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SUBSCRIPTION AGREEMENT

LAKE VICTORIA MINING COMPANY, INC.

1.

SUBSCRIPTION: The undersigned, ______________ (the “Subscriber”), a resident of
the state of ________________, hereby subscribes for the purchase of
_____________________________(_______________) Units (the “Units”) of LAKE
VICTORIA MINING COMPANY, INC., an Nevada (the “Company”), in consideration of
the sum of _______________________dollars ($____________) and submits the total
subscription price with this subscription agreement. Each Unit consists of one
share of common stock and two redeemable stock purchase warrants (the
“Warrant”). One Warrant and $0.40 will allow the Subscriber to purchase one
additional share of common stock and One Warrant and $0.60 will allow the
Subscriber to purchase one additional share of common stock. Each Warrant is
exercisable for a period of thirty-six (36) months from August 12, 2010.
Further, each Warrant is redeemable by the Company upon twenty (20) days written
notice to the Subscriber. If the Warrant is not exercised during the redemption
period, it will terminate. This subscription is subject to the following terms
and conditions:

  a.

The Units, shares of common stock and Warrants are being sold pursuant to the
exemption from registration provided for in Regulation 506 of the Securities Act
of 1933 and regulations promulgated thereunder.

        b.

No certificate(s) for Units, shares of common stock or Warrants shall be issued
to the undersigned until the entire subscription price is paid; and,

        c.

The certificate(s) representing the Units, shares of common stock and Warrants
delivered pursuant to this subscription agreement shall each bear a restrictive
legend and may only be transferred only in compliance with Rule 144 of the
Securities Act of 1933. Said certificate(s) will contain the following
restrictive legend:

 

The securities evidenced hereby have not been registered under the Securities
Act of 1933, as amended, nor any other applicable securities act (the "Acts"),
and may not be sold, transferred, assigned, pledged or otherwise distributed,
unless there is an effective registration statement under such Acts covering
such securities or the Company receives an opinion of counsel for the holder of
these securities (concurred on by counsel for the Company) stating that such
sale, transfer, assignment, pledge or distribution is exempt from or in
compliance with the registration and prospectus delivery requirements of such
Acts.

 

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2.

REPRESENTATIONS AND WARRANTIES: The undersigned Subscriber hereby represents and
warrants to the Company:

  a.

The undersigned Subscriber understands that the Company’s Units, shares of
common stock and Warrants have not been approved or disapproved by the United
States Securities and Exchange Commission, any state securities agency, or any
foreign securities agency.

        b.

The undersigned Subscriber is not an underwriter and would be acquiring the
Company’s Units solely for investment purpose for his or her own account and not
with a view to, or for, resale in connection with any distribution within the
meaning of any federal securities act, state securities act or any other
applicable federal or state laws;

        c.

The undersigned Subscriber understands the speculative nature and risks of
investments associated with the Company, and confirms that the Units would be
suitable and consistent with his or her investment program; and, that his or her
financial position enable him or her to bear the risks of this investment;

        d.

The Units, shares of common stock comprising the Unit, Warrant, and shares of
common stock underlying the Warrant may not be transferred, encumbered, sold,
hypothecated, or otherwise disposed of, if such disposition will violate any
federal and/or state securities acts. Disposition shall include, but is not
limited to acts of selling, assigning, transferring, pledging, encumbering,
hypothecating, giving, or any other form of conveying, whether voluntary or not.
The date of issuance of the shares of common stock underlying the Warrants will
be the date the Warrant exercise price is paid in full and will be subject to
new restrictions as described herein.

        e.

To the extent that any federal, and/or state securities laws shall require, the
Subscriber hereby agrees that the Units, shares of common stock and Warrants
acquired pursuant to this Agreement shall be without preference as to assets;

        f.

The Company is under no obligation to seek an exemption under any federal
securities act, state securities act, or any foreign securities act for the
Units, shares of common stock which are part of the Unit; Warrant; or, shares of
common stock underlying the Warrant or to cause or permit such Units, shares of
common stock which are part of the Unit; Warrant; or, shares of common stock
underlying the Warrant to be transferred in the absence of any such registration
or exemption;

        g.

