Document:

Exhibit
10.1

 

CURRENCYWORKS
INC.

(the
“Issuer”)

 

PRIVATE
PLACEMENT SUBSCRIPTION AGREEMENT

(SHARES)

 

INSTRUCTIONS
TO SUBSCRIBER

	1.	You
                                            must complete all the information in the boxes on page 2 and sign where indicated with an
                                            “X”.

	2.	If
                                            you are a resident of Canada, you must complete and sign Exhibit A “Canadian Investor
                                            Questionnaire” that starts on page 14. The purpose of this form is to determine whether
                                            you meet the standards for participation in a private placement under applicable Canadian
                                            securities laws. In order for the Issuer to satisfy its obligations under applicable Canadian
                                            securities laws, you may be required to provide additional evidence to verify the information
                                            you have provided in Exhibit A.

	3.	If
                                            you are a “U.S. Purchaser”, as defined in Exhibit B, you must complete and sign
                                            Exhibit B “United States Accredited Investor Questionnaire” that starts on page
                                            23.

	4.	All
                                            subscription funds must be in U.S. Dollars. You may only pay by wire transfer to the Issuer
                                            pursuant to the wiring instructions set out in Exhibit C that is on page 28.

 

    	 

     

    

 

CURRENCYWORKS
INC.

 

PRIVATE
PLACEMENT SUBSCRIPTION AGREEMENT

 

The
undersigned (the “Subscriber”) hereby irrevocably subscribes for and agrees to purchase from CurrencyWorks Inc. (the
“Issuer”) that number of shares of common stock of the Issuer (each, a “Share”) set out below at
a price of $0.288 per Share. The Subscriber agrees to be bound by the terms and conditions set forth in the attached “Terms and
Conditions of Subscription for Shares”.

 

	Subscriber
    Information	 	Shares
    to be Purchased
	 	 	 
	 	 	 
	(Name
    of Subscriber)	 	(Number
    of Shares)
	 	 	 
	Account
    Reference (if applicable): 	 	 	Total
    Subscription Price:	 
	 	 	      (the
    “Subscription Amount”, plus wire fees if applicable)
	X	 	 
	(Signature
    of Subscriber – if the Subscriber is an Individual)	 	 
	 	 	 
	X	 	 
	(Signature
    of Authorized Signatory – if the Subscriber is not an Individual)	 	 
	 	 	 
	 	 	 
	(Name
    and Title of Authorized Signatory – if the Subscriber is not an Individual)	 	 
	 	 	 
	 	 	 
	(Subscriber’s
    Address, including postal or zip code)	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	(Telephone
    Number)                                     (Email
    Address)	 	 
	 	 	 
	Register
    the Shares as set forth below:	 	Deliver
    the Shares as set forth below:
	 	 	 
	 	 	 
	(Name
    to Appear on Share and Warrant Certificate)	 	(Attention
    - Name)
	 	 	 
	 	 	 
	(Account
    Reference, if applicable)	 	(Account
    Reference, if applicable)
	 	 	 
	 	 	 
	(Address,
    including postal or zip code)	 	(Street
    Address, including postal or zip code – no PO Boxes permitted)
	 	 	 
	 	 	 
	 	 	(Telephone
    Number)

 

    	Page 2

     

    

 

ACCEPTANCE

 

The
Issuer hereby accepts the Subscription (as defined herein) on the terms and conditions contained in this private placement subscription
agreement (this “Agreement”) as of the______ day of ________________, 2021 (the “Closing Date”).

 

	CURRENCYWORKS
    INC.	 
	 	 
	Per:	 	 
	 	Authorized Signatory	 
	 	 
	Address:	3250 Oakland Hills Court	 
	 	Fairfield, CA 94534	 
	Email:	Swapan.kakumanu@currencyworks.io	 
	Attention:	Swapan Kakumanu	 

 

    	Page 3

     

    

 

TERMS
AND CONDITIONS OF SUBSCRIPTION FOR SHARES 

	1.	Subscription

 

1.1       On
the basis of the representations and warranties, and subject to the terms and conditions, set forth in this Agreement, the Subscriber
hereby irrevocably subscribes for and agrees to purchase such number of Shares as is set forth on page 2 of this Agreement at a price
of $0.288 per Share for the Subscription Amount shown on page 2 of this Agreement, which is tendered herewith (such subscription and
agreement to purchase being the “Subscription”), and the Issuer agrees to sell the Shares to the Subscriber, effective
upon the Issuer’s acceptance of this Agreement.

 

1.2       The
Subscriber acknowledges that the Shares have been offered to the Subscriber as part of an offering by the Issuer of additional Shares
to other subscribers (the “Offering”).

 

1.3       All
dollar amounts referred to in this Agreement are in lawful money of the United States of America, unless otherwise indicated.

	2.	Payment

 

2.1       The
Subscription Amount must accompany this Subscription and will be paid by wire transfer to the Issuer pursuant to wiring instructions
provided in Exhibit C at page 30. If Clark Wilson LLP (the “Issuer’s Counsel”) received the Subscription Amount,
the Subscriber irrevocably authorizes the Issuer’s Counsel to immediately deliver the Subscription Amount to the Issuer upon receipt
of the Subscription Amount from the Subscriber, notwithstanding that such delivery may be made by the Issuer’s Counsel to the Issuer
prior to the closing of the Offering (the “Closing”). The Subscriber authorizes the Issuer to treat the Subscription
Amount as an interest free loan until the Closing.

 

2.2       The
Subscriber acknowledges and agrees that this Agreement, the Subscription Amount and any other documents or monies delivered in connection
herewith will be held by or on behalf of the Issuer. In the event that this Agreement is not accepted by the Issuer for whatever reason,
which the Issuer expressly reserves the right to do, the Issuer will return the Subscription Amount (without interest thereon and less
any wire charges) to the Subscriber at the address of the Subscriber as set forth on page 2 of this Agreement, or as otherwise directed
by the Subscriber.

	3.	Documents
                                            Required from Subscriber

 

3.1       The
Subscriber must complete, sign and return to the Issuer the following documents:

		(a)	this
                                            Agreement;

		(b)	if
                                            the Subscriber is a resident of Canada, the Canadian Investor Questionnaire (the “Canadian
                                            Questionnaire”) attached as Exhibit A that starts on page 14, along with any additional
                                            evidence that may be requested by the Issuer to verify the information provided in the Canadian
                                            Questionnaire;

		(c)	if
                                            the Subscriber is a U.S. Purchaser (as defined in Exhibit B), the United States Accredited
                                            Investor Questionnaire (the “U.S. Questionnaire” and, together with the
                                            Canadian Questionnaire, the “Questionnaires”) attached as Exhibit B that
                                            starts on page 24 along with any additional evidence that may be requested by the Issuer
                                            to verify the information provided in the U.S. Questionnaire; and

		(d)	such
                                            other supporting documentation that the Issuer or the Issuer’s Counsel may request
                                            to establish the Subscriber’s qualification as a qualified investor.

 

    	Page 4

     

    

 

The
Subscriber acknowledges and agrees that the Issuer will not consider the Subscription for acceptance unless the Subscriber has provided
all of such documents to the Issuer.

 

3.2       As
soon as practicable upon any request by the Issuer, the Subscriber will complete, sign and return to the Issuer any additional documents,
questionnaires, notices and undertakings as may be required by any regulatory authorities or applicable laws.

 

3.3       The
Issuer and the Subscriber acknowledge and agree that the Issuer’s Counsel has acted as counsel only to the Issuer and is not protecting
the rights and interests of the Subscriber. The Subscriber acknowledges and agrees that the Issuer and the Issuer’s Counsel have
given the Subscriber the opportunity to seek, and are hereby recommending that the Subscriber obtain, independent legal advice with respect
to the subject matter of this Agreement and, further, the Subscriber hereby represents and warrants to the Issuer and the Issuer’s
Counsel that the Subscriber has sought independent legal advice or waives such advice.

	4.	Conditions
                                            and Closing

 

4.1       The
Closing Date will occur on such date as may be determined by the Issuer in its sole discretion. The Issuer may, at its discretion, elect
to close the Offering in one or more closings, in which event the Issuer may agree with one or more purchasers (including the Subscriber)
to complete delivery of the Shares to such purchaser(s) against payment therefor at any time on or prior to the Closing Date.

