Registration SOPHISTICATED INVESTOR

SELF CERTIFICATION FORM

CERTIFIED HIGH NET WORTH INDIVIDUAL

I make this statement so that I can receive promotional communications which are exempt from the restriction on promotion of non-mainstream pooled investments.

The exemption relates to certified high net worth investors and I declare that I qualify as such because at least one of the following applies to me:

Please tick to confirm the following:

I had, throughout the financial year immediately preceding the date below, an annual income to the value of £100,000 or more. Annual income for these purposes does not include money withdrawn from my pension savings (except where the withdrawals are used directly for income in retirement).

I held, throughout the financial year, preceding the date below, net assets to the value of £250,000 or more.

Please tick to confirm the following:

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 seek advice from someone who specialises in advising on non-readily realisable securities.

Please tick to confirm the following:

I held, throughout the financial year, preceding the date below, net assets to the value of £250,000 or more.

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Please confirm that you understand all of the above: I MAKE THIS DECLARATION AS THE SPECIFIED INVESTOR