NORTH HAVEN PRIVATE INCOME FUND A LLC

Subscriber Questionnaire Section A: General Information (All Subscribers) S-2 1. Identity of Subscriber Full legal name of Subscriber: Telephone Number: Email Address: If IRA or ▇▇▇▇▇ Plan, natural person who established plan: Primary Subscriber Classification (check applicable category): ☐ Individual ☐ Tenants in Common ☐ Joint Tenants ☐ Tenants by the Entirety ☐ Community Property ☐ Individual Retirement Account (IRA)† ☐ 401(k) Account ☐ ▇▇▇▇▇ Plan ☐ General Partnership ☐ Limited Partnership ☐ Corporation ☐ Limited Liability Company ☐ Massachusetts or Similar Business Trust ☐ Foundation ☐ Private Foundation ☐ Estate ☐ Endowment ☐ Employee Benefit Plan ☐ Employee Benefit Plan Trust ☐ Personal Holding Company or Personal Investment Vehicle ☐ Trust Please Specify Type: ☐ Revocable Trust ☐ Complex Trust ☐ Simple Trust ☐ Grantor Trust ☐ Statutory Trust ☐ Non-Grantor Trust (other than Employee Benefit Plan Trust) - Please Specify Type: ☐ Financial Institution Please Specify FI Activities: ☐ Proprietary ☐ Non-Proprietary ☐ Charitable Organization *Please specify primary source of funding ☐ Other entity type - Please Specify Type: † If the Subscriber is an IRA, the Individual who established the IRA: (i) has directed the custodian or trustee of the Subscriber to execute the Subscription Agreement on the Subscriber Signature Page and (ii) has signed the signature page to this Subscription Agreement as such to indicate that he or she has reviewed, directed and certifies to the accuracy of the representations and warranties made by the Subscriber herein. Jurisdiction in which Subscriber received this Subscription Booklet (if United States, indicate state): Section A: To be completed by all subscribers

Subscriber Questionnaire Section A: General Information (All Subscribers) S-3 Business Address (for entities) or Residential Address (for individuals) (Note: A fixed address is required for anti-money laundering purposes; a Post Office box cannot be accepted): Number and Street Apt./Suite City State Zip Code Country Mailing Address (if different from above): Number and Street Apt./Suite City State Zip Code Country 2. Contact Information a) Primary Contact Name: (Prefix: Mr., Mrs., Dr. etc.) (First Name) (Middle Name/Initial) (Last Name) (Suffix: Jr., III, Ph.D. etc.) Position or title: Company name: Mailing Address (if different from above): Number and Street Apt./Suite City State Zip Code Country Telephone Number: Email Address: b) If you have been referred by ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Wealth Management (“MSWM”) Representative, please indicate name below If yes, please complete section: Name: (Prefix: Mr., Mrs., Dr. etc.) (First Name) (Middle Name/Initial) (Last Name) (Suffix: Jr., III, Ph.D. etc.) ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Representative Number:

Subscriber Questionnaire Section A: General Information (All Subscribers) S-4 c) Additional Contact (Optional) If you would like to provide more than one additional contact, please attach the information to this subscription document Name: (Prefix: Mr., Mrs., Dr. etc.) (First Name) (Middle Name/Initial) (Last Name) (Suffix: Jr., III, Ph.D. etc.) Position or title: Company name: Mailing Address (if different from above): Number and Street Apt./Suite City State Zip Code Country Telephone Number: Email Address: d) Delivery Information for Communications with Subscriber Please check the appropriate box to indicate to whom the listed information is to be sent. All Contacts Primary Contact ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Contact Additional Contact Drawdown/Distribution/ Fee Notices ☐ ☐ ☐ ☐ Quarterly Reporting (Statements & Reports) ☐ ☐ ☐ ☐ Tax Related Information (1099-DIV, etc.) ☐ ☐ ☐ ☐

Subscriber Questionnaire Section A: General Information (All Subscribers) S-5 3. Wire Payment Information Please provide either a) Brokerage Wire Payment Information or b) Bank Wire Payment Information. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Wealth Management clients should provide brokerage wire payment information. Required Items a) Brokerage Wire Payment Information Brokerage Firm’s Bank Name: (For ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Brokerage Accounts, please use Citibank) Brokerage Firm’s ABA/Routing Number or SWIFT Code ABA Routing Number (nnn-nnn-nnn): SWIFT Code: Brokerage Firm’s Name: Brokerage Firm’s Country (location): Brokerage Firm’s Bank Account Number: Brokerage Account Name: Brokerage Account Number: Reference Information: b) Bank Wire Payment Information Beneficiary Bank Name: Beneficiary Bank Country (location): Beneficiary Bank ABA/Routing Number or SWIFT Code ABA Routing Number (nnn-nnn-nnn): SWIFT Code: Beneficiary Account Name: Beneficiary Account Number: Reference Information:

Subscriber Questionnaire Section A: General Information (All Subscribers) S-6 If your bank account resides outside of the United States, you must provide U.S. Intermediary wire instructions below U.S. Intermediary Bank Name: U.S. Intermediary Bank Address: U.S. Intermediary Bank ABA/Routing Number or SWIFT Code ABA Routing Number (nnn-nnn-nnn): SWIFT Code: U.S. Intermediary Bank Account Number: (If ABA = “▇▇▇-▇▇▇-▇▇▇” or SWIFT = “▇▇▇▇▇▇▇▇”, then “Intermediary Account #” must be completed) c) Please provide a brief explanation of source of funds for this investment: d) Please indicate whether you are borrowing or are otherwise financing your acquisition of Units hereunder. ☐ Yes ☐ No If answered “Yes,” please indicate the amount financed and what, if any, collateral was given to secure the financing: 4. Additional Information a) Please provide the Subscriber’s jurisdiction of residence for tax purposes. (city, state, country) b) United States tax status (choose one): ☐ Individual/sole proprietor or single-member LLC ☐ C-Corporation ☐ S-Corporation ☐ Partnership ☐ Trust/Estate ☐ Simple Trust ☐ Grantor Trust ☐ Complex Trust ☐ Limited Liability Company ☐ Central Bank of Issue ☐ Private Foundation ☐ Disregarded Entity ☐ Government ☐ Tax-Exempt Organization ☐ Other (please explain): ☐ Yes ☐ No c) Is the Subscriber treated as a partnership or a disregarded entity for U.S. federal income tax purposes?

Subscriber Questionnaire Section A: General Information (All Subscribers) S-7 NOTE: If the answer to Question 4(d) is yes, complete Politically Exposed Persons (“PEP”) Questionnaire in Appendix 2. If the answer to Question 4(g) is “Yes”, please identify the name of the public company and the Subscriber’s relationship to that company: Name: Relationship: In addition, if the answer to Question 4(g) is “Yes” the Subscriber agrees to update the Company as to any change in their status as above referenced “Corporate Insider.” ☐ Yes ☐ No h) Is the Subscriber acting on behalf of one or more Underlying Beneficial Owner(s)? A Subscriber acts on behalf of one or more Underlying Beneficial Owner(s) if the Subscriber is acting as an agent, representative, intermediary, nominee or in a ☐ Yes ☐ No d) Is the Subscriber or any related person of the Subscriber, including any underlying beneficial owner or control person or any person for whom the Subscriber acts as agent/nominee in connection with an investment, a Politically Exposed Person (or an immediate family member or close associate of a Politically Exposed Person), as defined in Annex 1? NOTE: Public officials acting in their official capacity when establishing a relationship between a government entity and the Company are excluded from the definition of a “Politically Exposed Person” ☐ Yes ☐ No e) Is the Subscriber a Marijuana-Related Business10, involved with a Marijuana-Related Business, or derives revenue from or substantially invests in a Marijuana-Related Business? ☐ Yes ☐ No f) Is the Subscriber or any Underlying Beneficial Owner of the Subscriber an employee, “affiliate” or director of ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ or of any affiliate of ▇▇▇▇▇▇ ▇▇▇▇▇▇▇? For purposes of this paragraph, the term “affiliate” shall include any person, directly or indirectly, through one or more intermediaries, controlling, controlled by or under common control with ▇▇▇▇▇▇ ▇▇▇▇▇▇▇. NOTE: If the answer to Question 4(f) is “Yes,” please notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet. ☐ Yes ☐ No g) Is the Subscriber currently a senior officer, director or owner of 10% or more of the voting shares of a public company or other person identifiable as a “Corporate Insider” of a public company? 10 A Marijuana-Related Business includes: 1) an individual or entity directly involved in the manufacturing, production, sale or distribution of marijuana, whether for medicinal, recreational, or any other use; 2) an individual or entity that derives a substantial source of wealth, compensation, revenue or income from marijuana-related activity (e.g., service providers that cater largely to Marijuana-Related Businesses, commercial lessors that lease property to Marijuana-Related Businesses, etc.); or 3) an individual or entity that is directly and predominantly involved in supplying products, equipment or material intended or designed for use in furtherance of the manufacturing, production, sale, use or distribution of marijuana (e.g., marijuana LED grow-lights, marijuana grow tents, hydroponics, etc.).

