Junior Flexible NISA & Junior Cash NISA (2014/15)

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1 Junior Flexible NISA & Junior Cash NISA (2014/15) Application form for single and/or monthly savings payments, up to 4,000. How to fill in this form: Please use black ink and write clearly inside the boxes provided using capital letters Mark your answers with a cross in the appropriate box like this: If you make a mistake, please correct it but don t use correction fluid Any applications received that are not completed correctly may incur delays or could be returned to you If you have any queries about this form please ask your adviser, or call us on What s next? Please send your completed application form to: FundsNetwork PO Box 80 Tonbridge TN11 9YA We will open the Junior Flexible NISA (Stocks and Shares) and/or Junior Cash NISA and send you a Confirmation of Transaction. All correspondence will be sent to the registered contact. Please note that the funds cannot be withdrawn until the account holder has reached the age of About you - Account holder (Child) Title Surname First and other names in full Gender Male Female National Insurance Number (if child over 16) (This can be found on a payslip or a letter from HMRC) Date of birth No National Insurance Number? If the child has never been issued with a National Insurance Number, please mark an X in the box. Crown employee? If the child currently resides overseas and is a crown employee or a dependant of a crown employee, please mark the relevant box. If the child resides overseas and does not fulfil one of these criteria, they will not be eligible for a Junior NISA. Account number or Customer Reference Number (existing customers only) Address - Care of and PO Box are not acceptable. Only UK addresses are eligible unless you are a Crown Employee or the spouse/civil partner of a Crown Employee. House number/name Street, city, county and country Postcode 1 of 6 T

2 2 About you - Registered contact (Guardian/Parent) Title Mr Mrs Ms Other: Surname First and other names in full Gender Date of birth Male Female Phone number Account number or Customer Reference Number (existing customers only) Your address - if different to Account holder (child). 'Care' and PO Box are not acceptable. Only UK addresses are eligible unless you are a Crown Employee or the spouse/civil partner of a Crown Employee. House number/name Street, city, county and country Postcode 2 of 6 T

3 3 Investment choices The investment limit is 4,000 for a Junior NISA. This can be invested in our Junior Flexible NISA made up of Stocks and Shares or Cash, or both. Our Junior Cash NISA allows for Cash investments only. If you choose to make monthly saving payments then you must complete the mandate details in Section 4. There is a monthly minimum investment of 25 for each fund and 50 for each application. Any monthly saving payments instructions given here will override any existing monthly saving payment details for the account. For Junior NISA accounts we are able to accept contributions from third parties. Lump sum payments should be made by cheque, payable to Fidelity and the total mentioned should match the amount on the cheque being enclosed. Cheques should be issued from a personal or joint bank account, or, if an application is accompanied by a banker s draft or building society cheque, ensure that the bank or building society addi their stamp and your name and address on the back. If an income paying fund is chosen, dividends will be set to reinvest into the account. Please provide your fund choices and the amounts you want to invest below. It s important to write the correct fund code and name clearly inside the boxes provided using capital letters we use the code to determine your fund choice. Fund codes can change so please ensure you enter the correct code by looking it up in our Fund Range document which can be found at fidelity.co.uk/importantinfo Fund code Fund name Lump sum ( ) Junior Flexible NISA (Stocks and Shares) Monthly saving payments ( ) Junior Cash NISA G C I MoneyBuilder Cash ISA Total Investment amount Initial Fee amount Initial Fees are not available on an MSP within the Junior NISA Would you like to phase your total lump sum payment equally over six months? If yes please mark this box Total amount 3 of 6 T

4 4 Bank Account Details Any bank account details given in this section will override existing bank details that we may hold for you. If different bank account details are provided then a new Monthly Savings Plan will be set up to run alongside any existing Monthly Savings Plan. If an existing Monthly Savings Plan needs to be cancelled, please provide this instruction separately. For Junior NISA accounts we are able to accept contributions from third parties. If you want to set up multiple monthly investments, please attach a separate Direct Debit Mandate (DDM) form and a covering letter outlining the investment choices and amount. A DDM form can be requested from Fidelity. This section must be completed and will be used for: Any monthly savings payments Please make sure that you sign and date the instruction below. Instruction to your bank or building society to pay by Direct Debit Please fill in the whole form using a ballpoint pen and send to: FundsNetwork, PO Box 80, Tonbridge, TN11 9YA. Name and full postal address of your bank or building society To: The Manager Bank/building society Address Postcode Service User Number Reference Name(s) of account holder(s) Bank/building society account number Instruction to your bank or building society Please pay Financial Administration Services Ltd Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Financial Administration Services Ltd and, if so, details will be passed electronically to my bank/building society. Branch sort code Signature(s) Date Banks and building societies may not accept Direct Debit Instructions for some types of account DDI2 4 of 6 T

