FORM OF 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 website of TIG Advisors, LLC.

Are you a current TIG Investor? (Yes/No toggle choice for answer):

Yes No

REPRESENTATIONS FOR (fill out one):

INDIVIDUALS TRUSTS OTHER THAN PENSION PLAN CORPORATIONS AND PARTNERSHIPS

I. Background Information

1. GENERAL INFORMATION
Name:
Residence address:      (include street, city, state, country and zip code)
Residence Telephone No. ( ):
Facsimile Number:
E-mail address:
2. EMPLOYMENT AND BUSINESS INFORMATION
Employer:      (include all information for the last five years):
Business Address:      (include street, city, state and zip code)
Business Telephone No. ( ):
Position:
Nature of Duties:
Period Employed:
3. SEND CORRESPONDENCE TO (fill out one):
Residence Business Other
4. EDUCATIONAL BACKGROUND (Beginning with College):
School                                            Major                                                Degree and Year (if any)
5. FINANCIAL INFORMATION:
I have a net worth, including vested pension or profit sharing plan investments but excluding my      principal residence, home furnishings and automobiles (including joint net worth with my      spouse) in excess of (please check one):
Under $1,500,000 $1,500,000 - $5,000,000 Over $5,000,000
6. INVESTMENT EXPERIENCE:
I currently have or have previously made investments in (please check all that apply):
stocks or bonds mutual funds futures, commodities, options or other derivative instruments real estate private investment funds (hedge funds, private equity funds, commodity pools, etc.) other (please describe)