The Subscriber has had the opportunity to ask questions of the Company and has
received additional information from the Company to the extent that the Company
possessed such information, necessary to evaluate the merits and risks of any
investment in the Company. Further, the Subscriber has been given: (1) All
material books, records, documents, correspondence, and financial statements of
the Company; (2) all material contracts and documents relating to the proposed
transaction; (3) all reports filed with the Securities and Exchange Commission;
and, (4) an opportunity to question the appropriate executive officers of the
Company.

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  h.

The Subscriber has satisfied the suitability standards imposed by his or her
place of residence and has a pre-existing business relationship with the
Company;

        i.

The Subscriber has adequate means of providing for his current needs and
personal contingencies and has no need to sell the Units, shares of common stock
comprising the Unit, Warrant, or shares of common stock underlying the Warrant
in the foreseeable future (that is at the time of the investment, Subscriber can
afford to hold the investment for an indefinite period of time);

        j.

The Subscriber has sufficient knowledge and experience in financial matters to
evaluate the merits and risks of this investment. Further, subscriber represents
and warrants that he is able to evaluate and interpret the information furnished
to him by the Company and is capable of reading and interpreting financial
statements;

        k.

The Subscriber warrants and represents that he is a “sophisticated investor” as
that term is defined in United States court decisions and the rules, regulations
and decisions of the United States Securities and Exchange Commission.

        l.

Further, the Subscriber warrants and represents that he is an “accredited
investor” as that term is defined in Reg. 501 of the Securities Act of 1933 and
further understands that the Company may not sell the Units to anyone who is not
an accredited investor.

        m.

The Subscriber acknowledges that if he/she/it is a resident of the State of
Florida, he/she/it has the privilege of declaring this transaction null and void
provide the Subscriber communicates such intention to the Company in writing
within three (3) days of the of the tender of his/her/its consideration.

        n.

The subscriber warrants and represents that he is a citizen and resident of the
United States of America residing at ______________.

3.

REGISTRATION: The Company will not file a registration statement registering the
Units, shares of common stock, or Warrants.

 

4.

MISCELLANEOUS: This Subscription Agreement shall be binding upon the parties
hereto, their heirs, executors, successors, and legal representatives. The law
of the state of Nevada shall govern the rights of the parties to this Agreement.
This Agreement is not assignable without the prior written consent of the
Company, and any attempt to assign any rights, duties or obligations which arise
under this Agreement without the Company’s prior express written consent shall
be void. Exclusive jurisdiction over any action arising out of this Subscription
Agreement will the federal or state courts of Nevada.

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The undersigned Subscriber hereby declares and affirms that he or she has read
the within and foregoing Subscription Agreement, is familiar with the contents
thereof and agrees to abide by these terms and conditions therein set forth, and
knows the statements therein to be true and correct.

I hereby consent to the use of my name in any prospectus or registration
statement which may be filed in connection with any public offering of the
Company’s securities.

IN WITNESS WHEREOF, the parties have executed this Subscription Agreement this
____ day of , 2010, at , .

SUBSCRIBER

Please print clearly above the complete name that you desire to appear on your
share certificate.         Print Your Full Name   Signature             Print
Your Spouse’s Full Name   Spouse’s Signature (if applicable)                
Address                 City, State and Zip Code                 Area Code and
Telephone Number

ACCEPTED BY:

LAKE VICTORIA MINING COMPANY, INC.

BY: _________________________

Title: _______________________________     Date: ____________________

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INVESTOR SUITABILITY QUESTIONNAIRE

     Federal securities and state securities laws require that offers of
securities be confined to persons who meet certain eligibility criteria in order
not to violate the registration provisions of the Securities Act of 1933 and
state securities acts. Accordingly, you should carefully and accurately set
forth the information requested below:

1.

PERSONAL

  Name
__________________________________________________________________________  
Address (including zip code)
________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________  
        Social Security No.
________________________________________________________________   Telephone
Number (including area code) ________________________________________________  
Home: ______________        Business: ________________________   Age:
_____________

2.

EDUCATIONAL BACKGROUND

  High School Graduate               [ ] Yes                  [ ] No   College
Graduate                       [ ] Yes                   [ ] No   Where
_____________________________________________________________________________  
Subject Major
_____________________________________________________________________________  
Post Graduate or Professional Degree               [ ] Yes               [ ] No
  Where
_____________________________________________________________________________  
Subject
_____________________________________________________________________________  
Degrees
_____________________________________________________________________________

3.

OCCUPATION

   

What has been your principal occupation during the last five years?