Subscriber Questionnaire Section A: General Information (All Subscribers) S-8 similar capacity for any other person, nominee account or beneficial owner, whether a natural person or Entity (each such natural person or Entity, an “Underlying Beneficial Owner”) If the answer to Question 4(h) is “Yes,” please indicate the following: ☐ Yes ☐ No (i) The representations, warranties and agreements made in this Subscription Booklet, including the representations and warranties contained in the Subscription Agreement and the information contained in this Subscriber Questionnaire, are true, complete and accurate with respect to the Underlying Beneficial Owner(s). ☐ Yes ☐ No (ii) Section B of the Subscriber Questionnaire is true, complete and accurate with respect to the assets held by the Underlying Beneficial Owner(s) and to the qualification of each Underlying Beneficial Owner as an “accredited investor” as defined in Regulation D under the 1933 Act. ☐ Yes ☐ No (iii)Was any Underlying Beneficial Owner formed for the specific purpose of purchasing the Units? ☐ Yes ☐ No (iv) Does any Underlying Beneficial Owner’s allocable portion of the Capital Contribution constitute 25% or more of such Underlying Beneficial Owner’s total assets, or 25% or more of such Underlying Beneficial Owner’s committed capital? ☐ Yes ☐ No (v) Is any Underlying Beneficial Owner (i) a participant-directed contribution plan (such as a 401(k) plan) or (ii) a partnership or other investment vehicle (x) in which its partners or participants have or will have any discretion to determine whether or how much of such Underlying Beneficial Owner’s assets are invested in any investment made or to be made by such Underlying Beneficial Owner (including the Subscriber’s Capital Contribution) or (y) that is otherwise an entity managed to facilitate the individual decisions of its beneficial owners to invest in the Company? NOTE: If the answer to Question 4(h) (iii), (iv) or (v) above is “Yes,” with respect to any Underlying Beneficial Owner, each beneficial owner of such Underlying Beneficial Owner must complete a copy of this Subscriber Questionnaire (as if such person were directly purchasing the Units). ☐ Yes ☐ No i) Is the Subscriber or any Underlying Beneficial Owner, or will the Subscriber or any Underlying Beneficial Owner be, a person (including an entity) that has discretionary authority or control with respect to the assets of the Company or a person who provides investment advice with respect to the assets of the Company, or an “affiliate” of such a person? For purposes of this representation, an “affiliate” of any person is any person controlling, controlled by or under common control with such first person, including by reason of having the power to exercise a controlling influence over the management or policies of such person. ☐ Yes ☐ No j) Is the Subscriber a private investment company that is not registered under the Investment Company Act in reliance on Sections 3(c)(1) or 3(c)(7) thereof? If the answer to Question 4(j) is “Yes,” please indicate the following: ☐ Yes ☐ No (i) Was the Subscriber formed on or before April 30, 1996? If the answer to Question 4(j)(i) is “Yes,” please indicate the following: ☐ Yes ☐ No (ii) Has the Subscriber obtained consent of its indirect and direct Underlying Beneficial Owners to be treated as a “qualified purchaser” as provided in

Subscriber Questionnaire Section A: General Information (All Subscribers) S-9 Section 2(a)(51)(C) of the Investment Company Act and the rules and regulations thereunder?

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-10 Subscriptions will be accepted only from persons who qualify as eligible investors within the meaning of applicable federal and state securities regulations. Unless otherwise indicated, responses should be given by reference to the specific person for whose account the Units are being acquired. In the case of an Individual Retirement Account (“IRA”) or similar individual self-directed estate planning or investment vehicle, the response should be given with respect to the applicable account owner of such trust, IRA or similar vehicle, as the case may be. Investor Accreditation Units will be sold only to Subscribers that are “accredited investors” as defined in Regulation D under the 1933 Act. Please indicate the basis of “accredited investor” status of the Subscriber by checking all applicable statements below, or, if none apply, please notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet: For Natural Persons: (i) ☐ a natural person whose individual net worth, or joint net worth with his or her spouse or spousal equivalent, exceeds $1,000,000.11 (ii) ☐ a natural person who had an individual annual income in excess of $200,000 in each of the two most recent years, or a joint annual income with his or her spouse or spousal equivalent in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same income level in the current year.12 (iii) ☐ a director, executive officer, or general partner of the Company, or any director, executive officer, or general partner of a general partner of the Company. (iv) ☐ a natural person holding in good standing one or more professional certifications or designations or credentials from an accredited educational institution that the SEC has designated as qualifying an individual for accredited investor status. For Entities: (v) ☐ a bank as defined in Section 3(a)(2) of the 1933 Act, or any savings and loan association or other institution as defined in Section 3(a)(5)(A) of the 1933 Act whether acting in its individual or fiduciary capacity or an insurance company as defined in Section 2(a)(13) of the 1933 Act. (vi) ☐ an investment adviser registered pursuant to Section 203 of the Investment Advisers Act or the laws of a state or relying on the exemption from registering with the SEC under Section 203(l) or (m) of the Investment Advisers Act. 11 For purposes of calculating the Subscriber’s net worth: (i) the Subscriber’s primary residence must not be included as an asset; (ii) indebtedness secured by the Subscriber’s primary residence, up to the estimated fair market value of the primary residence may not be included as a liability (except that if the amount of such indebtedness outstanding at the time of calculation exceeds the amount outstanding 60 days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess must be included as a liability); and (iii) indebtedness that is secured by the Subscriber’s primary residence in excess of the estimated fair market value of the residence must be included as a liability. 12 One measure of “individual annual income” is “adjusted gross income,” as reported for U.S. federal income tax purposes, less any income attributable to a spouse or to property owned by a spouse and increased by the following amounts (but not including any amounts attributable to a spouse or to property owned by a spouse, if applicable): (i) the amount of any tax-exempt interest income received, (ii) the amount of losses claimed as a limited partner in a limited partnership, (iii) any deduction claimed for depletion, (iv) alimony paid and (v) any amount by which income from long-term capital gains has been reduced in arriving at adjusted gross income pursuant to the provisions of Section 1202 of the Code. Section B: To be completed by all subscribers