 

4.2       The
Closing is conditional upon and subject to:

		(a)	the
                                            Issuer having obtained all necessary approvals and consents, including regulatory approvals
                                            for the Offering; and

		(b)	the
                                            issue and sale of the Shares being exempt from the requirement to file a prospectus and a
                                            registration statement and the requirement to deliver an offering memorandum under applicable
                                            securities legislation relating to the sale of the Shares, or the Issuer having received
                                            such orders, consents or approvals as may be required to permit such sale without the requirement
                                            to file a prospectus or deliver an offering memorandum.

 

4.3       The
Subscriber acknowledges that the certificates representing the Shares will be available for delivery within five (5) business days of
the Closing Date, provided that the Subscriber has satisfied the requirements of Section 3 hereof and the Issuer has accepted this Agreement.

	5.	Acknowledgements
                                            and Agreements of the Subscriber

 

5.1       The
Subscriber acknowledges and agrees that:

		(a)	except
                                            as provided in this Agreement, none of the Shares have been or will be registered under the
                                            United States Securities Act of 1933, as amended, (the “1933 Act”),
                                            or under any securities or “blue sky” laws of any state of the United States,
                                            and, unless so registered, may not be offered or sold in the United States or, directly or
                                            indirectly, to any U.S. Person (as defined in Section 6.2), except in accordance with the
                                            provisions of Regulation S under the 1933 Act (“Regulation S”), pursuant
                                            to an effective registration statement under the 1933 Act, or pursuant to an exemption from,
                                            or in a transaction not subject to, the registration requirements of the 1933 Act, and in
                                            each case only in accordance with applicable state, provincial and foreign securities laws;

 

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		(b)	except
                                            as provided in this Agreement, the Issuer has not undertaken, and will have no obligation,
                                            to register any of the Shares under the 1933 Act or any other applicable securities laws;

		(c)	the
                                            Issuer will refuse to register the transfer of any of the Shares to a U.S. Person not made
                                            pursuant to an effective registration statement under the 1933 Act or pursuant to an available
                                            exemption from the registration requirements of the 1933 Act and in each case in accordance
                                            with all applicable laws;

		(d)	the
                                            decision to execute this Agreement and to acquire the Shares has not been based upon any
                                            oral or written representation as to fact or otherwise made by or on behalf of the Issuer
                                            and such decision is based entirely upon a review of any public information which has been
                                            filed by the Issuer with any Canadian provincial securities commissions on SEDAR and the
                                            United States Securities and Exchange Commission (the “SEC”) (collectively,
                                            the “Public Record”);

		(e)	the
                                            Issuer and others will rely upon the truth and accuracy of the acknowledgements, representations,
                                            warranties, covenants and agreements of the Subscriber contained in this Agreement and the
                                            Questionnaires, as applicable, and agrees that if any of such acknowledgements, representations
                                            and agreements are no longer accurate or have been breached, the Subscriber will promptly
                                            notify the Issuer;

		(f)	there
                                            are risks associated with the purchase of the Shares, as more fully described in the Issuer’s
                                            periodic disclosure forming part of the Public Record;

		(g)	the
                                            Subscriber and the Subscriber’s advisor(s) have had a reasonable opportunity to ask
                                            questions of, and receive answers from, the Issuer in connection with the distribution of
                                            the Shares hereunder, and to obtain additional information, to the extent possessed or obtainable
                                            without unreasonable effort or expense, necessary to verify the accuracy of the information
                                            about the Issuer;

		(h)	a
                                            portion of this Offering may be sold pursuant to an agreement between the Issuer and one
                                            or more agents registered in accordance with applicable securities laws, in which case the
                                            Issuer will pay a fee and/or compensation securities on terms as set out in such agreement;

		(i)	finder’s
                                            fees or broker’s commissions may be payable by the Issuer to finders who introduce
                                            subscribers to the Issuer;

		(j)	the
                                            books and records of the Issuer were available upon reasonable notice for inspection, subject
                                            to certain confidentiality restrictions, by the Subscriber during reasonable business hours
                                            at its principal place of business, and all documents, records and books in connection with
                                            the distribution of the Shares hereunder have been made available for inspection by the Subscriber,
                                            its legal counsel and/or its advisor(s);

		(k)	all
                                            of the information which the Subscriber has provided to the Issuer is correct and complete
                                            and if there should be any change in such information prior to the Closing, the Subscriber
                                            will immediately notify the Issuer, in writing, of the details of any such change;

 

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		(l)	the
                                            Issuer is entitled to rely on the representations and warranties of the Subscriber contained
                                            in this Agreement and the Questionnaires, as applicable, and the Subscriber will hold harmless
                                            the Issuer from any loss or damage it or they may suffer as a result of the Subscriber’s
                                            failure to correctly complete this Agreement or the Questionnaires, as applicable;

		(m)	any
                                            resale of the Shares by the Subscriber will be subject to resale restrictions contained in
                                            the securities laws applicable to the Issuer, the Subscriber and any proposed transferee
                                            and it is the sole responsibility of the Subscriber to find out what those restrictions are
                                            and to comply with such restrictions before selling any of the Shares;

		(n)	the
                                            Subscriber has been advised to consult the Subscriber’s own legal, tax and other advisors
                                            with respect to the merits and risks of an investment in the Shares and with respect to applicable
                                            resale restrictions, and it is solely responsible (and the Issuer is not in any way responsible)
                                            for compliance with:

		(i)	any
                                            applicable laws of the jurisdiction in which the Subscriber is resident in connection with
                                            the distribution of the Shares hereunder, and

		(ii)	applicable
                                            resale restrictions;

		(o)	there
                                            may be material tax consequences to the Subscriber of an acquisition or disposition of the
                                            Shares and the Issuer gives no opinion and makes no representation to the Subscriber with
                                            respect to the tax consequences to the Subscriber under federal, state, provincial, local
                                            or foreign tax laws that may apply to the Subscriber’s acquisition or disposition of
                                            the Shares;

		(p)	the
                                            Subscriber consents to the placement of a legend or legends on any certificate or other document
                                            evidencing any of the Shares setting forth or referring to the restrictions on transferability
                                            and sale thereof contained in this Agreement;

		(q)	the
                                            Issuer has advised the Subscriber that the Issuer is relying on an exemption from the requirements
                                            to provide the Subscriber with a prospectus and to sell the Shares through a person registered
                                            to sell securities under provincial securities laws and other applicable securities laws,
                                            and, as a consequence of acquiring the Shares pursuant to such exemption, certain protections,
                                            rights and remedies provided by applicable securities laws (including the various provincial
                                            securities acts), including statutory rights of rescission or damages, will not be available
                                            to the Subscriber;

		(r)	no
                                            securities commission or similar regulatory authority has reviewed or passed on the merits
                                            of any of the Shares;

		(s)	there
                                            is no government or other insurance covering any of the Shares; and

		(t)	this
                                            Agreement is not enforceable by the Subscriber unless it has been accepted by the Issuer
                                            and the Issuer reserves the right to reject this Subscription for any reason.