   _____________________________________________________________________________
   

What have been your principal duties and responsibilities?

   _____________________________________________________________________________
    4.

INVESTMENT EXPERIENCE

   

Have you invested in real estate? (other than residences) Explain nature and
location.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

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Have you invested in tax shelters? Please indicate type, nature and amount.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Have you ever invested in limited partnerships or partnerships? If yes, please
give details.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Have you invested in stocks, bonds or other types of securities? (including
commodities futures, options, etc.) Explain type, nature and amount.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

5.

FINANCIAL - Individuals

   

What is your present annual income?

[ ] Below $25,000              [ ] $125,000 - $150,000
[ ] $25,000 - $50,000          [ ] $150,000 - $175,000
[ ] $50,000 - $75,000          [ ] $175,000 - $200,000
[ ] $75,000 - $100,000        [ ] $200,000 - $300,000
[ ] $100,000 - $125,000      [ ] Over $300,000

 

What is your “investment” net worth? (This means your net worth exclusive of
residence, automobiles, pleasure boats, furniture, jewelry, art work and
personal effects.) Please be conservative in estimating value of real estate and
other non-liquid investments.
_____________________________________________________________________________
_____________________________________________________________________________

6.

FINANCIAL - Corporations

What is the value of your assets?

[ ] $5,000,000 or less        [ ] In excess of $5,000,000

7.

I/We, the undersigned, hereby represent and warrant to the Company, the
following:

      a.

THAT THE UNDERSIGNED IS AWARE THAT THE UNITS HAVE NOT BEEN APPROVED OR
DISAPPROVED BY THE UNITED STATES SECURITIES AND EXCHANGE COMMISSION OR ANY STATE
SECURITIES ADMINISTRATORS; THAT THE UNDERSIGNED IS NOT AN UNDERWRITER.

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  b.

THAT THE UNITS HAVE NOT BEEN APPROVED OR DISAPPROVED BY ANY FOREIGN SECURITIES
AGENCY AND THE UNITS HAVE NOT BEEN REGISTERED WITH ANY FEDERAL, STATE, OR
FOREIGN SECURITIES AGENCY.

        c.

THAT THE UNDERSIGNED WOULD BE ACQUIRING THE UNITS SOLELY FOR HIS OR HER OWN
ACCOUNT AND NOT WITH A VIEW TO, OR FOR, RESALE IN CONNECTION WITH ANY
DISTRIBUTION OF THE UNITS WITHIN THE MEANING OF THE FEDERAL SECURITIES ACT OR
ANY STATE SECURITIES ACTS.

        d.

THAT THE UNDERSIGNED REPRESENTS AND WARRANTS HIS OR HER UNDERSTANDING OR THE
SPECULATIVE NATURE AND RISKS OF INVESTMENT ASSOCIATED WITH THE COMPANY AND
CONFIRMS THAT THE UNITS WOULD BE SUITABLE AND CONSISTENT WITH HIS OR HER
INVESTMENT PROGRAM AND THAT HIS OR HER FINANCIAL POSITION ENABLE HIM OR HER TO
BEAR THE RISKS OF THIS INVESTMENT.

        e.

THAT THE UNDERSIGNED IS A CITIZEN AND RESIDENT OF THE UNITED STATES OF AMERICA
RESIDING AT _________________
.

     I/We hereby certify that the above information is true accurate and
complete to the best of my/our knowledge and belief, and the I/we am/are a bona
fide resident(s) of ____________for all purposes, and that my/our residence
address is as set forth below. I/We further certify that I/we am/are not
purchasing said Units for or on behalf of, or with the intention of transfer,
gift, resale or distribution.

  INVESTOR           Signature           Spouse’s Signature (if applicable)    
      Address           City, State and Zip Code           Area Code and
Telephone Number

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PURCHASER REPRESENTATIVE QUESTIONNAIRE

     This Questionnaire is being furnished in connection with the proposed offer
and sale of Units to a number of qualified investors without registration under
the Securities Act of 1933 (the “Act”) in reliance on an exemption pursuant to
Regulation 506 of the Securities Act of 1933 and rules promulgated thereunder.
The availability of such exemptions depends, in part, on a determination that
each purchaser does not require the protection that would be afforded by
registration of the Units under the Act.

