1Sophisticated Investor (Certified):

I declare that I have a current certificate in writing or other legible form signed by an authorised person to the effect that I am sufficiently knowledgeable to understand the risks associated with investing in unregulated financial products and activities.

I hereby state that I can receive promotions exempt from the restrictions on financialpromotion in the Financial Services and Markets Act 2000. The exemption relates to certifiedsophisticated investors and I declare that I qualify as such in relation to investments including(but not limited to) the following:

• Corporate bonds
• Loans
• Debentures

I accept that the contents of promotions and other material that I receive may not have been approved by an authorised person and that their content may not therefore be subject to controls which would apply if the promotion were made or approved by an authorised person. I am aware that it is open to me to seek advice from someone who specialises in advising oninvestments. By signing up you agree that the above constitutes a true reflection of your status as apotential investor.

2Sophisticated Investor (Self-Certified):

I declare that I am a self-certified sophisticated investor for the purposes of the Financial Servicesand Markets Act (Financial Promotion) Order 2005. I understand that this means:

• I can receive financial promotions that may not have been approved by a person authorised by theFinancial Services Authority;
• The content of such financial promotions may not conform to rules issued by the Financial ServicesAuthority;
• By signing this statement I may lose significant rights;
• I may have no right to complain to either the FCA or the Financial Ombudsman Service and I mayhave no right to seek compensation from the FSCSI am a self-certified sophisticated investor because at least one of the following applies:
• I am a member of a network or syndicate of business angels and have been so for at least the last sixmonths prior to the date below;
• I have made more than one investment in an unlisted company in the two years prior to the datebelow;
• I am working, or have worked in the two years prior to the date below, in a professional capacity inthe private equity sector, or in the provision of finance for small and medium enterprises;
• I am currently, or have been in the two years prior to the date below, a director of a company withan annual turnover of at least £l million.I accept that there are risks associated with making investment decisions based on financialpromotions. I am aware that it is open to me to seek advice from someone who specialises in advisingon investments.

By signing up you agree that the above constitutes a true reflection of your status as a potentialinvestor

3High Net-worth Individual

I make this statement so that I can receive promotional communications, which are exemptfrom the restrictions under the terms of The Financial Services and Markets Act 2000 (Financial Promotion) Order 2005. The exemption relates to certified high-net-worth investors.

I declare that I qualify as such because at least one of the following two statements applies tome:

• I had, throughout the financial year immediately preceding today’s date, an annual income tothe value of £100,000 or more
• I held, throughout the financial year immediately preceding today’s date, net assets to thevalue of £250,000 or more.

Net assets for these purposes do not include:

• the property which is my primary residence or any money raised through a loan secured onthat property;
• any benefits (in the form of pensions or otherwise) which are payable on the termination ofmy service or on my death or retirement and to which I am (or my dependents are), or may be,entitled.

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 investments. By signing up you agree that the above constitutes a true reflection of your status as a potential investor.

4High Net-worth Individual

I make this statement so that I can receive promotional communications, which are exempt from therestrictions under the terms of The Financial Services and Markets Act 2000 (Financial Promotion)Order 2005. The exemption relates to investment professionals.

I declare that I qualify as such because at least one of the following two statements applies to me:

• (a) I am a person authorised by the Financial Conduct Authority;
• (b) I am a person —
• (i) whose ordinary activities involve me in carrying on a business consisting wholly or to a significantextent of lending money; or
• (ii) who it is reasonable to expect will carry on such activity for the purposes of a business carried onby me;
• (c) I represent a government, local authority (whether in the United Kingdom or elsewhere) or aninternational organisation;
• (d) I am a director, officer or employee of a person falling within any of sub-paragraphs (a) to (c)above, where my responsibilities whilst acting in that capacity involve me in the carrying on by thatperson of controlled financial activities.

By signing up you agree that the above constitutes a true reflection of your status as a potentialinvestor.

5High Net Worth Company, Unincorporated Association

I declare that I make investments through, or as, any of the following

• (a) any body corporate which has, or which is a member of the same group as an undertakingwhich has a called-up share capital or net assets of not less than—
• (i) if the body corporate has more than 20 members or is a subsidiary undertaking of anundertaking which has more than 20 members, £500,000;
• (ii) otherwise, £5 million;
• (b) any unincorporated association or partnership which has net assets of not less than £5million;
• (c) the trustee of a high value trust;
• (d) a person acting in the capacity of director, officer or employee of a person falling within anyof sub-paragraphs (a) to (c), where my responsibilities when acting in that capacity involve mein the carrying on by that person of controlled financial activities.By signing up you agree that the above constitutes a true reflection of your status as apotential investor.