	6.	Representations
                                            and Warranties of the Subscriber

 

6.1       The
Subscriber hereby represents and warrants to the Issuer (which representations and warranties will survive the Closing) that:

		(a)	unless
                                            the Subscriber has completed Exhibit B, the Subscriber is not a U.S. Person (as defined in
                                            Section 6.2);

 

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		(b)	the
                                            Subscriber is resident in the jurisdiction set out on page 2 of this Agreement;

		(c)	if
                                            the Subscriber is resident outside of the United States and Canada:

		(i)	the
                                            Subscriber is knowledgeable of, or has been independently advised as to, the applicable securities
                                            laws having application in the jurisdiction in which the Subscriber is resident (the “International
                                            Jurisdiction”) which would apply to the offer and sale of the Shares,

		(ii)	the
                                            Subscriber is purchasing the Shares pursuant to exemptions from prospectus or equivalent
                                            requirements under applicable laws of the International Jurisdiction or, if such is not applicable,
                                            the Subscriber is permitted to purchase the Shares under applicable securities laws of the
                                            International Jurisdiction without the need to rely on any exemptions,

		(iii)	the
                                            applicable securities laws of the International Jurisdiction do not require the Issuer to
                                            make any filings or seek any approvals of any kind from any securities regulator of any kind
                                            in the International Jurisdiction in connection with the offer, issue, sale or resale of
                                            any of the Shares,

		(iv)	the
                                            purchase of the Shares by the Subscriber does not trigger:

		A.	any
                                            obligation to prepare and file a prospectus or similar document, or any other report with
                                            respect to such purchase, in the International Jurisdiction, or

		B.	any
                                            continuous disclosure reporting obligation of the Issuer in the International Jurisdiction,
                                            and

		(v)	the
                                            Subscriber will, if requested by the Issuer, deliver to the Issuer a certificate or opinion
                                            of local counsel from the International Jurisdiction which will confirm the matters referred
                                            to in subparagraphs (ii), (iii) and (iv) above to the satisfaction of the Issuer, acting
                                            reasonably;

		(d)	the
                                            Subscriber has the legal capacity and competence to enter into and execute this Agreement
                                            and to take all actions required pursuant hereto and, if the Subscriber is a corporate entity,
                                            it is duly incorporated and validly subsisting under the laws of its jurisdiction of incorporation
                                            and all necessary approvals by its directors, shareholders and others have been obtained
                                            to authorize execution and performance of this Agreement on behalf of the Subscriber;

		(e)	the
                                            entering into of this Agreement and the transactions contemplated hereby do not result in
                                            the violation of any of the terms and provisions of any law applicable to, or, if applicable,
                                            the constating documents of, the Subscriber or of any agreement, written or oral, to which
                                            the Subscriber may be a party or by which the Subscriber is or may be bound;

		(f)	the
                                            Subscriber has duly executed and delivered this Agreement and it constitutes a valid and
                                            binding agreement of the Subscriber enforceable against the Subscriber;

 

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		(g)	the
                                            Subscriber has received and carefully read this Agreement;

		(h)	the
                                            Subscriber is aware that an investment in the Issuer is speculative and involves certain
                                            risks, including those risks disclosed in the Public Record and the possible loss of the
                                            entire Subscription Amount;

		(i)	the
                                            Subscriber has made an independent examination and investigation of an investment in the
                                            Shares and the Issuer and agrees that the Issuer will not be responsible in any way for the
                                            Subscriber’s decision to invest in the Shares and the Issuer;

		(j)	the
                                            Subscriber is not an underwriter of, or dealer in, any of the Shares, nor is the Subscriber
                                            participating, pursuant to a contractual agreement or otherwise, in the distribution of the
                                            Shares;

		(k)	the
                                            Subscriber is not aware of any advertisement of any of the Shares and is not acquiring the
                                            Shares as a result of any form of general solicitation or general advertising, including
                                            advertisements, articles, notices or other communications published in any newspaper, magazine
                                            or similar media, or broadcast over radio or television, or any seminar or meeting whose
                                            attendees have been invited by general solicitation or general advertising; and

		(l)	no
                                            person has made to the Subscriber any written or oral representations:

		(i)	that
                                            any person will resell or repurchase any of the Shares,

		(ii)	that
                                            any person will refund the purchase price of any of the Shares, or

		(iii)	as
                                            to the future price or value of any of the Shares.

 

6.2       In
this Agreement, the term “U.S. Person” will have the meaning ascribed thereto in Regulation S, and for the purpose
of this Agreement includes, but is not limited to: (a) any person in the United States; (b) any natural person resident in the United
States; (c) any partnership or corporation organized or incorporated under the laws of the United States; (d) any partnership or corporation
organized outside the United States by a U.S. Person principally for the purpose of investing in securities not registered under the
1933 Act, unless it is organized or incorporated, and owned, by accredited investors who are not natural persons, estates or trusts;
or (e) any estate or trust of which any executor or administrator or trustee is a U.S. Person.

	7.	Representations
                                            and Warranties will be Relied Upon by the Issuer

 

7.1       The
Subscriber acknowledges and agrees that the representations and warranties contained herein and in the Questionnaires are made by it
with the intention that such representations and warranties may be relied upon by the Issuer and the Issuer’s Counsel in determining
the Subscriber’s eligibility to purchase the Shares under applicable laws, or, if applicable, the eligibility of others on whose
behalf the Subscriber is contracting hereunder to purchase the Shares under applicable laws. The Subscriber further agrees that, by accepting
delivery of the certificates representing the Shares, it will be representing and warranting that the representations and warranties
contained herein and in the Questionnaires are true and correct as at the Closing Date with the same force and effect as if they had
been made by the Subscriber on the Closing Date and that they will survive the purchase by the Subscriber of the Shares and will continue
in full force and effect notwithstanding any subsequent disposition by the Subscriber of such Shares.

 

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	8.	Acknowledgement
                                            and Waiver

 

8.1       The
Subscriber has acknowledged that the decision to acquire the Shares was solely made on the basis of the Public Record. The Subscriber
hereby waives, to the fullest extent permitted by law, any rights of withdrawal, rescission or compensation for damages to which the
Subscriber might be entitled in connection with the distribution of any of the Shares.

	9.	Legending
                                            and Registration of Subject Shares

 

9.1       The
Subscriber hereby acknowledges that a legend or legends may be placed on the certificates representing the Shares to the effect that
the Shares represented by such certificates are subject to a hold period and may not be traded until the expiry of such hold period except
as permitted by applicable securities laws, and the Subscriber consent to the placement of such legend(s) on any certificate representing
the Shares.

 

9.2       The
Subscriber hereby acknowledges and agrees to the Issuer making a notation on its records or giving instructions to the registrar and
transfer agent of the Issuer in order to implement the restrictions on transfer set forth and described in this Agreement.

	10.	Collection
                                            of Personal Information

 

10.1       The
Subscriber acknowledges and consents to the fact that the Issuer is collecting the Subscriber’s personal information for the purpose
of fulfilling this Agreement and completing the Offering. The Subscriber acknowledges that its personal information (and, if applicable,
the personal information of those on whose behalf the Subscriber is contracting hereunder) may be disclosed by the Issuer to (a) stock
exchanges or securities regulatory authorities, (b) the Issuer’s registrar and transfer agent, (c) tax authorities, (d) authorities
pursuant to the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) and (e) any of the other parties involved
in the Offering, including legal counsel, and may be included in record books in connection with the Offering. By executing this Agreement,
the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber’s personal information
(and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) for the foregoing purposes
and for the purposes described in Exhibit D to this Agreement, and to the retention of such personal information for as long as permitted
or required by applicable laws or business practice. Notwithstanding that the Subscriber may be purchasing the Shares as agent on behalf
of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed
principal, and any interest that such undisclosed principal has in the Issuer, all as may be required by the Issuer in order to comply
with the foregoing. By completing this Agreement, the Subscriber authorizes the indirect collection of the information described in this
Section 10.1 by all applicable regulators and consents to the disclosure of such information to the public through (i) the filing of
a report of trade with all applicable regulators and (ii) the filing of this Agreement on SEDAR.

Furthermore,
the Subscriber is hereby notified that:

		(a)	the
                                            Issuer may deliver to any securities commission having jurisdiction over the Issuer, the
                                            Subscriber or this Subscription, including any Canadian provincial securities commissions,
                                            the United States Securities and Exchange Commission and/or any state securities commissions
                                            (collectively, the “Commissions”), certain personal information pertaining
                                            to the Subscriber, including the Subscriber’s full name, residential address and telephone
                                            number, the number of securities of the Issuer owned by the Subscriber, the number of Shares
                                            purchased by the Subscriber, the total Subscription Amount paid for the Shares, the prospectus
                                            exemption relied on by the Issuer and the date of distribution of the Shares;

 

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		(b)	such
                                            information is being collected indirectly by the Commissions under the authority granted
                                            to them in applicable securities laws;

		(c)	such
                                            information is being collected for the purposes of the administration and enforcement of
                                            applicable securities laws; and

		(d)	the
                                            Subscriber may contact the public official in the local jurisdiction with respect to questions
                                            about the indirect collection of such information at the following address and telephone
                                            number:

	Attention:
                                            FOIP Coordinator

    Alberta
    Securities Commission

    Suite
    600

    250
    – 5th Street SW

    Calgary,
    AB T2P 0R4

    Telephone:
    403-297-6454
	Attention:
                                            FOI Inquiries

    British
    Columbia Securities Commission

    P.O.
    Box 10142, Pacific Centre

    701
    West Georgia Street Vancouver, BC V7Y 1L2

    Telephone:
    604-899-6854
	Attention:
                                            Inquiries Officer

    Ontario
    Securities Commission

    20
    Queen Street West, 22nd Floor

    Toronto,
    ON M5H 3S8

    Telephone:
    416-593-8314

	11.	Costs

 

11.1       The
Subscriber acknowledges and agrees that all costs and expenses incurred by the Subscriber (including any fees and disbursements of any
special counsel retained by the Subscriber) relating to the purchase of the Shares will be borne by the Subscriber.