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-11 (vii) ☐a broker or dealer registered pursuant to Section 15 of the 1934 Act. (viii) ☐ an investment company registered under the Investment Company Act. (ix) ☐ a business development company as defined in Section 2(a)(48) of the Investment Company Act, a Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or (d) of the Small Business Act or a Rural Business Investment Company as defined in section 384A of the Consolidated Farm and Rural Development Act. (x) ☐ an employee benefit plan within the meaning of Section 3(3) of ERISA (including an individual retirement plan), which satisfies at least one of the following conditions: (i) the investment decision is made by a plan fiduciary, as defined in Section 3(21) of ERISA, which is either a bank, a savings and loan association, an insurance company or a registered investment adviser, (ii) the employee benefit plan has total assets in excess of $5,000,000 or (iii) the employee benefit plan is a self-directed plan (i.e., a tax-qualified defined contribution plan in which a participant may exercise control over the investment of assets credited to his or her account), with investment decisions made solely by persons who are “accredited investors” as defined in Rule 501 under the 1933 Act. (xi) ☐ an employee benefit plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, if such plan has total assets in excess of $5,000,000. (xii) ☐ a private business development company as defined in Section 202(a)(22) of the Advisers Act. (xiii) ☐ an organization described in Section 501(c)(3) of the Code, in each case not formed for the purpose of acquiring the Units, with total assets in excess of $5,000,000. (xiv) ☐ a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Units, whose purchase of the Units is directed by persons having such knowledge and experience in financial and business matters that they are capable of evaluating the merits and risks of a prospective investment in the Units. (xv) ☐ a trust of which each and every grantor is an individual who is an “accredited investor,” as defined in Rule 501 under the 1933 Act, or an entity that is an “accredited investor,” in each case who can amend or revoke the trust at any time. NOTE: Please complete the ENTITY AI DRILLDOWN section below. (xvi) ☐ an entity in which each and every one of the equity owners is (i) a natural person who is an “accredited investor” as defined in Rule 501 under the 1933 Act or (ii) an entity that is an “accredited investor” as described above. NOTE: Please complete the ENTITY AI DRILLDOWN section below. (xvii) ☐ an entity, of a type not listed in (v) through (xvi) above not formed for the specific purpose of acquiring the securities offered, owning investments in excess of $5,000,000. (xviii) ☐ a “family office,” as defined in rule 202(a)(11)(G)-1 under the Advisers Act: (A) with assets under management in excess of $5,000,000, (B) that is not formed for the specific purpose of acquiring the securities offered, and (C) prospective investment is directed by a person who has such knowledge and experience in financial and business matters that such family office is capable of evaluating the merits and risks of the prospective investment. (xix) ☐ Any “family client,” as defined in rule 202(a)(11)(G)-1 under the Advisers Act, of a family office meeting the requirements in item (xviii) above and whose prospective investment in the Company is directed by such family office pursuant to item (xviii)(C). (xx) ☐ none of the above. Please notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet.

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-12 NOTE: If the Subscriber’s accreditation is based upon item number (xv) or number (xvi), the Subscriber must make the representations set forth below. ENTITY AI DRILLDOWN: For Subscribers who checked number (xv) or (xvi) above. Total number of grantors of the Subscriber (if applicable): Total number of equity owners of the Subscriber (if applicable): If there are more than 3 grantor/equity owners, please attach additional sheets, as necessary Grantor/equity owner #1 – Name: Grantor/equity owner #2 – Name: Grantor/equity owner #3 – Name: The Subscriber hereby represents that each grantor/equity owner listed above is an “accredited investor,” as defined in Rule 501 of Regulation D under the 1933 Act, because: NOTE: A roman numeral, not a checkmark or other mark, must be written in the blank line(s) below. The number written in is for the grantor or equity owner, not for the Subscriber. • If the Subscriber’s grantor or equity owners are natural persons, Subscribers should review Accredited Investor representations (i) through (iv) under the “For Natural Persons” section in Section B and insert the applicable roman numeral(s) for the Subscriber’s grantor or equity owners in the designated space(s) below. • If the Subscriber’s grantors or equity owners are entities, Subscribers should review Accredited Investor representations (v) through (xx) under the “For Entities” section in Section B and insert the applicable roman numeral(s) for the Subscriber’s grantors or equity owners in the designated space(s) below. • If Accredited Investor representation(s) (xv) or (xvi) are provided for a grantor or equity owner, then additional pages of S-12 must be provided for the grantors or equity owners of that entity grantor or equity owner, in order for them to similarly provide their applicable Accredited Investor representation(s). Grantor/equity owner #1, if completing Section B(1) of this “Subscriber Questionnaire” truthfully and accurately, indicate the roman numeral option you would have selected Grantor/equity owner #2, if completing Section B(1) of this “Subscriber Questionnaire” truthfully and accurately, indicate the roman numeral option you would have selected Grantor/equity owner #3, if completing Section B(1) of this “Subscriber Questionnaire” truthfully and accurately, indicate the roman numeral option you would have selected

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-13 Consent to Electronic Delivery of Periodic Reporting and/or Tax Information For Primary Contact of Subscriber • If you choose not to consent to electronic delivery of periodic reporting (including statements, commentary and notices) and/or tax information via the Company’s investor portal (the “Investor Portal”) or if you subsequently withdraw your consent to such electronic delivery, paper copies of such periodic reporting or tax information will be furnished to you via U.S. Mail or UPS / FedEx. • Such consent applies to all periodic reporting or tax information, as applicable, required to be furnished to you by the Company after this consent is given until you withdraw consent. • Notwithstanding your consent, you are entitled to receive paper copies of such periodic reporting and tax information upon request. The Company will NOT treat your request for paper copies as a withdrawal of consent. If you wish to withdraw consent, you understand that you must do so affirmatively. • You may withdraw consent by contacting MS Capital Partners Adviser Inc., ▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇, Attn: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Investor Servicing Team (or at such updated address as the Company may communicate to the Subscribers from time to time), or via email to ▇▇▇▇▇@▇▇▇▇.▇▇▇. The withdrawal of consent will be effective within 60 (sixty) calendar days of receipt by the Company and will be confirmed in writing by the Company (including the date on which the withdrawal will take effect). A withdrawal of consent does not apply to any periodic reporting or tax information that was furnished electronically before the withdrawal takes effect. • You can contact MS Capital Partners Adviser Inc., ▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇, Attn: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Investor Servicing Team (or at such updated address as the Company may communicate to the Subscribers from time to time), or via email to ▇▇▇▇▇@▇▇▇▇.▇▇▇ to communicate any changes in your contact information. The Company will email you if the contact information for the Company changes. • If the Subscriber has received the Subscription Booklet (including this Subscriber Questionnaire) as a pdf (portable document format) file in an email attachment or in any other electronic format, the receipt thereof reasonably demonstrates that the Subscriber can access any tax information in the electronic format in which it will be furnished to the Subscriber. If the Subscriber received the Subscription Booklet in a non-electronic format, the Subscriber confirms that it consents to electronic delivery of any tax information in respect of the Units and that it is able to access documents delivered through electronic means. • If you consent to the electronic delivery of periodic reporting and/or tax information via the Investor Portal, such periodic reporting and/or tax information may be posted to the Investor Portal as a PDF (portable document format) file. You may download a free copy of Adobe Acrobat Reader, which will allow you to view any such periodic reporting and/or tax information, by visiting ▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇. This page contains information about the system requirements needed to use the software. Alternatively, you may be able to use an alternative PDF reader software. Certain tax information may be required to be printed and attached to a federal, state, or local income tax return. For all Contacts of Subscriber other than the Primary Contact • All periodic reporting (including statements, commentary and notices) and/or tax information to be provided to you will be delivered electronically via the Investor Portal. Paper copies of such periodic reporting or tax information will not be furnished to you via U.S. Mail or UPS / FedEx, even if you no longer wish to continue receiving such period reporting or tax information electronically via the Investor Portal. • You can contact MS Capital Partners Adviser Inc., ▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇, Attn: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Investor Servicing Team (or at such updated address as the Company may

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-14 communicate to the Subscribers from time to time), or via email to ▇▇▇▇▇@▇▇▇▇.▇▇▇, to communicate any changes in your contact information. The Company will email you if the contact information for the Company changes. • The periodic reporting and/or tax information delivered to you electronically via the Investor Portal may be posted to the Investor Portal as a PDF (portable document format) file. You may download a free copy of Adobe Acrobat Reader, which will allow you to view any such periodic reporting and/or tax information, by visiting ▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇. This page contains information about the system requirements needed to use the software. Alternatively, you may be able to use an alternative PDF reader software. Certain tax information may be required to be printed and attached to a federal, state, or local income tax return. Instructions: Please check the box below and reply to the email by which the Subscriber received this Subscription Agreement (including a copy of the completed consent) or upload the signed consent to the secure website through which the Subscriber downloaded this Subscription Agreement to confirm that (a) the Subscriber consents to electronic receipt of periodic reporting and/or tax information in respect of its Units in the Company and (b) the Subscriber is able to open the pdf document sent to the Subscriber’s email address or posted to the Company’s secure website. ☐ I consent to electronic delivery of any tax information circulated by the Company on such terms and conditions as described in this Consent to Electronic Delivery of Periodic Reporting and/or Tax Information form.

