Company: TLGYF
Filing Date: 2025-09-29
Form Type: S-4
Source: 0001213900-25-092592
Chunk: 822

Company: TLGY ACQUISITION CORP
Filing Date: 2025-09-29
Form: S-4
Chunk 822
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: ____________   |
| By: _________________________________________                        |     |                                                        |
| Name: ________________________________________                       |     |                                                        |
| Title: ________________________________________                      |     |                                                        |
| Name in which Subscribed Shares are to be registered (if different): 
 _____________________________________________                        |     | Date:_________________                                 |
| Subscriber’s EIN: ______________________________                     |     |                                                        |
| Entity Type (e.g., corporation, partnership, trust,                  
 etc.): ________________________________________                      |     |                                                        |
| Business Address-Street: ________________________                    |     | Mailing Address-Street (if different):                 
 ____________________________________________           |
| City, State, Zip: ________________________________                   |     | City, State, Zip: ________________________________     |
| Attn: ________________________________________                       |     | Attn: ________________________________________         |
| Telephone No.: _________________________________                     |     | Telephone No.: _________________________________       |
| Email for notices: ______________________________                    |     | Email for notices (if different): ____________________ |

Number of Shares subscribed for: _________________ Aggregate Purchase Price: $________________ Form of Payment : Cash Subscription

| ☐ | Cash: $____________________ | ☐ | USDT: ___________________ | ☐ | USDC: ___________________ |

ENA Subscription ☐ Unlocked ENA Token : ___________, valued at (per Schedule A hereto) $_____________. ☐ 12 Month Lockup ENA Token : ___________, valued at (per Schedule A hereto) $_____________. Aug 2025 Lockup ENA Token ____________ Sept 2025 Lockup ENA Token ____________ Oct 2025 Lockup ENA Token ____________ Nov 2025 Lockup ENA Token ____________ Dec 2025 Lockup ENA Token ____________ Jan 2026 Lockup ENA Token ____________ Feb 2026 Lockup ENA Token ____________ Mar 2026 Lockup ENA Token ____________ Apr 2026 Lockup ENA Token ____________ May 2026 Lockup ENA Token ____________ Jun 2026 Lockup ENA Token ____________ Jul 2026 Lockup ENA Token ____________ ☐ 24 Month Lockup ENA Token : ___________, valued at (per Schedule A hereto) $_____________. Aug 2026 Lockup ENA Token ____________ Sept 2026 Lockup