 

	12.	Execution
  of Subscription Agreement 

 

12.1       The
Issuer and the Issuer’s Counsel will be entitled to rely on delivery by facsimile machine or other means of electronic communication
capable of producing a printed copy of an executed copy of this Agreement, and acceptance by the Issuer of such facsimile or electronic
copy will be equally effective to create a valid and binding agreement between the Subscriber and the Issuer in accordance with the terms
hereof. If less than a complete copy of this Agreement is delivered to the Issuer or the Issuer’s Counsel prior to or at Closing,
the Issuer and the Issuer’s Counsel are entitled to assume that the Subscriber accepts and agrees to all of the terms and conditions
of the pages not delivered prior to or at Closing unaltered.

 

12.2       The
Subscriber hereby authorizes the Issuer to correct any minor errors in, or complete any minor information missing from any part of this
Agreement and any other acknowledgements, provisions, forms, certificates or documents executed by the Subscriber and delivered to the
Issuer or the Issuer’s Counsel in connection with the Subscription.

 

	13.	Beneficial
  Subscribers

 

13.1       Whether
or not explicitly stated in this Agreement, any acknowledgement, representation, warranty, covenant or agreement made by the Subscriber
in this Agreement, including the exhibits hereto or any other documents delivered by the Subscriber to the Issuer in connection herewith,
will be treated as if made by the disclosed principal, if any.

 

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	14.	Governing
  Law

 

14.1       This
Agreement is governed by the laws of the State of Nevada.

	15.	Survival

 

15.1       This
Agreement, including, without limitation, the representations, warranties and covenants contained herein, will survive and continue in
full force and effect and be binding upon the Issuer and the Subscriber, notwithstanding the completion of the purchase of the Shares
by the Subscriber.

	16.	Assignment

 

16.1       This
Agreement is not transferable or assignable.

	17.	Severability

 

17.1       The
invalidity or unenforceability of any particular provision of this Agreement will not affect or limit the validity or enforceability
of the remaining provisions of this Agreement.

	18.	Entire
                                            Agreement

 

18.1       Except
as expressly provided in this Agreement and in the exhibits, agreements, instruments and other documents attached hereto or contemplated
or provided for herein, this Agreement contains the entire agreement between the parties with respect to the sale of the Shares and there
are no other terms, conditions, representations or warranties, whether expressed, implied, oral or written, by statute or common law,
by the Issuer or by anyone else.

	19.	Notices

 

19.1       All
notices and other communications hereunder will be in writing and will be deemed to have been duly given if mailed or transmitted by
any standard form of telecommunication, including facsimile, electronic mail or other means of electronic communication capable of producing
a printed copy. Notices to the Subscriber will be directed to the address of the Subscriber set forth on page 2 of this Agreement and
notices to the Issuer will be directed to it at the address of the Issuer set forth on page 3 of this Agreement.

	20.	Counterparts
                                            and Electronic Means

 

20.1       This
Agreement may be executed in any number of counterparts, each of which when so executed and delivered will constitute an original, and
all of which together will constitute one instrument. Delivery of an executed copy of this Agreement by email transmission or other means
of electronic communication capable of producing a printed copy will be deemed to be execution and delivery of this Agreement as of the
Closing Date.

	21.	Exhibits

 

21.1       The
exhibits attached hereto form part of this Agreement.

	22.	Indemnity

 

22.1       The
Subscriber will indemnify and hold harmless the Issuer and the Issuer’s Counsel, where applicable, the Issuer’s directors,
officers, employees, agents, advisors and shareholders, from and against any and all loss, liability, claim, damage and expense whatsoever
(including, but not limited to, any and all fees, costs and expenses whatsoever reasonably incurred in investigating, preparing or defending
against any claim, lawsuit, administrative proceeding or investigation whether commenced or threatened) arising out of or based upon
any representation or warranty of the Subscriber contained in this Agreement, the Questionnaires, as applicable, or in any document furnished
by the Subscriber to the Issuer in connection herewith being untrue in any material respect, or any breach or failure by the Subscriber
to comply with any covenant or agreement made by the Subscriber to the Issuer in connection therewith.

 

    	Page 12

     

    

 

EXHIBIT
A

 

CANADIAN
INVESTOR QUESTIONNAIRE

 

TO:
CURRENCYWORKS INC. (the “Issuer”)

 

RE:
Purchase of shares (the “Shares”) of the Issuer

 

 

Capitalized
terms used in this Canadian Questionnaire (this “Questionnaire”) and not specifically defined have the meaning ascribed
to them in the Private Placement Subscription Agreement between the Subscriber and the Issuer to which this Exhibit A is attached.

 

Unless
otherwise provided, all dollar amounts referred to in this Questionnaire and Appendix A to this Questionnaire are in lawful money of
Canada.

 

In
connection with the purchase of Shares by the undersigned or the Disclosed Principal (in either case, the “Subscriber”),
the Subscriber hereby represents, warrants and certifies to the Issuer that the Subscriber:

		(i)	is
                                            purchasing the Shares as principal (or deemed principal under the terms of National Instrument
                                            45-106 – Prospectus Exemptions as adopted by the Canadian Securities Administrators
                                            (“NI 45-106”));

		(ii)	(A)
                                            is resident in or is subject to the laws of one of the following (check one):

 

	☐
    Alberta	☐
    New Brunswick	☐
    Prince Edward Island
	 	 	 
	☐
    British Columbia	☐
    Nova Scotia	☐
    Quebec
	 	 	 
	☐
    Manitoba	☐
    Ontario	☐
    Saskatchewan
	 	 	 
	☐
    Newfoundland and Labrador	 	☐
    Yukon
	 	 	 
	☐
    Northwest Territories	 	 
	 	 	 
	☐
    United States: __________________________________ (List State of Residence)

 

or

		(ii)	(B)
                                            ☐ is resident in a country other than Canada or the United States; and

		(iii)	has
                                            not been provided with any offering memorandum in connection with the purchase of the Shares.

 

In
connection with the purchase of the Shares, the Subscriber hereby represents, warrants and certifies to, and covenants and agrees with,
the Issuer that the Subscriber meets one or more of the following criteria:

 

	I.
    SUBSCRIBERS PURCHASING UNDER THE “ACCREDITED INVESTOR” EXEMPTION
	 
	(a)	the
    Subscriber is not a trust company or trust company registered under the laws of Prince Edward Island that is not registered or authorized
    under the Trust and Loan Companies Act (Canada) or under comparable legislation in another jurisdiction of Canada; 

 

    	Page 13

     

    

 

	(b)	the
    Subscriber is an “accredited investor” within the meaning of NI 45-106, by virtue of satisfying the indicated criterion
    as set out in Appendix “A” to this Questionnaire (YOU MUST ALSO INITIAL OR PLACE A CHECK-MARK ON THE APPROPRIATE LINE
    IN APPENDIX “A” ATTACHED TO THIS QUESTIONNAIRE)
	 	 
	(c)	If
    the Subscriber is an “accredited investor” within the meaning of NI 45-106 by virtue of satisfying the indicated criterion
    as set out in paragraphs (d), (f) or (g) of Appendix “A” to this Questionnaire, the Subscriber has provided the Issuer
    with the signed risk acknowledgement form set out in Appendix “B” to this Questionnaire;

 

	II.
    MINIMUM AMOUNT INVESTMENT 
	 
	(a)	the
    Subscriber is not an individual as that term is defined in applicable Canadian securities laws.
	 	 