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-15 Affirmative Indication of Independent Judgment (Pursuant to FINRA Rule 2111)13 In connection with the proposed investment in the Company, the undersigned, on behalf of the Subscriber, acknowledges and represents to ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ & Co. LLC, a registered broker-dealer, and any affiliated broker-dealers that may assist in the placement of Units (collectively, “▇▇▇▇▇▇ ▇▇▇▇▇▇▇”) that: ☐ Yes ☐ No 1) The Subscriber qualifies as an Institutional Account, as defined in FINRA Rule 4512(c):14 If the Subscriber answers “Yes” to Question 1 above, Subscriber hereby represents and warrants as follows: a) The Subscriber (i) is capable of evaluating investment risks independently, both in general and with regard to all transactions and investment strategies involving a security or securities, including private equity funds and other alternative investments; and (ii) will exercise independent judgment in evaluating an investment in the Company, unless it has otherwise notified ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ in writing; b) The Subscriber has consulted appropriate internal and/or external advisers to the Subscriber, other than ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, in connection with the Subscriber’s investment in the Company; c) The Subscriber will notify ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ immediately at the address below if anything in this Subscriber Questionnaire ceases to be true; and d) The signatory below is authorized to sign on behalf of the Subscriber named below. ☐ Yes ☐ No 2) Is the Subscriber a client of ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Private Wealth Management Ltd., ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Bank International Limited, Bank ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇, Bank ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇, Hong Kong Branch (or ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Asia Limited, as the case may be) or Bank ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇, Singapore Branch (or ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Asia (Singapore) Pte., as the case may be)? By executing this subscription booklet, the undersigned affirms that the above statements are accurate but does not waive any rights afforded under U.S. federal or state securities laws, including any rights under Section 10(b) of the 1934 Act and the rules and regulations promulgated thereunder. NOTE: This letter shall apply with respect to an investment in the Company by the Subscriber, whether for its own account or for the account of any beneficial owner that has delegated decision making authority to the Subscriber. If you cannot respond to Question 1 or 2 above, please contact the person listed in Section 4 of the “General Instructions” in the Subscription Booklet. 13 Available at ▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇/. 14 “Institutional Account” means the account of: (1) a bank, savings and loan association, insurance company or registered investment company; (2) an investment adviser registered either with the SEC under Section 203 of the Investment Advisers Act or with a state securities commission (or any agency or office performing like functions); or (3) any other person (whether a natural person, corporation, partnership, trust or otherwise) with total assets of at least $50 million as of the date of execution of this Certificate whether such assets are invested for such person’s own account or under management for the account of others.

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-16 Rule 506(D) Events The Subscriber represents that neither the Subscriber nor anyone who is treated as a beneficial owner of the Units hereby being purchased by the Subscriber under Rule 506(d) or Rule 506(e) of the 1933 Act has been subject to any of the following specified events during the time periods specified therein. Furthermore, prior to the final Closing, the Subscriber agrees to provide the Company with prompt written notice of the occurrence of any of the following specified events with respect to the Subscriber or any such beneficial owner. (i) Conviction, within the ten year period ending on the date hereof, of any felony or misdemeanor: (A) In connection with the purchase or sale of any security; (B) Involving the making of any false filing with the SEC; or (C) Arising out of the conduct of the business of an underwriter, broker, dealer, municipal securities dealer, investment adviser or paid solicitor of purchasers of securities; (ii) Any order, judgment or decree of any court of competent jurisdiction, entered within the five year period ending on the date hereof, that, at this date, restrains or enjoins the Subscriber from engaging or continuing to engage in any conduct or practice: (A) In connection with the purchase or sale of any security; (B) Involving the making of any false filing with the SEC; or (C) Arising out of the conduct of the business of an underwriter, broker, dealer, municipal securities dealer, investment adviser or paid solicitor of purchasers of securities; (iii) A final order of a state securities commission (or an agency or officer of a state performing like functions); a state authority that supervises or examines banks, savings associations, or credit unions; a state insurance commission (or an agency or officer of a state performing like functions); an appropriate federal banking agency; the U.S. Commodity Futures Trading Commission (the “CFTC”); or the National Credit Union Administration that: (A) On the date of this letter, bars the Subscriber from: 1. Association with an entity regulated by such commission, authority, agency or officer; 2. Engaging in the business of securities, insurance or banking; or 3. Engaging in savings association or credit union activities; or (B) Constitutes a final order based on a violation of any law or regulation that prohibits fraudulent, Manipulative, or deceptive conduct entered within the ten year period ending on the date hereof; (iv) An order of the SEC entered pursuant to section 15(b) or 15B(c) of the Securities Exchange Act of 1934 (15 U.S.C.78o(b) or 78o-4(c)) or section 203(e) or (f) of the Investment Advisers Act of 1940 (15 U.S.C. 80b-3(e) or (f)) that, as of the date hereof: (A) Suspends or revokes the Subscriber’s registration as a broker, dealer, municipal securities dealer or investment adviser; (B) Places limitations on the activities, functions or operations of the Subscriber; or (C) Bars the Subscriber from being associated with any entity or from participating in the offering of any ▇▇▇▇▇ stock; (v) Any order of the SEC entered within the five-year period ending on the date hereof that, as of the date hereof, orders the Subscriber to cease and desist from committing or causing a violation or future violation of: (A) Any scienter-based anti-fraud provision of the federal securities laws, including without limitation section 17(a)(1) of the 1933 Act, section 10(b) of the 1934 Act and rule 10b-5 thereunder, section 15(c)(1) of the 1934 Act and section 206(1) of the Investment Advisers Act, or any other rule or regulation thereunder; or (B) Section 5 of the 1933 Act.

Subscriber Questionnaire Section B: Subscriber Qualification (All Subscribers) S-17 (vi) Suspension or expulsion from membership in, or suspension or bar from association with a member of, a registered national securities exchange or a registered national or affiliated securities association for any act or omission to act constituting conduct inconsistent with just and equitable principles of trade; (vii) Filing (as a registrant or issuer), or being or being named as an underwriter in, any registration statement or Regulation A offering statement filed with the SEC that, within the five-year period ending on the date hereof, was the subject of a refusal order, stop order, or order suspending the Regulation A exemption, or is, as of the date hereof, the subject of an investigation or proceeding to determine whether a stop order or suspension order should be issued; or (viii) A United States Postal Service false representation order entered within the five year period ending on the date hereof, or, as of the date hereof, a temporary restraining order or preliminary injunction with respect to conduct alleged by the United States Postal Service to constitute a scheme or device for obtaining money or property through the mail by means of false representations. Please check all that apply with respect to the events listed above: ☐ The Subscriber has been subject to such an event but, prior to the date hereof, (i) the court or regulatory authority that entered the relevant order, judgment or decree has advised in writing (whether contained in the relevant judgment, order or decree or separately to the SEC or its staff) that disqualification under paragraph (d)(1) of Rule 506 under the 1933 Act should not arise as a consequence of such order, judgment or decree or (ii) the SEC has issued an exemption from paragraph (d)(1) of Rule 506 with respect to such event. The Subscriber shall provide a copy of such written advice or exemption to: c/o North Haven Private Income Fund A LLC Attn: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ ☐ The Subscriber has not been subject to such an event.

