Series A Share Subscription

1 Subscriber Information

Full Name / Entity Name *

ID / Passport / Reg. Number *

Phone Number *

Email Address *

Postal / Physical Address *

2 Subscription Details

Number of Series A Shares *

Price per share: US$15.00

Total Subscription Amount (USD)

Payment Reference Used *

This must match the reference used for your bank transfer to CABS Account 1155329988

3 Document Uploads

Signed Subscription Form *

Click to upload or drag and drop

PDF · JPG · PNG — max 10MB

Download the subscription form from the PPM document, complete, sign, and upload here.

Proof of Payment *

Click to upload or drag and drop

PDF · JPG · PNG — max 10MB

Bank receipt, transfer confirmation, or deposit slip. Must show amount and reference.

4 Declaration & Acceptance

I/We hereby subscribe for the above number of Series A Preferred Shares in Co-op Debenture Exchange (Private) Limited (Registration Number: 40508A0242025), subject to the terms and conditions set forth in the Private Placement Memorandum. I/We confirm that the funds used for this subscription are derived from legitimate sources and that I/We have read and understood the Private Placement Memorandum.

I confirm the above declaration and that the subscription funds are from legitimate sources. *

I accept the terms and conditions of the Private Placement as set out in the Private Placement Memorandum. *

Your documents will be sent securely to preferred@coops.africa and you will receive a confirmation email. By submitting you confirm acceptance of all terms in the Private Placement Memorandum.

Payment Instructions

Transfer to CABS before submitting

Bank CABS

Account Name Co-op Debenture Exchange (Private) Limited

Account Number 1155329988

Branch Avondale

SWIFT Code CABSZWHAXXX

Reference Your ID / Passport / Reg No.

Important: Always use your ID or registration number as the payment reference so your payment can be matched to this application.

Series A Preferred Shares

Private Placement

Share Class Series A Preferred

Price Per Share US$ 15.00

Issuer Co-op Debenture Exchange (Pvt) Ltd

Reg. Number 40508A0242025

Download PPM Document

Investor Relations

Questions about this placement

preferred@coops.africa

+267 774 900 028

18th Floor, Karigamombe Centre, Harare, Zimbabwe

Invest in Africa's first
Cooperative Debenture Exchange

Payment Instructions

Series A Preferred Shares

Investor Relations

Subscription Received

Invest in Africa's firstCooperative Debenture Exchange

Payment Instructions

Series A Preferred Shares

Investor Relations

Subscription Received

Invest in Africa's first
Cooperative Debenture Exchange