SELF-CERTIFICATION FOR EIS/SEIS INVESTMENTS
IMPORTANT NOTICE
Investment opportunities in EIS and SEIS are only available to individuals who qualify as High Net Worth Individuals or Sophisticated Investors under the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005.
By completing this form, you confirm that you meet the criteria required to receive information about these investments.
Investor Details
Sophisticated Investor Declaration
If you meet condition A, B, C or D below, you may choose to be classified as a self-certified sophisticated investor for the purposes of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005.
Have you:
A) Worked in a professional capacity in the private equity sector, or in the provision of finance for small medium enterprises, in the last two years?
B) Been the director of a company with an annual turnover of at least £1 million, in the last two years?
C) Made two or more investments in an unlisted company, in the last two years?
D) Been a member of a network or syndicate of business angels for more than six months, and are still a member?
High Net worth Investor Declaration
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:
A) An annual income of £100,000 or more? Income does NOT include any one-off pension withdrawals.
B) Net assets of £250,000 or more? Net assets do NOT include: your 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.
Data Protection & Compliance
Date Stamp: 03 May 2025
Your personal data will be securely stored and processed in accordance with UK GDPR and FCA regulations. This certification is valid for 12 months from the date of signing.