Subscriber Questionnaire Section C: To be completed by individuals (natural persons only) S-18 To be completed by, or on behalf of, a Subscriber who is a natural person subscribing in his/her own name, including if the Units are being purchased for the account of a natural person with the assets of an IRA, 401(k) account or ▇▇▇▇▇ Plan. 1. Primary Subscriber Information (joint subscriber, if any, to complete information separately in Section 2 below) Required Items Legal Name of Primary Subscriber: First Name Last Name Date of birth of Subscriber (mm/dd/yyyy): Citizenship: Government-Issued Identification: Provide – Type of ID (e.g. EIN, social security number, taxpayer identification number, Company Registration Number, Passport Number, etc.) / ID Number / and Country of Issuance: / / (type of ID) (EIN, social security #, taxpayer ID #) (country of issuance) Country of residence: If the United States, state of residence for U.S. Income Tax purposes: If Canada, indicate province: Occupation: Name of business: Nature of business: Position and duties: Source of Wealth other than Occupation Section C: To be completed by individuals (natural persons only)

Subscriber Questionnaire Section C: To be completed by individuals (natural persons only) S-19 2. Joint Subscriber Information (if any): Full legal name of Joint Subscriber: (Prefix: Mr., Mrs., Dr. etc.) (First Name) (Middle Initial) (Last Name) (Suffix: Jr., III, Ph.D. etc.) Business name (if applicable): Date of birth (mm/dd/yyyy): Citizenship: Government-Issued Identification: Provide – Type of ID (e.g. EIN, social security number, taxpayer identification number, Company Registration Number, Passport Number, etc.) / ID Number / and Country of Issuance: / / (type of ID) (EIN, social security #, taxpayer ID #) (country of issuance) Country of residence: If the United States, state of residence for U.S. Income Tax purposes: If Canada, indicate province: Occupation: Name of business: Position and duties: Source of Wealth other than Occupation Residential Address: (Required for anti-money laundering purposes; a Post Office box cannot be accepted): Number and Street Apt./Suite City State Zip Code Country Telephone Number: Email Address: Mailing Address (if different from residential address): Number and Street Apt./Suite City State Zip Code Country

Subscriber Questionnaire Section C: To be completed by individuals (natural persons only) S-20 3. Additional Information ☐ Yes ☐ No a) Is the Subscriber purchasing Units in the Company with funds that constitute, directly or indirectly, assets of any employee benefit plan or IRA subject to ERISA or to Section 4975 of the Code? ☐ Yes ☐ No b) Is the Subscriber subscribing as a trustee or custodian for an IRA? If yes, please complete the Additional Representation with Respect to Investment for an IRA on the Subscriber Signature Page.

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-21 To be completed by, or on behalf of, a Subscriber that is a corporation, partnership, limited liability company, trust or other association or entity, including an individual retirement account (“IRA”), 401(k) account or ▇▇▇▇▇ Plan subscribing in its own name, but not including cases where a natural person is subscribing in his/her own name using the assets of an IRA, 401(k) account or ▇▇▇▇▇ Plan. 1. Supplemental General Information Full legal name of subscriber (First & Last Name) Date of incorporation or formation (mm/dd/yyyy): State of Incorporation or Formation: Country of Incorporation or Formation: Government-Issued Identification: Provide – Type of ID (e.g. EIN, TIN, Co. Registration Number, taxpayer identification number, Company Registration Number, Passport Number, etc.) / ID Number / and Country of Issuance: / / (Type of ID) (ID Number) (Country of Issuance) Nature of business: Jurisdictions of Markets Served (Charity/Foundation/Financial Institution clients “only”) Settlor/Grantor #1- Name Address Country of Domicile Date of Birth Government Issued ID# Citizenship Source of Wealth Settlor/Grantor #2 - Name Address Country of Domicile Date of Birth Government Issued ID# Citizenship Source of Wealth Source of Funds 2. Beneficial owner information of Subscriber ☐ Yes ☐ No ☐ N/A a) If the Subscriber is a privately held entity and is not a trust, do any of the Subscriber’s beneficial owners, directly or indirectly through Section D: To be completed by subscribers that are entities only

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-22 intermediaries, hold 10% or more of any voting or non-voting class of the Subscriber’s equity interests? ☐ Yes ☐ No ☐ N/A b) If the Subscriber is a trust, does the Subscriber have any beneficiaries, settlors/grantors and/or trustees that have, directly or indirectly, an equity interest of 10% or more in the trust? ☐ Yes ☐ No c) Is the Subscriber subscribing for Units with the intent to sell or transfer the Units to any other person or persons? If the answer is “Yes” to Question 2(c), please notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet 3. Anti-Money Laundering Information ☐ Yes ☐ No a) Is the Subscriber a fund-of-funds entity? ☐ Yes ☐ No b) Are the Units being purchased by an agent, nominee, trustee, custodian or otherwise on behalf of, or for the account of, third parties? If yes, Anti-Money Laundering documentation, as outlined in Appendix 2, should also be provided for the underlying party. ☐ Yes ☐ No c) Will any other person or persons other than the Subscriber have a beneficial interest in the Units acquired (other than as a shareholder, partner, member, trust beneficiary or other beneficial owner of equity interests in the Subscriber)? Please refer to Investor Anti-Money Laundering Documentation Supplement in Appendix 2 for required documentation to be provided.

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-23 4. Benefit Plan Accounts ☐ Yes ☐ No a) Is the Subscriber, or will the Subscriber be, a “Benefit Plan Investor”? A Benefit Plan Investor is defined as: (i) any employee benefit plan subject to Part 4 of Title I of ERISA; (ii) any plan to which Code Section 4975 applies (which includes a trust described in Code Section 401(a) that is exempt from tax under Code Section 501(a), a plan described in Code Section 403(a), an IRA or annuity described in Code Section 408 or Section 408A, a medical savings account described in Code Section 220(d), a health savings account described in Code Section 223(d) and an education savings account described in Code Section 530); (iii) any entity whose underlying assets include plan assets by reason of a plan’s investment in the entity (generally because 25 percent or more of a class of equity interests in the entity is owned by plans). Benefit Plan Investors also include that portion of any insurance company’s general account assets that are considered “plan assets” and (except if the entity is an investment company registered under the Investment Company Act) the assets of any insurance company separate account or bank common or collective trust in which plans invest, as well as entities deemed to hold the assets of any of the foregoing accounts. b) If the answer to Question 4(a) is “Yes”, please indicate whether: ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No (1) The Subscriber is or will be an “employee benefit plan,” as defined in Section 3(3) of ERISA that is subject to the fiduciary responsibility provisions of ERISA. (2) The Subscriber is or will be a “plan” as defined in and that is subject to Section 4975 of the Code, including, for example, an IRA. (3) The Subscriber is, or will be, an entity, including an insurance company separate or general account or an investment fund, the underlying assets of which include “plan assets” that are subject to Part 4 of Subtitle B of Title I of ERISA or Section 4975 of the Code by reason of a plan’s investment in such entity. (4) If the Subscriber answered “Yes” to 4(b)(3) above, the percentage of the assets of the Subscriber that are held on behalf of Benefit Plan Investors subject to Part 4 of Subtitle B of Title I of ERISA or Section 4975 of the Code during the period of investment in the Company do not, and will not, exceed: % If the answer to Question 4(b)(2) is “Yes”, the Subscriber MUST complete Section C of the Subscriber Questionnaire and the Additional Representation with Respect to Investment for an IRA on the Subscriber Signature Page. ☐ Yes ☐ No c) Is the Subscriber (i) a bank as defined in section 202 of the Investment Advisers Act or similar institution that is regulated and supervised and subject to periodic examination by a state or federal agency; (ii) an insurance carrier which is qualified under the laws of more than one state to perform the services of managing, acquiring or disposing of assets of a plan; (iii) an investment adviser registered under the Investment Advisers Act or, if not registered as an investment adviser under the Investment Advisers Act by reason of paragraph (1) of section 203A of such Act, is registered as an investment adviser under the laws of the state (referred to in such paragraph (1)) in which it maintains its principal office and place of

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-24 business; (iv) a broker-dealer registered under the 1934 Act, or (v) an independent fiduciary that holds, or has under management or control at least $50 million? ☐ Yes ☐ No d) If the Subscriber is not a Benefit Plan Investor subject to Title I of ERISA or Section 4975 of the Code, please indicate whether such Subscriber is or will be subject to any other federal, state, local, non-U.S. or other laws or regulations that are similar to the fiduciary responsibility or prohibited transaction provisions contained in Title I of ERISA or Section 4975 of the Code that would apply to the management or operation of the Company as a result of the Subscriber’s investment in the Company.