	(b)
	the
    Subscriber is purchasing the Shares as principal for its own account and not for the benefit of any other person;
	 	 
	(c)	The
    Shares have an acquisition cost to the Subscriber of not less than $150,000, payable in cash at the Closing; and
	 	 
	(d)	the
    Subscriber was not created and is not being used solely to purchase or hold securities in reliance on the prospectus exemption provided
    under Section 2.10 of NI 45-106, it pre-existed the Offering and has a bona fide purpose other than investment in the Shares. 

 

For
the purposes of the Canadian Investor Questionnaire and Appendix “A” attached to the Canadian Investor Questionnaire:

 

(a)       an
issuer is “affiliated” with another issuer if

		(i)	one
                                            of them is the subsidiary of the other, or

		(ii)	each
                                            of them is controlled by the same person;

 

(b)       “control
person” means

		(i)	a
                                            person who holds a sufficient number of the voting rights attached to all outstanding voting
                                            securities of an issuer to affect materially the control of the issuer, or

		(ii)	each
                                            person in a combination of persons, acting in concert by virtue of an agreement, arrangement,
                                            commitment or understanding, which holds in total a sufficient number of the voting rights
                                            attached to all outstanding voting securities of an issuer to affect materially the control
                                            of the issuer,

 

and,
if a person or combination of persons holds more than 20% of the voting rights attached to all outstanding voting securities of an issuer,
the person or combination of persons is deemed, in the absence of evidence to the contrary, to hold a sufficient number of the voting
rights to affect materially the control of the issuer;

 

    	Page 14

     

    

 

(c)       “director”
means

		(i)	a
                                            member of the board of directors of a company or an individual who performs similar functions
                                            for a company, and

		(ii)	with
                                            respect to a person that is not a company, an individual who performs functions similar to
                                            those of a director of a company;

 

(d)       “eligibility
adviser” means

		(i)	a
                                            person that is registered as an investment dealer and authorized to give advice with respect
                                            to the type of security being distributed; and

		(ii)	in
                                            Saskatchewan or Manitoba, also means a lawyer who is a practicing member in good standing
                                            with a law society of a jurisdiction of Canada or a public accountant who is a member in
                                            good standing of an institute or association of chartered accountants, certified general
                                            accountants or certified management accountants in a jurisdiction of Canada provided that
                                            the lawyer or public accountant must not:

		(A)	have
                                            a professional, business or personal relationship with the issuer, or any of its directors,
                                            executive officers, founders or control persons, and

		(B)	have
                                            acted for or been retained personally or otherwise as an employee, executive officer, director,
                                            associate or partner of a person that has acted for or been retained by the issuer or any
                                            of its directors, executive officers, founders or control persons within the previous 12
                                            months;

 

(e)       “executive
officer” means, for an issuer, an individual who is

		(i)	a
                                            chair, vice-chair or president,

		(ii)	a
                                            vice-president in charge of a principal business unit, division or function including sales,
                                            finance or production, or

		(iii)	performing
                                            a policy-making function in respect of the issuer;

 

(f)       “financial
assets” means

		(i)	cash,

		(ii)	securities,
                                            or

		(iii)	a
                                            contract of insurance, a deposit or an evidence of a deposit that is not a security for the
                                            purposes of securities legislation;

		(g)	“foreign
                                            jurisdiction” means a country other than Canada or a political subdivision of a
                                            country other than Canada;

 

    	Page 15

     

    

 

(h)       “founder”
means, in respect of an issuer, a person who,

		(i)	acting
                                            alone, in conjunction, or in concert with one or more persons, directly or indirectly, takes
                                            the initiative in founding, organizing or substantially reorganizing the business of the
                                            issuer, and

		(ii)	at
                                            the time of the distribution or trade is actively involved in the business of the issuer;

		(i)	“fully
                                            managed account” means an account of a client for which a person makes the investment
                                            decisions if that person has full discretion to trade in securities for the account without
                                            requiring the client’s express consent to a transaction;

		(j)	“individual”
                                            means a natural person, but does not include

		(i)	a
                                            partnership, unincorporated association, unincorporated syndicate, unincorporated organization
                                            or trust, or

		(ii)	a
                                            natural person in the person’s capacity as a trustee, executor, administrator or personal
                                            or other legal representative;

		(k)	“investment
                                            fund” means a mutual fund or a non-redeemable investment fund, and, for great certainty
                                            in British Columbia, includes an employee venture capital corporation and a venture capital
                                            corporation as such terms are defined in National Instrument 81-106 Investment Fund Continuous
                                            Disclosure;

		(l)	“jurisdiction”
                                            or “jurisdiction of Canada” means a province or territory of Canada except when
                                            used in the term foreign jurisdiction;

		(m)	“non-redeemable
                                            investment fund” means an issuer:

 

(i)       whose
primary purpose is to invest money provided by its securityholders;

 

(ii)       that
does not invest

		(A)	for
                                            the purpose of exercising or seeking to exercise control of an issuer, other than an issuer
                                            that is a mutual fund or a non-redeemable investment fund, or

		(B)	for
                                            the purpose of being actively involved in the management of any issuer in which it invests,
                                            other than an issuer that is a mutual fund or a non-redeemable investment fund, and

 

(iii)       that
is not a mutual fund;

 

(n)       “person”
includes

		(i)	an
                                            individual;

		(ii)	a
                                            corporation;

		(iii)	a
                                            partnership, trust, fund and an association, syndicate, organization or other organized group
                                            of persons, whether incorporated or not; and

		(iv)	an
                                            individual or other person in that person’s capacity as a trustee, executor, administrator
                                            or personal or other legal representative;

 

    	Page 16

     

    

 

(o)       “related
liabilities” means

		(i)	liabilities
                                            incurred or assumed for the purpose of financing the acquisition or ownership of financial
                                            assets, or

		(ii)	liabilities
                                            that are secured by financial assets; and

 

(p)       “spouse”
means, an individual who,

		(i)	is
                                            married to another individual and is not living separate and apart within the meaning of
                                            the Divorce Act (Canada), from the other individual,

		(ii)	is
                                            living with another individual in a marriage-like relationship, including a marriage-like
                                            relationship between individuals of the same gender, or

		(iii)	in
                                            Alberta, is an individual referred to in paragraph (i) or (ii), or is an adult interdependent
                                            partner within the meaning of the Adult Interdependent Relationships Act (Alberta).

 

The
Subscriber agrees that the above representations and warranties will be true and correct both as of the execution of this Questionnaire
and as of the Closing and acknowledges that they will survive the completion of the issue of the Shares.

 

The
Subscriber acknowledges that the foregoing representations and warranties are made by the Subscriber with the intent that they be relied
upon in determining the suitability of the Subscriber to acquire the Shares and that this Questionnaire is incorporated into and forms
part of the Agreement.

 

The
Subscriber undertakes to immediately notify the Issuer of any change in any statement or other information relating to the Subscriber
set forth in the Agreement or in this Questionnaire which takes place prior to the Closing.

 

By
completing this Questionnaire, the Subscriber authorizes the indirect collection of this information by each applicable regulatory authority
or regulator and acknowledges that such information is made available to the public under applicable laws. 

 

DATED
as of day of , 2021.

