Application Form. This is a legally binding document between you and Greyfriars Asset Management LLP (GAM).

Application Form This is a legally binding document between you and Greyfriars Asset Management LLP (GAM). EvolutionSIPP is a trading style of GAM, which is authorised and regulated by the Financial Conduct Authority (FCA) as a SIPP operator. The SIPP is known as the Greyfriars Preferred Retirement Account (GPRA) and is a registered pension scheme (HMRC reference 00605703RE). GAM is the operator of the SIPP for regulatory purposes and the Scheme Administrator for tax purposes and can be contacted at The Cedars, 11 High Street, Fleckney, Leicester, LE8 8AJ. GAM is not providing you with any financial advice in relation to the setting up of the SIPP or investments held within the SIPP. The suitability of the SIPP for your circumstances and the investments you choose to hold within the SIPP is entirely your responsibility or that of your advisers. If you are in any doubt as to the suitability of the products, you should contact an Independent Financial Adviser. Page 1: v.100314

Your Personal Details Title Forename and any Middle Names Surname How would you like to be known? Occupation National Insurance Number Your Status O Employed O Self-Employed O Pensioner O Unemployed O In full time education O Caring for a person age 16 and over O Caring for 1 or more children under 16 O Other (describe) Phone Home Retirement Age Tax Reference Number Phone Business Phone Mobile Do you want to draw the benefits now? O No O Yes Your Partner s Details Email Title Marital Status Forename and any Middle Names Gender O Male O Female Surname Date of Birth Phone Home Place of Birth Phone Business Nationality Date of Birth Page 2: v.100314

Payment Of Death Benefits On your death, your remaining individual funds will be applied in accordance with the Rules of the Scheme to provide lump sum and/or pension death benefits. Within the overall limits of the tax legislation, the Rules give wide discretion over the exact form of benefits, and the recipients. This Expression of Wish does not bind the Trustees of your SIPP but they will take close account of your wishes. General Notes (a) What benefits can be paid, and to whom? A lump sum can be paid to a wide range of people including relatives, dependants, beneficiaries of your estate and (more relevant here) any person nominated by you; A pension can only be paid to a dependant which includes a spouse/civil partner/child under age 23, as well as anyone who is dependent on you due to their mental or physical impairment, or who is financially dependent on you, or with whom you are financially mutually dependent; Lump sums - If paid on death of a member before age 75 out of uncrystallised funds (and within the member s unused lifetime allowance) are currently free of Income Tax, but must be paid within two years from when the scheme administrator was/ought to have been aware of the death; - Otherwise are subject to a free-standing 55% tax charge, with no time limit for payment; Pensions will be taxed as income in the hands of the recipient; (b) Where you specify a person who could qualify for either a lump sum or pension, you don t need to express any preference for which they should receive. (c) You may change or withdraw your expression of wishes at any time by notice in writing to the address on this form. (d) There are legal and practical difficulties in making payment to dependants under the age of 18. If you wish to provide for minors as potential beneficiaries, you are advised to set up an appropriate trust with your solicitor, if you do not already have one, and provide the relevant details on the form. (e) If there is any further information, which you think, may help, please provide it on a separate sheet. Important Points 1. References to tax do not include Inheritance Tax. Currently most lump sum payments on death are free of Inheritance Tax, because the recipient(s) are chosen by someone other than the member (this is the main reason why this form is an expression of wishes rather than a binding instruction); 2. You can nominate charities and other organisations, not just individuals; 3. The notes are intended to be a short and easily understood summary of the Rules of the Scheme and very complex tax legislation as at the date of publication. They do not override those Rules or legislation and are not a substitute for specific legal advice. The Rules and legislation are subject to change in the future. Provide details of the Person, Trust or Charity you would like to receive any death benefits. If there is more than one, indicate the percentage share for each by completing the section on the next page. Full Name of Person Trust or Charity Relationship to you What percentage will they receive? % Page 3: v.100314

Payment Of Death Benefits (continued) If you wish to nominate more than three beneficiaries to receive any death benefits, copy this page to add their details. Full Name of Person Trust or Charity Relationship to you Your Additional Trustees If you wish to appoint additional trustees to act after you die, complete the section below. If you wish to appoint more than two additional trustees, copy this page to add their details. Title Forename and any Middle Names Surname What percentage will they receive? % Full Name of Person Trust or Charity Relationship to you Title Forename and any Middle Names Surname What percentage will they receive? % Page 4: v.100314