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-25 5. Additional Information (all questions from 5(a) through 5(h) must be answered) ☐ Yes ☐ No a) Was the Subscriber formed for the specific purpose of acquiring the Units? If the answer to 5(a) is “Yes”, please notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet and attach as an exhibit to this Subscription Booklet a completed Subscriber Questionnaire for each beneficial owner of the Subscriber. ☐ Yes ☐ No b) Is the Subscriber a participant-directed defined contribution plan (such as a 401(k) plan) or a partnership or other investment vehicle (i) in which its partners or participants have or will have any discretion to determine whether or how much of the Subscriber’s assets are invested in any investment made or to be made by the Subscriber (including the Subscriber’s Capital Contribution) or (ii) that is otherwise an entity managed to facilitate the individual decisions of its beneficial owners to invest in the Company? If the answer to 5(b) is “Yes”, please attach as an exhibit to this Subscription Booklet a completed Subscriber Questionnaire for each Beneficial Owner of the Subscriber. ☐ Yes ☐ No c) Is the Subscriber subject to the Bank Holding Company Act (the “BHC Act”) or directly or indirectly “controlled” (as that term is defined in the BHC Act) by a company that is subject to the BHC Act under the BHC Act? ☐ Yes ☐ No d) Does the Subscriber intend to enter, or has entered into, a swap, structured note or other derivative instrument with any third party, the return from which is or will be based in whole or in part on the return of the Company? ☐ Yes ☐ No If “Yes”, does any such third party include a Benefit Plan Investor (as defined in 4(b) above)? If the answer to 5(d) is “Yes,” each counterparty that is an entity must complete a copy of this Subscriber Questionnaire, in each case as if such counterparty were directly purchasing the Units. ☐ Yes ☐ No e) If the Subscriber is a grantor trust and is a “United States person” for U.S. federal income tax purposes (as defined in Annex 1), the Subscriber is submitting such documentation (e.g., Form W-8BEN, W-8BEN-E, W-8IMY, W-8ECI, W-8EXP or W-9) and information pertaining to each grantor or other owner that permits the Company to reliably associate each such grantor’s or other owner’s indirect share of the Company’s income with such grantor or other person. ☐ Yes ☐ No f) Is the Subscriber or any Underlying Beneficial Owner subject to the U.S. Freedom of Information Act, Section 552(a) of Title 5, United States Code (“FOIA”), any state public records access laws, any state or other jurisdiction’s laws with similar intent or effect to FOIA, or any other similar statutory or legal right that might result in the disclosure of confidential information relating to the Company? If the answer to 5(f) is “Yes,” please indicate the relevant laws to which the Subscriber (or any Underlying Beneficial Owner) is subject and provide any additional explanatory information in the space provided below.

Subscriber Questionnaire Section D: Supplemental Information for Entities (Entities only) S-26 ☐ Yes ☐ No g) To the best of the Subscriber’s knowledge, does the Subscriber control, or is the Subscriber controlled by or under common control with, any other investor in the Company? If the answer to 5(g) is “Yes,” please identify such related investor(s) below. ☐ Yes ☐ No h) Will any other person or persons have a beneficial interest in the Units to be acquired hereunder (other than as a shareholder, partner, policy owner or other beneficial owner of equity interests in the Subscriber)? (By way of example, and not limitation, “nominee” Subscribers or Subscribers who have entered into swap or other synthetic or derivate instruments or arrangements with regard to the Units to be acquired herein would be required to check “Yes” to the left.)

Section E: Subscriber Signature Page (if applicable) S-27 Subscriber Signature Page To be signed by all subscribers: Execution of this signature page constitutes execution by the Subscriber of this Subscription Booklet. This Subscription Agreement shall become a binding agreement between the Subscriber and the Company on the date accepted by the Company. With the signature(s) below, the Subscriber acknowledges, represents and agrees that it has carefully read, and is familiar with, this Subscription Booklet and the Memorandum, and agrees that signing below constitutes the receipt and agreement to the terms of this Subscription Booklet and the execution of this Subscription Booklet. The Subscriber hereby confirms that the information provided in the Subscriber Questionnaire and all of its representations, warranties and agreements set forth in this Subscription Agreement and other documents constituting the Subscription Booklet (including Appendices and Annexes hereto) are true, correct and complete. The Subscriber hereby confirms that the signatory hereto has the authority to sign this document on behalf of the Subscriber. By signing this signature page, the Subscriber hereby gives power of attorney to the officers of the Company to execute certain documents on the Subscriber’s behalf. Please refer to Section 8.17 on pages 18-19 of the Subscription Agreement. The Subscriber acknowledges that it has received from North Haven Private Income Fund A LLC copies of the following: • Confidential Private Placement Memorandum • Certificate of Formation • LLC Agreement • Subscription Booklet Please write in your capital contribution amount in the line below and fill in the date of signature in the bolded sentence below. Subscriber’s Capital Contribution is $ IN WITNESS WHEREOF, the Subscriber has executed and unconditionally delivered this Subscription Booklet, this day of , 20 Section E: Subscriber Signature Pages (all subscribers)

Section E: Subscriber Signature Page (if applicable) S-28 Subscriber Signature Page (cont’d) Individual Investor or Individual Retirement Account (“IRA”)*: Print Full Legal Name of Subscriber Signature of Subscriber Print Name of Joint Investor* Signature of Joint Investor *IRA Custodian/Trustee Acknowledgement The undersigned, being the custodian or trustee of the above-named individual retirement account, ▇▇▇▇▇▇ accepts and agrees to this subscription. Name of Custodian or Trustee Signature of Authorized Signatory Name of Authorized Signatory Partnership, Corporation, Limited Liability Company, Trust, Custodial Account, Other Investor: Print Full Legal Name of Subscriber Signature of Authorized Signatory Print Name of Authorized Signatory Print Title of Authorized Signatory

Section E: Subscriber Signature Page (if applicable) S-29 Subscriber Signature Page (cont’d) Additional Representation With Respect to Investment For an Individual Retirement Account: If the Subscriber is an individual retirement account (an “IRA”) and the custodian or trustee of the IRA has executed the Subscription Agreement on the signature page, then the individual who established the IRA: (i) has directed the custodian or trustee of the Subscriber to execute the Subscription Agreement on the signature page; and (ii) has signed below to indicate that he or she has reviewed, directed and certifies to the accuracy of the representation and warranties made by the Subscriber herein. Full Legal Name Signature Name and Address of Custodian and Contact Individual Print Title of Authorized Signatory Trustee/Custodian’s Tax I.D. Number: **** IRA custodian or trustee in every case must sign acknowledgment on the preceding page****

BUSINESS.29251865.7 Form of Company Acceptance of Subscription S-30 Form of Company Acceptance of Subscription Dear [Subscriber], This letter confirms your Capital Contribution to North Haven Private Income Fund A LLC (the “Company”) was accepted by the Company in the amount of $[AMOUNT] effective as of [DATE] pursuant to the terms and conditions set forth in the subscription agreement executed by you. Very truly yours, North Haven Private Income Fund A LLC By:________________________________ Name: Title:

