Nominee account application

Identification details
How did you hear about us
Title *
Forename(s) * All given names in full, as per legal name.
Surname *
Date of birth *
Town / City of birth *
Country of birth *
Country of residence *
Country of taxation *
Nationality *
National identifier Please click here for more information about national identifiers.
NI number *
Additional nationalities

If you have more than one nationality, please list each of these in the boxes provided below, together with the relevant national identifier for that nationality.

Additional nationality
National identifier number
Additional nationality (2)
National identifier number (2)

Please click here for more information about national identifiers.

Permanent residential address
Current address
Flat number
House number *
Street name *
Town / City *
County *
Postcode *
Contact details
Home telephone *
Work telephone
Mobile telephone
Email address *
Bank details
Name on account *
Account number *
Sort code *
Quarterly Income Withdrawal
Additional information
Employment details
Employment type *
Occupation / Job title
Employer name
Nature of business
Date joined current employment
Investment details
Source of wealth
Source of funds
Approx. anticipated individual trade size
Approx. frequency of trading
Initial investment amount (£)
Experience and qualifications
PDMR details 1
Investment experience (years)
Types of instruments previously invested 2
Previous investment frequency
Investment education or qualifications
Please list any professional bodies you are a member of

1 A person discharging managerial responsibilities (PDMR) will typically be privy to potentially price sensitive 'inside' information in relation to the company they work for and are likely to hold senior managerial roles, for example, at Director or Board level. A person closely associated (PCA) with a PDMR is a spouse, family member, business partner or another known association.

2 e.g. Stocks, exchange-traded funds (ETFs), mutual funds, real estate investment trusts (REITs), bonds, derivatives contracts (i.e. options, futures, and swaps), certificates of deposit (CDs), bank deposits, loans.

Terms and conditions

Please print out or download the terms and conditions to your computer for your records.

Terms and conditions

I declare that this application form has been completed to the best of my knowledge and belief.

As part of the EC Money Laundering Directive we are required to verify your identity. By submitting your application you agree that we may undertake a search with Experian for the purposes of verifying your identity. To do so Experian may check the details you supply against any particulars on any database (public or otherwise) to which they have access. They may also use your details in the future to assist other companies for verification purposes. A record of the search will be retained.