Pensions You Wish To Transfer Please read the note below entitled Contact Your Pension Provider. If you wish to transfer more than two pensions, copy this page to add the details. Name of Pension Provider Name of Pension Provider of the Pension Administrator of the Pension Administrator Type of Pension Scheme (tick) O Final Salary O Occupational Money Purchase O Personal Pension / Stakeholder / SIPP O Other (describe) Type of Pension Scheme (tick) O Final Salary O Occupational Money Purchase O Personal Pension / Stakeholder / SIPP O Other (describe) Policy Number or Scheme Reference Number Policy Number or Scheme Reference Number Type of Transfer O Cash O Assets Type of Transfer O Cash O Assets Approximate Transfer Value Approximate Transfer Value Contact Your Pension Provider You need to contact each one of your pension providers to obtain its pension transfer/discharge form. You will complete part of the form to confirm your wish to transfer your money. GAM will complete the remainder of the form, to confirm the details of its HMRC approved SIPP, and to request the funds. A few pension providers do not require you to complete a form, but instead, will ask you to write a letter confirming your wish to transfer your pension to GAM. The partially completed pension transfer/discharge form or your letter needs to be included when you submit this application form. Transfers from other UK registered pension schemes can be paid into your SIPP. We will only accept a transfer of assets (in-specie) which are allowable within our SIPP. Please send us details of the assets you wish to transfer and an approximate valuation for each asset. We will only accept transfers from Final Salary (Defined Benefit) arrangements where written advice has been provided by a person authorised to provide such advice by the Financial Conduct Authority. You, or your financial adviser, are responsible for liaising with the transferring scheme provider to ensure a timely transfer. If a transfer is being used to finance a property purchase, we cannot exchange contracts, or agree to any borrowing, until the transfer value has been received. Page 5: v.100314

Your Contributions Standing Order For Your Regular Contributions How much would you like to save? What is the frequency of the contribution? Your Contributions (Member) O Net O Gross O Monthly O Yearly O Single Your Employer s Contributions This instruction cancels any previous order in favour of the beneficiary named under this reference. Please debit my/our account accordingly, until you receive further notice from my/us in writing. Amount in figures Amount in words How much will your employer save for you? What is the frequency of the contribution? O Monthly O Yearly What is the frequency of the contribution? O Monthly O Yearly O Single Date of the first contribution Employer s Name Account to be debited Sort Code Employer s Account Number Bank Name Member contributions are paid by you personally, or by someone else on your behalf, other than your employer. Member contributions are paid net of basic rate tax. We will reclaim basic rate tax from HMRC and credit it to the SIPP cash deposit account. If you are a higher rate tax payer, the difference between higher rate and basic rate tax can normally be reclaimed by you, via self assessment, provided the contribution is within the applicable limits. People making contributions on your behalf are not entitled to reclaim the difference. Unless members contributions are made by cheque drawn on a UK bank or building society account, further checks may be required. Employer contributions, where the employer is a company, are payable gross. Where an employer intends to pay regular contributions by direct debit, the first payment MUST be made by cheque drawn on a UK bank or building society account in the employer s name. Single contributions must also be paid by cheque drawn on a UK bank or building society account in the employer s name. Date Please pay Cater Allen Private Bank, Sort Code 16-57-10 (Bradford). Credit Beneficiary GPRA - Account No: The bank will not undertake to: (i) make any reference to VAT or other indeterminate element; (ii) advise payer s address to beneficiary; (iii) advise beneficiary of inability to pay; (iv) request beneficiary s banker to advise beneficiary of receipt. Page 6: v.100314

Your Investment Choices Indicate below an approximate summary of your investments. Stockmarket Investments Bank Account and Deposit Accounts Transfer of Existing Commercial Property Purchase of New Commercial Property Your Investment And Property Managers If you wish to appoint Managers, complete these sections. Name of Investment Manager Name of your contact Crowdfunding Third Party Loans Alternative Investments Other Investments Email Phone FCA Register Reference Number Name of Property Manager Name of your contact Email Phone Page 7: v.100314

