PERSONAL ADVISER      

Are you acting on behalf of a trust or company whose own funds are below Euro 2 million, net turnover below Euro 40 million or balance sheet total below 20 million  or are you representing a larger company or trust 

Are you a resident of the United Kingdom?          Yes         No

To help us give you appropriate advice, please answer these questions by checking the boxes to indicate yes. Leaving a checkbox blank will be treated as no. If you don't want to complete this section and reside in the United Kingdom, we regret that we will be unable to assist you.

Have you managed a portfolio of shares and bonds for more than four years?
Have you invested in foreign shares or bonds often before?
Have you invested extensively in any kind of collective investment vehicles?
Have you dealt in the markets ticked above on average ten times a quarter for the last year?
Is the value of your bank balances, funds and securities greater than Euro 500,000??
Do you have at least a year's professional experience in the markets ticked above?

Depending on your response, you will be categorised for the purposes of the Financial Services Act as an Elective Professional Client or as a Private Client. In either event we recommend that you read the GuideBook and other relevant public pages of Investors RouteMap. Please note that our services are not intended for use with higher volatility investments, such as options, futures or warrants. To see how we will categorise you, Check your expertise here, before sending the form.

• If you are categorised as a Private Client, we need to obtain detailed information about your financial circumstances in a Data File to assess the suitability of any recommendations we may make to you. Regrettably the riskiness of any investment cannot be reliably assessed in advance, so we will be acting on the basis of our best efforts, or on the basis of conventional wisdom, which is often wrong in matters of investment.
• If you are categorised as an Professional Client, we will not be responsible for assessing the suitability or risks of any recommendations. We are required to ask you  to confirm that you agree to this in writing, which can be done by printing,  signing and posting a hard copy of the Confirmation page that automatically follows this one, once you press GO.
  

We also need your specific permission to call you under regulations for real-time financial promotions. We can only proceed if you check this box.

Please let us contact you, by phone at Work on   or at Home on
Preferably at Work or at Home              E-mail Address