Appendix 1 App 1-1 Read the instructions to the applicable Internal Revenue Service Tax Forms. The relevant IRS Forms and their instructions can also be accessed on the IRS website at ▇▇▇▇://▇▇▇.▇▇▇.▇▇▇. − If the Subscriber is a “United States person” for U.S. federal income tax purposes (e.g., a U.S. citizen or a U.S. resident), please complete and execute Form W-9 in accordance with the instructions accompanying the form. − If the Subscriber is not a “United States person” for U.S. federal income tax purposes (e.g., a nonresident alien), please complete and execute Form W-8BEN, Form W-8BEN-E, Form W-8IMY, Form W-8EXP or Form W-8ECI, as applicable. If the Subscriber is claiming benefits under an income tax treaty, please provide a U.S. taxpayer identification number on Form W-8BEN or Form W-8BEN-E, as applicable. − Please note that if the W-8BEN, Form W-8BEN-E, Form W-8IMY, Form W-8EXP or Form W-8ECI, as applicable, does not contain such U.S. taxpayer identification number or is otherwise missing information or has been incorrectly filled out, the income tax treaty benefits claimed will not be applied. Instead the Company will withhold at full U.S. tax rates. Attached are eight different tax forms. These tax forms and their instructions can also be accessed on the IRS website at ▇▇▇▇://▇▇▇.▇▇▇.▇▇▇. Please read the guidelines below and the instructions accompanying the forms to determine which form(s) applies to the Subscriber, and then complete and execute the relevant form(s) in accordance with such instructions. In the case of joint investors, each investor must complete and execute the relevant form. If the Subscriber is not a United States person, the Subscriber should notify the contact listed in Section 4 of the “General Instructions” in the Subscription Booklet. FATCA Compliance: In order to comply with the FATCA rules and avoid the imposition of U.S. federal withholding tax, the Company requires Subscribers to provide additional information as described in the Subscription Agreement and may from time to time require further information or documentation from the Subscriber and, if and to the extent required under FATCA, the Subscriber’s direct and indirect beneficial owners (if any), relating to or establishing such person’s identity, residence (or jurisdiction of formation) and income tax status, and may provide or disclose such information and documentation to the U.S. Internal Revenue Service. The Subscriber hereby agrees to indemnify and hold harmless the Company from any and all withholding taxes, interest, penalties and other losses or liabilities suffered by the Company on account of the Subscriber not providing all requested information and documentation in a timely manner. The Subscriber shall have no claim against the Company for any form of damages or liability as a result of any of the aforementioned actions. Appendix 1: Internal Revenue Service Form W-9 and W-8BEN

Appendix 2 App 2-1 1. Is the Subscriber or related individual a current or former public figure (as defined under “Politically Exposed Person” in Annex 1)? Yes ☐ No ☐ If the answer is YES, please provide the following: Official title/position(s) (current and former): Dates of Service: Country from which PEP Derives Status: Salary/compensation from official duties (current role only): Other sources of wealth/income: 2. Is the Subscriber or related individual an immediate family member of a current or former public figure (as defined under “Politically Exposed Person” in Annex 1)? Yes ☐ No ☐ If the answer is YES, please provide the following: Full Name of Public Figure: Relationship to Client: Official title/position(s) (current and former): Dates of Service: Country from which PEP Derives Status: 3. Is the Subscriber or related individual a known close associate of a current or former public figure (as defined under “Politically Exposed Person” in Annex 1)? Yes ☐ No ☐ If the answer is YES, please provide the following: Full Name of Public Figure: Relationship to Client: Official title/position(s) (current and former): Dates of Service: Country from which PEP Derives Status: Appendix 2: Politically Exposed Persons (“PEP”) Questionnaire

Appendix 2 App 2-2 To comply with applicable Anti-Money Laundering (“AML”) legislation and regulations, ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ is required to conduct due diligence on all investors. The attached supplement includes guidance on the specific information and documentary evidence required on each investor. In all cases, ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ reserves the right to request any further information we deem necessary for AML purposes. Please note that this list is not exhaustive, as additional documentation may be required based on specific criteria identified at onboarding. All Non U.S. Wealth Management subscribers must review and provide the applicable documents below: Investor Type Required Documentation Individuals • Valid government issued ID (e.g. passport, driver’s license, etc.) • Proof of residential address • Source of wealth/source of funds Personal Holding Company • Documentation showing formation of the entity (e.g. Certificate of Incorporation, etc.) • Identification of layers of organizational structure down to ultimate individual owner(s) • Authorized Signatory list, including name and country of domicile • Certification for Beneficial Owners and Key Controller of Legal Entity Customers (Complete Appendix 3) - Documentation requirements for individuals apply to each beneficial owner and key controller identified Trust • First and signature pages of Trust Agreement • Documentation identifying the Trustee/Protector (can be Trust Agreement) - Documentation requirements for individuals apply to each Trustee/Protector identified - A formation document is required for any corporate Trustee/Protector identified • Documentation identifying the Grantor/Settlor/Donor (can be Trust Agreement) - Documentation requirements for individuals apply to each Grantor/Settlor/Donor identified * For Statutory Trusts created by a filing with a Secretary of State or similar office (i.e., REITS), please contact GFC Partnership • Documentation showing formation of the entity (e.g. Partnership Agreement, etc.) • Identification of layers of organizational structure down to Ultimate Beneficial Owner(s) holding 10% or more of the equity interests • Certification for Beneficial Owners and Key Controller of Legal Entity Customer (Complete Appendix 3) - Documentation requirements for individuals apply to each beneficial owner and key controller identified Appendix 2 (cont’d) Investor Anti-Money Laundering Documentation Supplement

Appendix 2 App 2-3 Appendix 2 (cont’d) Investor Anti-Money Laundering Documentation Supplement Investor Type Required Documentation Private Corporation, Company or Limited Liability Company • Documentation showing formation of the entity (e.g. Certificate of Incorporation, etc.) • Identification of layers of organizational structure down to Ultimate Beneficial Owner(s) holding 10% or more • Certification for Beneficial Owners and Key Controller of Legal Entity Customers (Complete Appendix 3) - Documentation requirements for individuals apply to each beneficial owner and key controller identified Pension Fund • Documentation showing formation of the entity (e.g. Trust Agreement, etc.) • Proof of regulation, if applicable Certification for Beneficial Owners and Key Controller of Legal Entity Customers (Complete Appendix 3) - Documentation requirements for individuals apply to each beneficial owner and key controller identified • Identification of the Plan Sponsor, including documentation showing formation of the entity (e.g. Certificate of Incorporation, etc.) • Pension Fund Questionnaire Collective Investment Scheme / Pooled Investment Vehicle • Documentation showing formation of the entity (e.g. Certificate of Incorporation, etc.) • Fund structure • Investment Adviser: Full legal name and proof of regulation • Certification for Beneficial Owners and Key Controller of Legal Entity Customers (Complete Appendix 3) – {Not required if fund is managed by a SEC Registered Investment Adviser} - Documentation requirements for individuals apply to each beneficial owner and key controller identified • Full legal name of entity performing KYC on fund’s investors • Collective Investment Scheme Questionnaire • Collective Investment Scheme Sanctions Questionnaire Charity/ Charitable Foundation/ Religious Organization • Documentation showing formation of the entity (e.g. Certificate of Incorporation, etc.) • Listing in a central register of charities or other documentation from the regional organization of a denomination/religion, if applicable • Certification for Beneficial Owners and Key Controller of Legal Entity Customers (complete Appendix 3) - Only identification of one key controller is required. Documentation requirements for individuals apply to the key controller identified Sovereign Wealth Fund • Constitutional documentation evidencing the establishment or appointment as a SWF OR publicly available information • Certification for Beneficial Owners and Key Controller of Legal Entity Customers (complete Appendix 3) - Only identification of one key controller is required. Documentation requirements for individuals apply to the key controller identified • Documentation establishing the Sovereign Wealth Fund is 100% state owned