Your Independent Financial Adviser (IFA) If you wish to appoint an IFA as your servicing agent, complete these details. Name of Independent Financial Adviser Name of your contact Email Phone FCA Register Reference Number What initial payment do you want to make? What renewal payment do you want to make? How are renewal payments to be made? or % or % O Annual In Arrears O Annual In Advance I hereby agree to my adviser being paid from my SIPP. I understand these fees may be subject to VAT. I also hereby give you my permission to communicate directly with my managers and my independent financial adviser in respect of my SIPP, investments and transfers in. Date Fee Agreement The cost of establishing, managing and administering your EvolutionSIPP for one year is 1,250. This fee is paid once the SIPP has been set up and sufficient funds are available. It covers the following: Set Up Arranging cash and in-specie transfers (investments) from UK registered pension schemes. Contributions Receiving contributions by cheque/bank transfer, or in-specie regulated funds and non-regulated assets. Investments Arranging the set-up of investments, non-standard investments on the GAM accepted list, third party loans, peer-to-peer lending. Borrowing Borrowing fee (mortgage) per scheme per property, borrowing from a nonregulated lender, early settlement of borrowing. Transfers In or out, in cash and in-specie investments. Banking Arranging additional deposit accounts that can accept SIPP and SSAS cash deposits. Taking Benefits Calculation and initial payments per crystallisation, annuity purchase, payment of death benefits, set up of flexible drawdown. Valuation Up to four irregular valuations per year. It is a requirement that a minimum balance of 2,000 is retained in the SIPP bank account at all times, in line with our Terms and Conditions. Page 8: v.100314

Fee Agreement (continued) We aim to include all services in one inclusive annual fee, but there are circumstances beyond normal pension administration where an additional fee may be charged. The following areas are not included within the annual fee. Commercial Property As the work associated with commercial property is generally more time consuming than other investment types, the following costs apply: Property purchase per scheme per property: 750 Annual property administration fee (per property) including rent invoices, VAT returns and mortgage administration: 750 Environmental report: 260 Property development fee (minimum fee 800): time costed Unlisted Shares These are generally the shares of small companies, not quoted on any of the recognised stockmarkets. Unlike quoted stockmarket investments, HMRC requires SIPP operators to undertake a considerable amount of due diligence, both at the original purchase of the shares of a small company, and then on an annual basis. For the avoidance of doubt, quoted stockmarket investments of all sorts are included with your fixed fee. The annual fee for unlisted shares is 150. Pension Sharing Order In relation to a divorce settlement, GAM is required to supply considerable information to the relevant mediators, lawyers and the Court, and to implement the results. This is often time consuming and beyond the scope of normal pension administration. The fee for implementing a pension sharing order is 750. Other Services Any other additional exceptional services are charged on a time cost basis. Any of the fees above are payable from the pension upon completion of the specific piece of work. Please read the following points carefully and ensure you understand them fully before signing your agreement to the fees below. 1. All fees are subject to VAT at the prevailing rate. 2. All fees are reviewed annually and GAM may increase the fees: GAM will inform you of any increases in fees and when they will be applied. 3. Fees will be deducted directly from your SIPP bank account after presentation of an invoice. 4. GAM will advise you when fees are due and when they will be taken. 5. If investments within your SIPP are not income generating, then a minimum level of cash or readily accessible assets of 3,000 needs to be retained in the SIPP bank account. 6. The fees in this schedule are GAM fees only: third party fees may be payable separately and in addition to GAM fees, particularly in relation to property transactions (eg solicitor, mortgage, valuation fees, property administration). 7. Fees are payable annually in advance. 8. Upon termination, all GAM fees due will be collected and no refund of fees will apply. 9. Time cost fees will be based on the following charge out rates: Administrator: 90 to 150 per hour Senior Technical Manager: 200 per hour Director or Partner: 300 per hour 10. Fees quoted at outset for specific jobs may be subject to change depending on complexity: GAM reserves the right to renegotiate fees but will endeavor to be as accurate as possible with fee quotes at outset. I hereby accept the Fee Agreement as quoted above. Date Page 9: v.100314

