Expression of Interest
(EOI) Form

AgriUT Private Placement

1. First Name *
2. Last Name *
3. Who referred you? *
4. In which country are you located? *
5. Email *
6. Mobile
In case we need to contact you to discuss any of the Private Placement round in further detail.
7. What type of private placement are you interested in?
8. Do you have any other questions?
Anything relating to this Private Placement round not already covered in prior conversations or documentation.
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