5 5 Intermediary details - to be completed by the intermediary Company stamp Fees continued Fund code Nominated Fund name for adviser ongoing fee Unique Adviser Number FCA number I confirm that I am registered with the FCA to conduct business and my authorisation number is: Remuneration details Have you provided a personal recommendation? (You must complete either the Yes or No box) Yes No What fee types are required? Office Use Only Please ignore Initial Fees If an initial fee is required please include details of the fee in Section 3 "Investment Details". Request to pay for an Adviser Ongoing Fee and Authorisation to sell units/shares. Only complete this section where an Ongoing Fee is required. Ongoing Fees will accrue against all holdings within the fee account. Please note that the rate stated on this form will supersede any existing Ongoing Fee arrangements that are in place where this is an existing account. Where there are insufficient monies in the nominated fund or no fund is nominated, the Adviser Ongoing Fee will either be deducted from the CashManager Account or deducted via units/shares from the largest fund. Fund code Where no fund is nominated, the rebate will be invested into the largest fund, by value. Verification of identity I/We confirm and consent to your reliance upon the fact, that I/we have verified the identity of the client named in section 2 in accordance with the Money Laundering Regulations and standards set in Guidance issued by the JMLSG. Please mark an X in this box. This confirmation must carry an original signature or electronic equivalent. I/We confirm that I/we have provided the client with the appropriate documentation for their investment: The Key Features Document - Doing Business with FundsNetwork. The Key Investor Information Document and/or Fund Specific Information document applicable to the client's investment. The FundsNetwork Client Terms. Your signature Intermediary signature Nominated Fund for rebates Annual rate % OR Apply vat to the above fee (Please mark an X in the below box if VAT is to be applied to the above fee) Date signed Please note that VAT will be added to the annual rate entered above and the total fee will alter as a result of current VAT rate. If this section is left blank, we will not apply VAT. 5 of 6 T

6 6 Declaration and signature I understand that the information I provide on this application form will be processed in accordance with Fidelity's data protection statement contained in the FundsNetwork Client Terms. Adviser Fee By signing the below, I agree to the payment to my adviser of an Initial Fee and/or Ongoing Fee as stated on this application form and in accordance with the FundsNetwork Client Terms. In relation to any Ongoing Fee I instruct FundsNetwork to sell units/shares from the Nominated Fund listed above (or deduct monies from my CashManager Account or sell unit/shares from my largest fund holding). I understand that FundsNetwork will receive the money from such sale, deduction or redemption as agent for my Adviser, and that such money will become irrevocably due and payable to my Adviser on receipt by Fidelity, to satisfy the Adviser Fees. I understand that FundsNetwork will then hold this money in a Fidelity Corporate Account as agent of my adviser. I confirm that I have received a personalised illustration that shows the effect of the Fees agreed on my investments. I declare that: My adviser has provided me with the following documents either as an electronic version, which I have saved or printed, or as a paper copy and I have read: Key Features Document (Doing Business with FundsNetwork) the latest Key Investor Information Document and/or Fund Specific Information and accept the FundsNetwork Client Terms. For your own benefit and protection you should read the FundsNetwork Client Terms carefully before signing them. If you do not understand any point or have not received one or all of the documents above please contact your adviser. I am 16 years of age or over and: (i) am the Eligible Child; or (ii) I have parental responsibility for the Eligible Child under this application. As the applicant I apply to open a Junior ISA for an Eligible Child, who does not qualify as an "eligible child" within the meaning of the Child Trust Funds Act I will be the Registered Contact for the account. The Eligible Child: (i) is resident in the United Kingdom; or (ii) has general earnings from overseas Crown employment subject to United Kingdom tax within the meaning given by section 28 of the Income Tax (Earnings and Pensions) Act 2003; or (iii) is married to or in a civil partnership with a person in (ii); or (iv) is a dependent of a person in (ii). This application is to open the type of accounts as indicated. In respect of a Stocks and Shares Junior ISA account application: (i) I have not and will not subscribe to another Stocks and Shares Junior ISA account in the name of the Eligible Child in this application. (ii) I am not aware of any other Stocks and Shares Junior ISA account in the name of the Eligible Child in this application. In respect of a Cash Junior ISA account application: (i) I have not and will not subscribe to another Cash Junior ISA account in the name of the Eligible Child in this application. (ii) I am not aware of any other Cash Junior ISA account in the name of the Eligible Child in this application. As far as I am aware I have not subscribed amounts to this or any other Junior ISA accounts which when aggregated exceed the annual subscription limit for the Eligible Child in this application in the year this application is made. I will not knowingly exceed the applicable annual Junior ISA subscription limit in this year or any subsequent years. I authorise Financial Administration Services Limited: (i) to hold the Eligible Child's cash subscription, Junior ISA investments, interest, dividends and any other rights or proceeds in respect of those investments and any other cash; (ii) to make on the Eligible Child's behalf any claims to relief from tax in respect of ISA investments. The information given by me is correct to the best of my knowledge, and I will inform Fidelity immediately of any changes to the information contained therein. As a FundsNetwork customer, an element of the monies you hold in your account may pay either commission or fees to your adviser(s). When we receive this form, we will take this as your authority to link the relevant plan year, fee or post-2012 commission holdings to the adviser specified on this form. Registered contact signature Signature Date signed Issued by Financial Administration Services Limited, authorised and regulated by the Financial Conduct Authority (FCA). FundsNetwork and its logo are trademarks of FIL Limited. 6 of 6 T

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