Important Notes 1. Cheques must be payable to Greyfriars Preferred Retirement Account Your Name. 2. Member contributions should be made by cheque drawn on a UK bank or building society account: further checks may be required if this is not the case. 3. Regular member contributions can be paid by way of a standing order from your bank, which should be completed and returned to your bank. 4. Where an employer intends to pay regular contributions by standing order, the payment must be drawn on a UK bank or building society account in the employer s name. 5. Single contributions paid by an employer must be paid by cheque drawn on a UK bank or building society account in the employer s name. 6. For all cash and in-specie transfers, the transfer forms must be sent to GAM who will contact the transferring pension provider and arrange the transfers. 7. In addition to completing the application and signing the declaration, you must sign the Deed of Appointment within this application. This Deed forms an integral part of your application and you should take time to read it prior to signing. It sets up a sub-trust and appoints you as a joint trustee of your SIPP with GAM Trustees Ltd. All investments will be held jointly by GAM Trustees Ltd and the member as Trustee. Your signature on the Trust Deed must be witnessed by a third party (not a family member). 8. If pension benefits are to commence immediately, you must also complete a Benefit Form (available on request). 9. If you are considering buying commercial property within your SIPP, or you are transferring a property from another registered pension scheme, you should refer to the Property Notes and complete a separate Property Questionnaire for each property (available on request). 10. We strongly recommend you read the Key Features before completing this application. 11. The annual management charge will be deducted from the SIPP bank account on the invoicing date of the set up of the plan. By signing this application, you agree to the process. 12. You might change your mind about having a SIPP. When your plan starts, you will receive a cancellation notice from the Scheme Administrator in your SIPP pack. This notice will give you the right to cancel the policy within the following 30 day period. 13. If you cancel your policy with the 30 day cooling off notice period, you will receive a refund of contributions paid in. If the value of any underlying investment(s) fall(s) before the Scheme Administrator receives your cancellation notice, you will receive a refund of your contributions paid, less any deductions/losses/fees. 14. If the Scheme Administrator has obtained a refund of tax on any net contributions paid in during that time, the Scheme Administrator will refund the tax to HMRC. 15. Cancellation rights will apply to any transfer payment credited to your policy from other pension arrangements. 16. It might not be possible to return funds received in respect of any transfers into the SIPP, should you cancel the transfer during the 30 day cooling off notice period. If this were to occur, you would need to arrange for another pension arrangement to accept the transfer payment. 17. If you wish to cancel income drawdown, upon the first time you enter drawdown, the Scheme Administrator will either transfer the fund to another provider or purchase an annuity on your behalf. I hereby agree to the above Important Notes. I hereby give you my permission and my authority to liaise directly with SIPPclub Limited in respect of my SIPP, transfers and investments within the SIPP. Date Page 10: v.100314

Cooling Off Notice This section is optional. I wish my SIPP to purchase and sell investments, within the 30 day cooling off notice period. I confirm that I understand that by signing this section, I have waived my rights to the 30 day cooling off notice in respect of the commencement of the SIPP. The waiver of cancellation rights only applies to the commencement of the SIPP, not to any subsequent transfers-in for which separate cancellation rights will be issued. I confirm I wish to waive my rights to the 30 day cooling off notice. Date Data Protection Act 1998 We will use the information provided by you to check your identity with credit reference and fraud protection agencies. The agencies will record our checks and will make that record available to others to verify your identity. We use scoring methods to verify your identity, as this provides a thorough check of the available data. If you supply false or inaccurate information and we suspect fraud, we will inform the necessary fraud prevention agencies. If we cannot verify your identity by electronic means, we may be required to ask you for additional information. Please write to us at the address provided within this application form if you require details of the credit reference and fraud prevention agencies from which we obtain and record information about you. You have a legal right to these details. However, the agencies may charge a fee for this information. Furthermore, you have a right to a copy of the information we hold about you upon payment of a fee. To obtain this information, please write to us at the address provided within this application form. Anti-Money Laundering We use an electronic identification system to verify your identity. It searches data at a credit reference agency and the databases to which it has access, including the Electoral Register. It only checks your name and address and does not affect your creditworthiness. The agency will keep a record of the search whether or not your application proceeds. Electronic verification is undertaken for most customer, but unfortunately it is not always possible to verify you via this method. For example, you may have recently moved home, or have little or no credit. In this case, we will need you to provide paper identification documents. Electronic verification does not apply to non-uk residents. We check: Full and edited Electoral Roll current and last five years Credit information Fixed line telephone data including ex-directory validation Mortality checks Birth Certificate check (England and Wales) UK Driving License check UK and International Passport check Electricity supply data Royal Mail address redirection check Bank of England sanctions Politically Exposed Persons US Office of Foreign Assets Control sanctions The checks undertaken are fully compliant with the Money Laundering Regulations 2007 and meet the requirements set out by the monitoring organisations such as the FCA, the Law Society, the Chartered Institute of Accountants and the Office of Fair Trading. Page 11: v.100314