     The information supplied in response to this Questionnaire will be used in
determining whether the representatives of certain purchasers of the Units meet
certain requirements established by the Company; such information will be kept
confidential and will not be disclosed except to the Officers of the Company and
its counsel and, if HOWEVER, THE NAMES AND ADDRESSES OF ALL PURCHASER
REPRESENTATIVES SHALL BE DISCLOSED TO THE SECURITIES AND EXCHANGE COMMISSION AS
REQUIRED BY THE SECURITIES AND EXCHANGE COMMISSION.

     Terms used herein and not defined herein have the meanings attributed to
them by the Securities Act of 1933, as amended.

1.

Full name of Purchaser Representative:

   _____________________________________________________________________________
    2.

Full address of Purchaser Representative:

   _____________________________________________________________________________
    3.

Full name(s) of Purchaser(s):

   _____________________________________________________________________________
    4.

Is the Purchaser Representative an affiliate, director, officer, or other
employee of the Company or the beneficial owner of 10% or more of any class or
equity securities or 10% or more of any equity interest in such Company?
(“Affiliate” of a person means a person that directly or indirectly through one
or more intermediaries, controls, or is controlled by, or is under common
control with such person.)

                                             [ ] Yes               [ ] No

If, “Yes,” please explain:
__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    5.

Is the Purchaser related to the Purchaser Representative by blood, marriage or
adoption, no more remotely than as first cousin?

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                                               [ ] Yes        [ ] No

If, “Yes,” please
explain:___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    6.

What is the business of the Purchaser Representative?

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    7.

Has the Purchaser Representative ever acted in such capacity for other persons
prior to this time?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    8.

What is the educational background of the Purchaser Representative or its agent?

    9.

Has the Purchaser Representative participated previously either as an investor
or as a person giving advice with respect to private placements of securities?
_____________________________________________________________________________
_____________________________________________________________________________

    10.

Has an order of censure ever been issued from the Securities and Exchange
Commission against the Purchaser Representative relating to such Purchaser
Representative’s failure to properly fulfill its duties under the securities
laws.

                                               [  ] Yes           [ ] No

  If, “Yes,” please explain:
__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

11.

Has the Purchaser Representative ever been a defendant in a lawsuit in which it
was alleged that such Purchaser Representative or its agents had failed to
properly fulfill its (their) duty(ies) under the securities laws?

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                                              [ ] Yes              [ ] No

If, “Yes,” please
explain:___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    12.

Are there any material relationships, during the past two years, presently
existing or understood to be contemplated in the future between the Purchaser
Representative or its affiliates and the Company and its Officers or Directors
or their affiliates? (“Material” means any relationship that a reasonable
investor might consider important in making of the decision whether to
acknowledge a person as his Purchaser Representative.)

                                              [ ] Yes              [ ] No

If, “Yes,” please
explain:__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

    13.

Has any compensation been received or will any compensation be received as a
result of the relationships referred to in question 12?

                                               [ ] Yes                 [ ] No

  If, “Yes,” please explain:
__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

     The above information is supplied by the undersigned solely for use in
determining the undersigned’s eligibility to act as a Purchaser Representative
in connection with the sale referred to herein. Such information is correct to
the best of the undersigned’s knowledge, information and belief. The undersigned
will promptly notify the Company and the Purchaser if prior to the consummation
of such sale if such information becomes inaccurate or incomplete.

     The Purchaser Representative hereby affirmatively represents that he has
such knowledge and experience in financial and business matters that he, either
alone, or together with the Purchaser, is capable of evaluating the merits and
risks of the investment contemplated hereby.

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     The undersigned Purchaser Representative hereby certifies to the Purchaser
that, other than as described above, there is no material relationship between
the undersigned or his affiliates and the Company or its Officers and Directors
that is mutually understood to be contemplated or that has existed at any time
during the previous two years, and that no compensation has or will be received
from the Company.

     The undersigned certifies to the best of his knowledge and belief that the
information set forth in this statement is true, complete and correct.

         Dated this day ________of ____________, 2010.

  Signature of Purchaser Representative

ACKNOWLEDGMENT OF PURCHASER:

     The undersigned Purchaser hereby confirms that he has read the information
disclosed by the Purchaser Representative in response to the foregoing
Questionnaire and does hereby acknowledge in writing said Purchaser
Representative to be his Purchaser Representative in connection with his
purchase of the stock.

           Dated this day _______of_______________ , 2010.

  Signature of Subscriber

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