Appendix 3 App 3-1 I. General Instructions What is this form? U.S. law requires financial institutions to obtain, verify, and record information about the beneficial owners and key controllers of legal entity customers. Who has to complete this form? This form is applicable to legal entity customers and must be completed by the person opening a new account or establishing a customer relationship on behalf of a legal entity. For the purposes of this form, a legal entity includes a corporation, limited liability company, partnership, personal holding company, statutory trust, or other entity created by the filing of a public document with a Secretary of State or similar office, and any similar business entity formed in the United States or a foreign country. Legal entity does not include sole proprietorships, unincorporated associations, or natural persons opening accounts or establishing a customer relationship on their own behalf. What information do I have to provide? This form requires you to provide the name, address, date of birth and social security number (in the case of non-U.S. individuals, a social security number, a passport number or other similar information) for the following: (i) Each individual, if any, who owns, directly or indirectly, 10 percent or more of the equity interests of the legal entity customer (e.g., each natural person that owns 10 percent or more of the shares of a corporation); and (ii) An individual with significant responsibility for managing the legal entity customer (e.g., a Chief Executive Officer, Chief Financial Officer, Managing Member, General Partner, President, Vice President, or Treasurer). II. Certification of Beneficial Owner(s) and Key Controller Persons opening an account or establishing a customer relationship on behalf of a legal entity must provide the following information: a. Name of Natural Person Opening Account/Establishing Customer Relationship: b. Title of Natural Person Opening Account/Establishing Customer Relationship: Appendix 3: Beneficial Owner(s) (10% or More) and Key Controller Certification

Appendix 3 App 3-2 The following section refers to the Legal Entity for Which the Account is Being Opened/Relationship Established: c. Legal Entity Name: d. Legal Entity Type: e. Address of the Legal Entity: III. Exclusions (if applicable) If you believe the Legal Entity customer listed in Section II, paragraph (c) above falls under an express exclusion from the “legal entity customer” definition under 31 C.F.R. 1010.230(e)(2), please check the applicable box below and skip Section III.A and Section III.B. U.S. Publicly Listed Companies □ An issuer of securities registered under section 12 of the Securities Exchange Act of 1934 or that is required to file reports under section 15(d) of that Act. □ An entity (other than a bank) whose common stock or analogous equity interests are listed on the New York, American, or NASDAQ stock exchange (other than an entity whose equity interests are listed under the “NASDAQ Companies – Capital Market” heading). □ A subsidiary (other than a bank) of an entity described in the immediately preceding exclusion that is organized under the laws of the United States or of any state and at least 51% of whose common stock or analogous equity interests are held by the listed entity. Financial Institutions □ A financial institution regulated by a U.S. federal functional regulator or a bank regulated by a U.S. state bank regulator. Bank Holding Companies □ A bank holding company, as defined in section 2 of the Bank Holding Company Act of 1956 (12 U.S.C. 1841), or a savings and loan holding company, as defined in section 10(n) of the Home Owners’ Loan Act (12 U.S.C. 1467a). Commodity Futures Trading Commission (“CFTC”) Exemptions □ A registered entity, commodity pool operator, commodity trading advisor, retail foreign exchange dealer, swap dealer, or major swap participant, each as defined in section 1a of the Commodity Exchange Act, that is registered with the CFTC.

Appendix 3 App 3-3 Securities and Exchange Commission (“SEC”) Exemptions □ An investment company, as defined in section 3 of the Investment Company Act of 1940, that is registered with the SEC under that Act. □ An investment adviser, as defined in the Investment Advisers Act of 1940, that is registered with the SEC under that Act. □ An exchange or clearing agency, as defined in section 3 of the Securities Exchange Act of 1934, that is registered under section 6 or 17A of that Act. □ Any other entity registered with the SEC under the Securities Exchange Act of 1934. Financial Market Utilities □ A financial market utility designated by the Financial Stability Oversight Council under Title VIII of the ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇ Street Reform and Consumer Protection Act of 2010. Public Accounting Firms □ A public accounting firm registered under section 102 of the ▇▇▇▇▇▇▇▇-▇▇▇▇▇ Act. Insurance Companies □ An insurance company regulated by a U.S. state. U.S. Governmental Entity Exemptions □ A department or agency of the United States, of any state, or of any political subdivision of a state □ An entity established under the laws of the United States, of any state, or of any political subdivision of any state, or under an interstate compact between two or more states, that exercises governmental authority on behalf of the United States or any such state or political subdivision. Non-U.S. Entity Exemptions □ A non-U.S. governmental department, agency or political subdivision that engages only in governmental rather than commercial activities. □ A foreign financial institution established in a jurisdiction where the regulator of such institution maintains beneficial ownership information regarding such institution. Pooled Investment Vehicles □ A pooled investment vehicle that is operated or advised by a financial institution excluded under one of the exclusions above. A. Beneficial Owner(s) For Nonprofit and Pooled Investment Vehicles legal entity customers, please skip to Section B (Key Controller) below. Please provide the following information for each individual (natural person), if any, who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, owns 10 percent or more of the equity interests (“Beneficial Owner”) of the legal entity customer listed above. Please Note: If a Trust directly or indirectly owns 10 percent or more of the equity interests of a legal entity customer, the beneficial owner shall mean the trustee and must be provided below. If the trustee is a Corporate Trustee, the Corporate Trustee’s information must be provided below (i.e., full legal entity name, principal

Appendix 3 App 3-4 business address and taxpayer identification number or other government issued identification number for non-US legal entities). ☐ Beneficial Owner Not Applicable (Check this box and skip to Section B (Key Controller) if there is no individual that meets the definition of a Beneficial Owner stated above.) Beneficial Owner 1 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE

Appendix 3 App 3-5 Beneficial Owner 2 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 3 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 4

Appendix 3 App 3-6 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 5 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE

Appendix 3 App 3-7 Beneficial Owner 6 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 7 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 8

Appendix 3 App 3-8 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Beneficial Owner 9 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE

Appendix 3 App 3-9 Beneficial Owner 10 INDIVIDUAL NAME STREET ADDRESS DATE OF BIRTH CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE *Where a social security number is unavailable, Non-U.S. Persons may provide a passport number, an alien identification card number, or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar safeguard. B. Key Controller All legal entities must complete this section. Please provide the following information for one individual (natural person) with significant responsibility to control, manage, or direct the legal entity listed above, such as: • An executive officer or senior manager (e.g., a Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President or Treasurer; with regards to a pooled investment vehicle, a portfolio manager, commodity pool operator, commodity trading advisor, or general partner); or • Any other individual who regularly performs similar functions. (Where applicable, an individual under the Beneficial Owner(s) section above may also serve as a Key Controller and be listed below.)

Appendix 3 App 3-10 Key Controller INDIVIDUAL NAME TITLE/RESPONSIBILITY OF KEY CONTROLLER AT LEGAL ENTITY DATE OF BIRTH STREET ADDRESS CITY STATE ZIP COUNTRY SSN ONLY COMPLETE IF NO SSN AVAILABLE* GOVERNMENT-ISSUED IDENTIFICATION TYPE IDENTIFICATION NUMBER COUNTRY OF ISSUANCE ISSUANCE DATE EXPIRATION DATE Certification I, (name of natural person opening account/ establishing a customer relationship), hereby certify, to the best of my knowledge, that the information provided above is complete and correct. I further agree to inform ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ of any changes to the Beneficial Owner(s) and Key Controller information provided, including if/when an individual becomes a 10 percent or more Beneficial Owner. SIGNATURE DATE LEGAL ENTITY IDENTIFIER (OPTIONAL) *Where a social security number is unavailable, Non-U.S. Persons may provide a passport number, an alien identification card number, or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar safeguard