Declarations Please read the following before you sign. 1. I hereby apply to become a member of the Greyfriars Preferred Retirement Account (the Scheme ). I agree to be bound by the Trust Deed and Rules of the Scheme and by the terms and conditions set out in the Key Features and Fee Agreement, in each case as may be amended from time to time. I have had an opportunity to consider these documents and to ask questions about their meaning and effect. 2. I agree to pay the charges, as set out in the Fee Agreement. I understand that these may be amended from time to time. I have read and understood the Key Features and Terms and Conditions documents relating to the SIPP. 3. I understand that if I have an Adviser, it is the responsibility of my Adviser to disclose to me any commission and adviser remuneration earned by my Adviser in respect of my Scheme and its investments. 4. I declare that the information provided in this application form, and other documents completed in connection with this application, is, to the best of my knowledge and belief, correct, complete and not misleading. 5. I declare that I do not require, nor will attempt to require, the withdrawal of funds held to provide benefits for me under the Scheme, or the income on those funds, other than in accordance with the rules of the Scheme. 6. In the event that an unauthorised payment is made, I agree to the Scheme Administrator deducting the amount of any scheme sanction charge, or any other tax charge or fine or penalty levied by HMRC on the Scheme Trustee or Administrator, from funds held for me under the Scheme, in order to pay that charge to HMRC. If the amount involved exceeds the funds held for me under the Scheme, I agree to pay the Scheme Administrator the amount by which the charge exceeds the value of my funds held under the Scheme. 7. I authorise you to verify my identity by checking the details I have provided against those held on databases with a credit reference agency: ie. information from the Electoral Register and fraud prevention agencies. I understand that: Scoring methods will be used in the verification process as this gives a more thorough check of the available data A record of this process will be kept, which ma be used to help other organisation verify my identity My information may be passed to organisations involved in fraud prevention If I supply false or inaccurate information and you suspect fraud, you may record this and share this information with other organisations Subject to the above, any information supplied by me will be treated in the strictest of confidence and will be held in accordance with the Data Protection Act 1998. 8. If contributions are to be paid, I declare that: I am under the age of 75 and I am a relevant UK individual (see Note A) The total of the member contributions paid to the Scheme and to other registered pension schemes, upon which I am entitled to tax relief, under section 188 of the Finance Act 2004, will not exceed, in any tax year, the higher of: The basic amount (3,600 gross for the 2013/14 tax year); or 100% of my relevant UK earnings in that tax year up to the HMRC Annual Allowance Limit (see Note B); the contribution is not being sourced from tax free cash from an existing scheme. The declaration above is correct, to the best of my knowledge and belief. I will give notice to the Scheme Administrator if an event occurs, as a result of which I will no longer be entitled to relief on member contributions, under section 188 of Finance Act 2004. I will give this notice by the later of: 5 April in the year of assessment in which the event occurs; and the date which is 30 days after the occurrence of that event. 9. I understand that I should seek advice from a Independent Financial Adviser regulated by the FCA regarding the setting up of a SIPP. 10. I understand that neither GAM (the Scheme Administrator), nor GAM Trustees Ltd (the Asset Trustee) nor SIPPclub Ltd have not provided advice regarding the suitability of the SIPP for my circumstances and the SIPP will be established on a non-advised basis. Page 12: v.100314