 

    	Page 17

     

    

 

	 	 
	 	Print Name of Subscriber (or person signing
    as agent of the Subscriber)
	 	 
	 	By:	 
	 	 	Signature of Subscriber (or Authorized Signatory)
	 	 
	 	 	 
	 	 	Print Name and Title of Authorized
	 	 	Signatory (if Subscriber is not an individual)

 

    	Page 18

     

    

 

APPENDIX
“A”

TO
CANADIAN INVESTOR QUESTIONNAIRE

 

Accredited
Investors only: Please check the appropriate box and initial

 

	☐	(e)	except
    in Ontario, a person registered under the securities legislation of a jurisdiction of Canada as an adviser or dealer,
	 	 	 
	☐	(f)	an
    individual registered under the securities legislation of a jurisdiction of Canada as a representative of a person referred to in
    paragraph (a),
	 	 	 
	☐	(g)	an
    individual formerly registered under the securities legislation of a jurisdiction of Canada, other than an individual formerly registered
    solely as a representative of a limited market dealer under one or both of the Securities Act (Ontario) or the Securities
    Act (Newfoundland and Labrador),
	 	 	 
	☐	(h)	an
    individual who, either alone or with a spouse, beneficially owns financial assets having an aggregate realizable value that, before
    taxes but net of any related liabilities, exceeds $1,000,000 (YOU MUST INDICATE YOUR FINANCIAL ASSETS HERE: $__________________________
    ☐ WITH SPOUSE / ☐ WITHOUT SPOUSE AND ALSO COMPLETE THE RISK ACKNOWLEDGEMENT FORM IN APPENDIX “B” ATTACHED
    TO THIS QUESTIONNAIRE),
	 	 	 
	☐	(i)	an
    individual who beneficially owns financial assets having an aggregate realizable value that, before taxes but net of any related
    liabilities, exceeds $5,000,000,
	 	 	 
	☐	(j)	an
    individual whose net income before taxes exceeded $200,000 in each of the 2 most recent calendar years or whose net income before
    taxes combined with that of a spouse exceeded $300,000 in each of the 2 most recent calendar years and who, in either case, reasonably
    expects to exceed that net income level in the current calendar year (YOU MUST INDICATE YOUR NET INCOME HERE: $__________________________
    ☐ WITH SPOUSE / ☐ WITHOUT SPOUSE AND ALSO COMPLETE THE RISK ACKNOWLEDGEMENT FORM IN APPENDIX “B” ATTACHED
    TO THIS QUESTIONNAIRE),
	 	 	 
	☐	(k)	an
    individual who, either alone or with a spouse, has net assets of at least $5,000,000 (YOU MUST INDICATE YOUR NET ASSETS HERE:
    $__________________________ ☐ WITH SPOUSE / ☐ WITHOUT SPOUSE AND ALSO COMPLETE THE RISK ACKNOWLEDGEMENT FORM IN
    APPENDIX “B” ATTACHED TO THIS QUESTIONNAIRE),
	 	 	 
	☐	(l)	a
    person, other than an individual or investment fund, that has net assets of at least $5,000,000 as shown on its most recently prepared
    financial statements and that has not been created or used solely to purchase or hold securities as an accredited investor as
    defined in this paragraph (h),
	 	 	 
	☐	(m)	an
                                            investment fund that distributes or has distributed its securities only to 

 

	 	(i)	a
    person that is or was an accredited investor at the time of the distribution,
	 	 	 
	 	(ii)	a
    person that acquires or acquired securities in the circumstances referred to in sections 2.10 [Minimum amount investment] of NI 45-106,
    or 2.19 [Additional investment in investment funds] of NI 45-106, or
	 	 	 
	 	(iii)	a
    person described in paragraph (i) or (ii) that acquires or acquired securities under section 2.18 [Investment fund reinvestment]
    of NI 45-106,

 

    	Page 19

     

    

 

	☐	(n)	an
    investment fund that distributes or has distributed securities under a prospectus in a jurisdiction of Canada for which the regulator
    or, in Québec, the securities regulatory authority, has issued a receipt,
	 	 	 
	☐	(o)	a
    trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada)
    or under comparable legislation in a jurisdiction of Canada or a foreign jurisdiction, acting on behalf of a fully managed account
    managed by the trust company or trust corporation, as the case may be,
	 	 	 
	☐	(p)	a
    person acting on behalf of a fully managed account managed by that person, if that person is registered or authorized to carry on
    business as an adviser or the equivalent under the securities legislation of a jurisdiction of Canada or a foreign jurisdiction,
	 	 	 
	☐	(q)	a
    registered charity under the Income Tax Act (Canada) that, in regard to the trade, has obtained advice from an eligibility
    adviser or an adviser registered under the securities legislation of the jurisdiction of the registered charity to give advice on
    the securities being traded,
	 	 	 
	☐	(r)	an
    entity organized in a foreign jurisdiction that is analogous to the entity referred to in paragraph (a) in form and function,
	 	 	 
	☐	(s)	a
    person in respect of which all of the owners of interests, direct, indirect or beneficial, except the voting securities required
    by law to be owned by directors, are persons that are accredited investors,
	 	 	 
	☐	(t)	an
    investment fund that is advised by a person registered as an adviser or a person that is exempt from registration as an adviser,
	 	 	 
	☐	(u)	a
    person that is recognized or designated by the securities regulatory authority or, except in Ontario and Québec, the regulator
    as an accredited investor, or
	 	 	 
	☐	(v)	a
    trust established by an accredited investor for the benefit of the accredited investor’s family members of which a majority
    of the trustees are accredited investors and all of the beneficiaries are the accredited investor’s spouse, a former spouse
    of the accredited investor or a parent, grandparent, brother, sister, child or grandchild of that accredited investor, of that accredited
    investor’s spouse or of that accredited investor’s former spouse.

 

Dated
_____________________________, 2021.

 

	 	 	X
	 	 	Signature
    of individual (if Subscriber is an individual)
	 	 	 
	 	 	X
	 	 	Authorized
    signatory (if Subscriber is not an individual)
	 	 	 
	 	 	 
	 	 	Name
    of Subscriber (please print)
	 	 	 
	 	 	 
	 	 	Name
    of authorized signatory (please print)

 

    	Page 20

     

    

 

APPENDIX
“B”

TO
CANADIAN INVESTOR QUESTIONNAIRE

 

Form
45-106F9

Form
for Individual Accredited Investors

 

	WARNING!

    This
    investment is risky. Don’t invest unless you can afford to lose all the money you pay for this investment.

 

	SECTION
    1 TO BE COMPLETED BY THE ISSUER OR SELLING SECURITY HOLDER
	1.
    About your investment
	Type
    of securities: Common Stock of the Issuer at a price of US$0.288 per share. 	Issuer:
    CURRENCYWORKS INC. (the “Issuer”)
	Purchased
    from: The Issuer.
	SECTIONS
    2 TO 4 TO BE COMPLETED BY THE PURCHASER
	2.
    Risk acknowledgement
	This
    investment is risky. Initial that you understand that:	Your

    initials
	Risk
    of loss – You could lose your entire investment of $. [Instruction: Insert the total dollar amount of the investment.]	 
	Liquidity
    risk – You may not be able to sell your investment quickly – or at all.	 
	Lack
    of information – You may receive little or no information about your investment.	 
	Lack
    of advice – You will not receive advice from the salesperson about whether this investment is suitable for you unless the
    salesperson is registered. The salesperson is the person who meets with, or provides information to, you about making this investment.
    To check whether the salesperson is registered, go to www.aretheyregistered.ca.	 
	3.
    Accredited investor status
	You
    must meet at least one of the following criteria to be able to make this investment. Initial the statement that applies to you. (You
    may initial more than one statement.) The person identified in section 6 is responsible for ensuring that you meet the definition
    of accredited investor. That person, or the salesperson identified in section 5, can help you if you have questions about whether
    you meet these criteria.	Your

    initials
	●       Your
    net income before taxes was more than $200,000 in each of the 2 most recent calendar years, and you expect it to be more than $200,000
    in the current calendar year. (You can find your net income before taxes on your personal income tax return.)	 
	●       Your
    net income before taxes combined with your spouse’s was more than $300,000 in each of the 2 most recent calendar years, and
    you expect your combined net income before taxes to be more than $300,000 in the current calendar year.	 
	 	 	 

    	Page 21

     

    

 

	●       Either
    alone or with your spouse, you own more than $1 million in cash and securities, after subtracting any debt related to the cash and
    securities.	 
	●       Either
    alone or with your spouse, you have net assets worth more than $5 million. (Your net assets are your total assets (including real
    estate) minus your total debt.)	 
	4.
    Your name and signature
	By
    signing this form, you confirm that you have read this form and you understand the risks of making this investment as identified
    in this form.
	First
    and last name (please print):
	Signature:	Date:
	SECTION
    5 TO BE COMPLETED BY THE SALESPERSON
	5.
    Salesperson information
	[Instruction:
    The salesperson is the person who meets with, or provides information to, the purchaser with respect to making this investment. That
    could include a representative of the issuer or selling security holder, a registrant or a person who is exempt from the registration
    requirement.]
	First
    and last name of salesperson (please print):
	Telephone:	Email:
	Name
    of firm (if registered):
	SECTION
    6 TO BE COMPLETED BY THE ISSUER OR SELLING SECURITY HOLDER
	6.
    For more information about this investment
	For
    investment in a non-investment fund
	CurrencyWorks
    Inc.
	3250
    Oakland Hills Court
	Fairfield,
    CA 94534
	Telephone:
    424.570.9446 (Attn: Jimmy Geiskopf)
	Email:
    jimmy.geiskopf@currencyworks.io
	For
    more information about prospectus exemptions, contact your local securities regulator. You can find contact information at www.securities-administrators.ca.
	 	 	 	 

