Name

Yes

No

Are there any claims against the proposer or any partner/director/employee in the past five years or circumstances of which the proposer or any partner/director/employee is aware that may give rise to a claim?

Has proposer or any partner/director/employee been investigated or charged with a criminal offence (other than motoring offences) or been reprimanded or otherwise sanctioned by any disciplinary/regulatory body?

Does one client contribute more than 50% of the total income?

Any investment advice and/or due diligence work?

Does the proposer/director(s) or partners(s) have at least 5 years relevant experience?

Is at least 90% of the work performed for clients based in the United Kingdom?

Name
Address
Address
Postcode
Email
Telephone Number
Business Description
Do you currently have professional indemnity insurance?	Yes	No
Last Years Fee Income	£