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CERTIFICATE FOR EXECUTION BY RESTRICTED INVESTORS

I make this statement so that I can receive promotional communications relating to non-readily realisable securities as a restricted investor. I declare that I qualify as a restricted investor because:

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(a)

in the twelve months preceding the date below, I have not invested more than 10% of my net assets in non-readily realisable securities; and

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(b)

I undertake that in the twelve months following the date below, I will not invest more than 10% of my net assets in non-readily realisable securities.


 

Net assets for these purposes do not include:

 

(a)

the property which is my primary residence or any money raised through a loan secured on that property;
 

(b)

any rights of mine under a qualifying contract of insurance; or
 

(c)

any benefits (in the form of pensions or otherwise) which are payable on the termination of my service or on my death or retirement and to which I am (or my dependants are), or may be entitled; or

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(d)

any withdrawals from my pension savings (except where the withdrawals are used directly for income in retirement).


 

I accept that the investments to which the promotions will relate may expose me to a significant risk of losing all of the money or other property invested. I am aware that it is open to me to seek advice from an authorised person who specialises in advising on non-readily realisable securities.

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Please download the form below, sign and upload by using Add File button.

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