Redemption request Origo Quest 1

Redemption request Origo Quest 1 Share class Please tick the box for the share class you wish to make redemption from: Share class A ISIN: SE 0005 003 134

Share class B ISIN: SE 0006 452 959

Share class C ISIN: SE 0006 452 967

Personal data Name/ Legal person

Personal/ Organizational number

Phone number

E-mail

Sales data Enter one of the following options; number of shares, amount of SEK or entire holding (100%)

Account details The sale proceeds will be credited to my / our account: Name of bank BIC IBAN

Name of benificiary

Payment reference

City and date

Signature

…………………………………………………………….

…………………………………………………………….. Signatory

…………………………………………………………….. Name in block letters

Redemption requests in Origo Quest 1 shall be provided to Origo Capital no later than twenty days prior to the last business day of the calendar month in which the redemption is to take place. Settlement note will be received after the sale. For legal persons, the registration certificate (not older than six months) and a copy of valid identification documents attached. Copies shall be attested. The form and any supporting documentation shall be sent to: Origo Capital, Birger Jarlsgatan 18, 114 34 STOCKHOLM

Origo Capital AB Birger Jarlsgatan 18, 3tr 114 34 Stockholm

Tel. + 46 76 843 05 09 E-mail: [email protected] Web: origocapital.se