    	Page 22

     

    

 

EXHIBIT
B

 

UNITED
STATES ACCREDITED INVESTOR QUESTIONNAIRE

 

TO:
CURRENCYWORKS INC. (the “Issuer”)

 

RE:
Purchase of shares (the “Shares”) of common stock of the Issuer

 

 

Capitalized
terms used in this U.S. Questionnaire (this “Questionnaire”) and not specifically defined have the meaning ascribed
to them in the Private Placement Subscription Agreement (the “Subscription Agreement”) between the undersigned, or
if the undersigned is purchasing the Shares as agent on behalf of a disclosed beneficial subscriber, such beneficial subscriber, as applicable
(in either case, the “Subscriber”) and the Issuer to which this Exhibit B is attached.

 

This
Questionnaire applies only to persons that are U.S. Purchasers. A “U.S. Purchaser” is: (a) any U.S. Person, (b) any
person purchasing the Shares on behalf of any U.S. Person, (c) any person that receives or received an offer of the Shares while in the
United States, or (d) any person that is in the United States at the time the Subscriber’s buy order was made or the Subscription
Agreement was executed or delivered.

 

The
Subscriber understands and agrees that none of the Shares have been or will be registered under the 1933 Act, or applicable state, provincial
or foreign securities laws, and the Shares are being offered and sold to the Subscriber in reliance upon the exemption provided in Section
4(a)(2) of the 1933 Act and Rule 506 of Regulation D under the 1933 Act for non-public offerings. The Shares are being offered and sold
within the United States only to “accredited investors” as defined in Rule 501(a) of Regulation D. The Shares offered hereby
are not transferable except in accordance with the restrictions described herein.

 

The
Subscriber represents, warrants, and certifies to, and covenants and agrees with, the Issuer (which representations, warranties, covenants,
agreements and certifications will survive the Closing), and acknowledges that the Issuer is relying thereon, that:

	1.	it
                                            is not resident in Canada;

	2.	it
                                            has such knowledge and experience in financial and business matters as to be capable of evaluating
                                            the merits and risks of an investment in the Shares and it is able to bear the economic risk
                                            of loss of its entire investment;

	3.	the
                                            Issuer has provided to it the opportunity to ask questions and receive answers concerning
                                            the terms and conditions of the Offering and it has had access to such information concerning
                                            the Issuer as it has considered necessary or appropriate in connection with its investment
                                            decision to acquire the Shares;

	4.	it
                                            is acquiring the Shares as principal for its own account, for investment purposes only and
                                            not with a view to any resale, distribution or other disposition of the Shares in violation
                                            of the United States securities laws;

	5.	it
                                            (a) has adequate net worth and means of providing for its current financial needs and possible
                                            personal contingencies, (b) has no need for liquidity in an investment in the Shares, and
                                            (c) is able to bear the economic risks of an investment in the Shares for an indefinite period
                                            of time;

 

    	Page 23

     

    

	6.	if
                                            the Subscriber is an individual (that is, a natural person and not a corporation, partnership,
                                            trust or other entity), then it satisfies one or more of the categories indicated below (please
                                            place an “X” on the appropriate lines):

 

	 	___________	a
    natural person whose individual net worth, or joint net worth with that person’s spouse, exceeds US$1,000,000. For purposes
    of this category, “net worth” means the excess of total assets at fair market value (including personal and real property,
    but excluding the estimated fair market value of a person’s primary home) over total liabilities. Total liabilities excludes
    any mortgage on the primary home in an amount of up to the home’s estimated fair market value as long as the mortgage was incurred
    more than 60 days before the Units are purchased, but includes (a) any mortgage amount in excess of the home’s fair market
    value and (b) any mortgage amount that was borrowed during the 60 day period before the Closing Date for the purpose of investing
    in the Units,
	 	___________	a
    natural person who had an individual income in excess of US$200,000 in each of the two most recent years, or joint income with their
    spouse in excess of US$300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current
    year, or
	 	___________	a
    director or executive officer of the Issuer;

	7.	if
                                            the Subscriber is a corporation, partnership, trust or other entity), then it satisfies one
                                            or more of the categories indicated below (please place an “X” on the appropriate
                                            lines):

 

	 	___________	an
    organization described in Section 501(c)(3) of the United States Internal Revenue Code, a corporation, a Massachusetts or
    similar business trust or partnership, not formed for the specific purpose of acquiring the Units, with total assets in excess of
    US$5,000,000,
	 	___________	a
    private business development company as defined in Section 202(a)(22) of the Investment Advisers Act of 1940 (United States),
	 	___________	a
    trust with total assets in excess of US$5,000,000, not formed for the specific purpose of acquiring the Shares, whose purchase is
    directed by a sophisticated person as described in Rule 506(b)(2)(ii) under the 1933 Act, or
	 	___________	an
    entity in which all of the equity owners satisfy the requirements of one or more of the categories set forth in Section 6 of this
    Questionnaire;

	8.	it
                                            has not purchased the Units as a result of any form of general solicitation or general advertising,
                                            including advertisements, articles, notices or other communications published in any newspaper,
                                            magazine or similar media or broadcast over radio, internet, television or other form of
                                            telecommunications, or any seminar or meeting whose attendees have been invited by general
                                            solicitation or general advertising;

	9.	if
                                            the Subscriber decides to offer, sell or otherwise transfer any of the Shares, it will not
                                            offer, sell or otherwise transfer any of such Shares, directly or indirectly, unless:

		(a)	the
                                            sale is to the Issuer,

 

    	Page 24

     

    

		(b)	the
                                            sale is made outside the United States in a transaction meeting the requirements of Rule
                                            904 of Regulation S under the 1933 Act and in compliance with applicable local laws and regulations
                                            in which such sale is made;

		(c)	the
                                            sale is made pursuant to the exemption from the registration requirements under the 1933
                                            Act provided by Rule 144 thereunder and in accordance with any applicable state securities
                                            or “blue sky” laws, or

		(d)	the
                                            Shares are sold in a transaction that does not require registration under the 1933 Act or
                                            any applicable state laws and regulations governing the offer and sale of securities, and

		(e)	it
                                            has, prior to such sale pursuant to subsection (c) or (d), furnished to the Issuer an opinion
                                            of counsel of recognized standing reasonably satisfactory to the Issuer, to such effect;

	10.	it
                                            understands and acknowledges that upon the issuance thereof, and until such time as the same
                                            is no longer required under the applicable requirements of the 1933 Act or applicable U.S.
                                            state laws and regulations, the certificates representing the Shares, and all securities
                                            issued in exchange therefor or in substitution thereof, will bear a legend in substantially
                                            the following form:

 

“THE
SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “U.S. SECURITIES
ACT”), OR THE SECURITIES LAWS OF ANY STATE OF THE UNITED STATES. THESE SECURITIES MAY NOT BE OFFERED OR SOLD IN THE UNITED STATES
OR TO U.S. PERSONS UNLESS THE SECURITIES HAVE BEEN REGISTERED UNDER THE U.S. SECURITIES ACT AND THE APPLICABLE SECURITIES LAWS OF ANY
SUCH STATE OR AN EXEMPTION FROM SUCH REGISTRATION REQUIREMENTS IS AVAILABLE. “UNITED STATES” AND “U.S. PERSON”
ARE AS DEFINED BY REGULATION S UNDER THE U.S. SECURITIES ACT.

