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MEMBER APPLICATION & HIGH NET WORTH INVESTOR STATEMENT

How did you find out about Beaufort?

About you

First name

Last name

Phone

What is your business or occupation?

In which of these age ranges do you fall?

less than 4040-4950-5960-69over 70

What is your biggest investment challenge?

What has been your best investment experience?

And your worst?

How could we most help you?

Do you own a property portfolio? Yes/No If yes please describe it.

About Your Portfolio

Do you own stocks and shares?

NoYes

Do you own shares in unlisted companies?

NoYes

Do you have a pension plan?

NoYes

Leaving aside your main home and pension, in what range does your current investment portfolio lie?

less than £250,000£250,000 - £999,000£1-3 million£3-10 million£10 million

What liquid funds do you have available to invest?

Is there a timeframe in which you are looking to invest?

If you would like to plan a Wealth 360 planning session

NoYes

About Your Investor Status

FCA Regulations require us to hold a certification from you that you qualify as a high net worth investor.

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-mainstream pooled investments.

If you meet condition A or B below, you may choose to be classified as a high net worth individual for the purposes of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005.

In the last financial year, did you have:

1. A) An annual income of £100,000 or more? Income does NOT include any one-off pension withdrawals.
  
  No
  
  Yes
  
  If yes, please specify your income (as defined above) to the nearest £10,000 in the last financial year
  £
2. AND/OR B) Net assets of £250,000 or more? Net assets do NOT include: your home (primary residence), any loan secured on it or any equity released from it; your pension (or any pension withdrawals) or any rights under insurance contracts. Net assets are total assets minus any debts you owe.
  
  No
  
  Yes
  
  If yes, please specify your net assets (as defined above) to the nearest £100,000 in the last financial year
  £
3. OR C) None of these apply to me.
  Yes

I declare that I have answered yes to A and/or B and wish to be treated as a high net worth individual. I understand that this means:

a) I can receive financial promotions where the contents may not comply with rules made by the Financial Conduct Authority (FCA);
b) I can expect no protection from the FCA, the Financial Ombudsman Service or the Financial Services Compensation Scheme.

I am aware that it is open to me to seek advice from someone who specialises in advising on investments. I accept that I could lose all of the money I invest.

Phone:

Date:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

22 January 2024 14:24 BST

MEMBER APPLICATION & HIGH NET WORTH INVESTOR STATEMENT Uploaded by Graham Rowan - help@beaufortsociety.com IP 79.140.150.77