Form

Application to Join Approved Group of Investors

* indicates a mandatory field.

Your details

Title (Mr, Mrs, Miss, Ms, Other: *

Forename(s): *

Surname: *

Suffix(es):

Country: *

Address - line 1: *

Address - line 2:

Town/City: *

Postcode: *

Email Address: *

Please enter your email address

Confirm Email Address: *

Please enter your email address as it appears above

Daytime Telephone Number:

Date of Birth: *

Country of Birth: *

Town of Birth:

Nationality:

Employment & Investment details

Occupation: *

Employer (if applicable):

Nature of Business
(if sole trader or partner in firm):

VAT Reg No. (if applicable):

Income (Including any pension receipts both Public and Private): *

£0.00 - £99,999
£100,000 - £499,999
+ £500,000

Savings and Investments (Excluding Property): *

£0.00 - £19,999
£20,000 - £49,999
£50,000 - £99,999
£100,000 -£149,999
£150,000 -£499,999
+ £500,000

Nature of Savings: *

Bank
Building Society
National Savings
Gilts
Equities
Other

Supporting Documentation

This form MUST be accompanied by the suitable evidence of identity and address.

Evidence of Identity: *

Passport
Driving License
Home Office Residency Permit
Statements or Notifications from HRMC or DWP

Please upload a copy of your Evidence of Identity

Evidence of Address: *

Utility Bill within the last 3 months
Bank Statement issued within the last 3 months
Building Society Statement issued within the last 3 months
Tenancy agreement or Solicitor's Letter confirming Purchase of the property

Please upload a copy of your Evidence of Address

Copies of the Evidence of Identity and Address will be acceptable PROVIDED that they have been authenticated by one of the following persons (items from different lists need not be authenticated by the same person).

Who will provide authentication of supplied evidences? *

UK Lawyer
Teacher
Minister of Religion
Banker
Accountant
Authorised Financial Intermediary
Doctor
Postmaster
Regulated Mortgage Broker

Name: *

Address - line 1: *

Address - line 2:

Town/City: *

Postcode: *

Daytime Telephone Number: *

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