with date, time, IP address and user agent in our compliance audit log.

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Dataroom Access & Authority Confirmation