	11.	it
                                            understands and agrees that there may be material tax consequences to the Subscriber of an
                                            acquisition or disposition of any of the Shares. The Issuer gives no opinion and makes no
                                            representation with respect to the tax consequences to the Subscriber under United States,
                                            state, local or foreign tax law of the Subscriber’s acquisition or disposition of the
                                            Shares;

	12.	it
                                            understands and agrees that the financial statements of the Issuer have been prepared in
                                            accordance with International Financial Reporting Standards, which differ from United States
                                            generally accepted accounting principles, and thus may not be comparable to financial statements
                                            of United States companies;

	13.	it
                                            consents to the Issuer making a notation on its records or giving instructions to any transfer
                                            agent of the Issuer in order to implement the restrictions on transfer set forth and described
                                            in this Questionnaire and the Subscription Agreement;

	14.	it
                                            is resident in the United States of America, its territories and possessions or any state
                                            of the United States or the District of Columbia (collectively the “United States”),
                                            is a “U.S. Person” as such term is defined in Regulation S or was in the United
                                            States at the time the Shares were offered or the Subscription Agreement was executed; and

	15.	it
                                            understands that the Issuer has no obligation to register any of the Shares or to take action
                                            so as to permit sales pursuant to the 1933 Act (including Rule 144 thereunder).

 

    	Page 25

     

    

 

The
Subscriber agrees that the above representations and warranties will be true and correct both as of the execution of this Questionnaire
and as of the Closing and acknowledges that they will survive the completion of the issue of the Units.

 

The
Subscriber acknowledges that the foregoing representations and warranties are made by the Subscriber with the intent that they be relied
upon in determining the suitability of the Subscriber to acquire the Shares and that this Questionnaire is incorporated into and forms
part of the Agreement. The Subscriber undertakes to immediately notify the Issuer of any change in any statement or other information
relating to the Subscriber set forth herein which takes place prior to the Closing.

 

By
completing this Questionnaire, the Subscriber authorizes the indirect collection of this information by each applicable regulatory authority
and acknowledges that such information may be made available to the public under applicable laws. 

 

Dated
_____________________________, 2021.

 

	 	X
	 	Signature
    of individual (if Subscriber is an individual)
	 	 
	 	X
	 	Authorized
    signatory (if Subscriber is not an individual)
	 	 
	 	 
	 	Name
    of Subscriber (please print)
	 	 
	 	 
	 	Name
    of authorized signatory (please print)

 

    	Page 26

     

    

 

EXHIBIT
C

 

US
DOLLAR WIRE INSTRUCTIONS

 

	Account Name:   	CurrencyWorks Inc.
	 
	Address:   	3250 Oakland Hills Court, Fairfield, CA 94534
	 
	Account Number:	♦
	 
	Bank Name:	♦
	 
	Bank Address:	♦
	 
	ABA Code/Routing #:	♦

 

    	Page 27Exhibit 4.1

 

	
     
	 	 	 	 
	NUMBER	 	 	 	UNITS 
	 	 	 
	U-	 	 	 	 
	
    SEE REVERSE FOR

    CERTAIN

    DEFINITIONS
	 	LIV CAPITAL ACQUISITION CORP. II	 	 
	 	 	 	 	CUSIP  [●]

 

UNITS CONSISTING OF ONE CLASS A ORDINARY SHARE
AND THREE-QUARTERS OF ONE WARRANT,

EACH WHOLE WARRANT ENTITLING THE HOLDER TO PURCHASE ONE CLASS A ORDINARY SHARE

 

	
     
	 	 	 	 
	THIS CERTIFIES THAT	 	 	 	 
	 	 	 	 	 
	is the owner of	 	 	 	Units.
	 	 	 	 	 	 	 

 

Each Unit (“Unit”) consists of one (1) Class
A ordinary share, par value $0.0001 per share (“Class A ordinary shares”), of LIV Capital Acquisition Corp.
II, a Cayman Islands exempted company (the “Company”), and three-quarters (3/4th) of one warrant
(each whole warrant, a “Warrant”). Each whole Warrant entitles the holder to purchase one (1) Class A ordinary
share (subject to adjustment) for $11.50 per share (subject to adjustment). Each whole Warrant will become exercisable on the date that
is thirty (30) days after the Company’s completion of a merger, amalgamation, share exchange, asset acquisition, share purchase,
reorganization or other similar business combination with one or more businesses (each a “Business Combination”),
and will expire unless exercised before 5:00 p.m., New York City Time, on the date that is five (5) years after the date on which the
Company completes its initial Business Combination, or earlier upon redemption or liquidation. The Class A ordinary shares and Warrants
comprising the Units represented by this certificate will begin separate trading on [●] unless EarlyBirdCapital, Inc. elects to
allow earlier separate trading, subject to the Company’s filing of a Current Report on Form 8-K with the Securities and Exchange
Commission containing an audited balance sheet reflecting the Company’s receipt of the gross proceeds of its initial public offering
and issuing a press release announcing when separate trading will begin. The terms of the Warrants are governed by a Warrant Agreement,
dated as of [●], 2022, between the Company and Continental Stock Transfer& Trust Company, as Warrant Agent, and are subject
to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance
hereof. Copies of the Warrant Agreement are on file at the office of the Warrant Agent at One State Street, 30th Floor, New York, New
York 10004, and are available to any Warrant holder on written request and without cost.

 

This certificate is not valid unless countersigned
by the Transfer Agent and Registrar of the Company.

This certificate shall be governed by and construed in accordance with the internal laws of the State of New York.

Witness the facsimile signatures of its duly authorized officers.

 

	
     

    By
	 	 	 	 	 	 
	 	Chief Executive Officer	 	 	 	 	 
	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 

 

     

     

    

 

LIV Capital Acquisition Corp. II

 

The Company will furnish without charge to each unitholder who so requests,
a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of shares
or series thereof of the Company and the qualifications, limitations, or restrictions of such preferences and/or rights.

 

The following abbreviations, when used in the inscription on the face
of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:

 

	
     
	 	 	 	 	 	 	 	 	 	 
	TEN COM –	 	as tenants in common	 	UNIF GIFT MIN ACT - 	 	 	 	Custodian	 	 
	TEN ENT –	 	as tenants by the entireties	 	 	 	(Cust)	 	 	 	(Minor)
	JT TEN –	 	as joint tenants with right of	 	under Uniform Gifts to Minors 
	 	 	survivorship	 	 	 	 
	 	 	and not as tenants in common	 	 	 	Act _________________
	 	 	 	 	 	 	(State)
	 	 	 	 	 	 	 

 

Additional abbreviations may also be used though not in the above list.

 

For value received, hereby sell, assign and transfer unto

	
     

	PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE
	 
	 

(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING
ZIP CODE, OF ASSIGNEE)

	 	 	 
	 	 	Units

 

represented by the within Certificate, and do hereby irrevocably
constitute and appoint 

 

Attorney to transfer the said Units on the register of members of the
within named Company with full power of substitution in the premises.

 

Dated:

 

	 	 	 
	 	 	Notice: 	 The signature to this assignment must correspond with the name as written upon the face of the certificate in every particular, without
alteration or enlargement or any change whatever.

 

    2

     

    

 

Signature(s) Guaranteed:

	 
	
    THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION

    (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS
    WITH

    MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM,

    PURSUANT TO S.E.C. RULE 17Ad-15 (OR ANY SUCCESSOR RULE) UNDER THE SECURITIES
    EXCHANGE ACT OF 1934,

 AS AMENDED).

     

    3

     

    

 

In each case, as more fully described in the Company’s final
prospectus dated [●], 2022, the holder(s) of this certificate shall be entitled to receive a pro rata portion of certain funds
held in the trust account established in connection with its initial public offering only in the event that (i) the Company redeems the
Class A ordinary shares sold in its initial public offering and liquidates because it does not consummate an initial business combination
by a date calculated by reference to the Company’s amended and restated memorandum and articles of association, (ii) the Company
redeems the Class A ordinary shares sold in its initial public offering in connection with a shareholder vote to amend the Company’s
amended and restated memorandum and articles of association (a) to modify the substance or timing of the Company’s obligation to
redeem 100% of the Class A ordinary shares if it does not consummate an initial business combination by a date calculated by reference
to the Company’s amended and restated memorandum and articles of association or (b) with respect to any other provision relating
to shareholders’ rights or pre-initial business combination activity, or (iii) if the holder(s) seek(s) to redeem for cash his,
her or its respective Class A ordinary shares in connection with a tender offer (or proxy solicitation, solely in the event the Company
seeks shareholder approval of the proposed initial business combination) setting forth the details of a proposed initial business combination.
In no other circumstances shall the holder(s) have any right or interest of any kind in or to the trust account.

 

 

4

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