Declarations (continued) 11. I understand that I meet the affluent person criteria and that ongoing service detailed in the Fee Agreement does not include any investment or pension advice. Any investment decisions within my SIPP remain with me or, if appointed, my financial adviser. 12. I am aware of the alternatives to a SIPP, such as a Stakeholder Pension or a Personal Pension, and have discounted these as suitable options for me. 13. I am comfortable with the level of investment risk I have selected. 14. If I am taking tax free cash with or without income now, I have considered whether an annuity would be appropriate. 15. If I am transferring pension benefits from another provider, I have considered any possible disadvantages of transferring. These might include loss of guaranteed annuity rates, increased charges, surrender penalties and loss of protected tax free cash. 16. If I am transferring from a final salary occupational scheme, the critical yield calculation, which shows what investment return is required by the new scheme to provide benefits equivalent to those offered by my occupational scheme, is acceptable to me and in line with my attitude to investment risk. 17. If I am in drawdown, I hereby confirm the drawdown pension is currently being paid from the transferring arrangement, and I elect to defer the purchase of an annuity and to continue the drawdown pension from the new arrangement. I have read and understood the above conditions and accept that the SIPP will be established on a non-advised basis. Date Note A An individual is a relevant UK individual for a tax year if he or she: 1. Has relevant UK earnings (see Note B) chargeable to income tax for that tax year; or 2. Is resident in the UK at some time during that tax year; or 3. Was resident in the UK at some time during the five tax years immediately before the tax year in question and was resident in the UK when he or she joined the pension scheme; or 4. Have for that tax year general earnings from overseas Crown employment subject to UK tax (as defined by section 28 of the Income Tax (Earnings and Pensions) Act 2003 (ITPEA); or 5. Is the spouse of an individual who has for the tax year general earnings from overseas Crown employment subject to UK tax (as defined by section 28 of ITPEA). For individuals within 2 to 5 above, who do not have relevant UK earnings, the maximum member contribution is the basic amount, which is 3,600 for the 2013/14 tax year. Note B Relevant UK earnings are: 1. Employment income such as salary, wages, bonus, overtime, commission chargeable to tax under section 7(2) Income Tax (Earnings and Pensions) Act 2003 (ITPEA); or 2. Income deferred from the carrying on or exercise of a trade, profession or vocation (whether individually or as a partner acting personally or in a partnership) chargeable under Part 2 Income Tax (Trading and Other Income) Act 2005; or 3. Income arising from patent rights and treated as earned income under section 833(5B) Income and Corporation Taxes Act 1988 (ICTA); or 4. General earnings from an overseas Crown employment which are subject to tax in accordance with section 28 of ITPEA 2003. Where relevant UK earnings are not taxable in the UK due to a double taxation agreement (section 788 of ICTA 1988), those earnings are not regarded as chargeable to income tax and so will not count towards the annual limit for relief. Page 13: v.100314

Deed Of Appointment Parties Greyfriars Asset Management LLP (company number OC304665) (in this deed called the Operator) Your Full Name (in this deed called the Member) Full Name Of Additional Trustee (in this deed called the Reserve Trustee) Date Recitals A. The Greyfriars Preferred Retirement Account (in this deed called the Scheme) is a personal pension scheme which is now governed by Rules (in this deed called the Rules) adopted by a deed dated 6 April 2011. B. The Operator is the operator of the Scheme and is authorised for that purpose under Part 4 of the Financial Services an Markets Act 2000. The Member is, or is shortly to become, a member of the Scheme. C. The Operator wishes to exercise the power in Rule 4.3 of the Rules to appoint the Member (and subsequently and with effect upon the death of the Member, the Reserve Trustee) as an additional trustee in relation to the Member s Individual Funds. Operative Provisions 1. Rule 1 of the Rules shall apply for the purposes of construing this deed. 2. Pursuant to Rule 4.3 of the Rules the Operator appoints: 2.1 With effect from and including the date of this deed, the Member; and 2.2 With effect from and including the date of the death of the Member, the Reserve Trustee in each case to act as an additional trustee in relation only to the Member s Individual Funds and as co-trustee with the Asset Trustee. 3. The Member and the Reserve Trustee accept the respective appointments. 4. The parties shall execute such documents, give such undertakings or take such other action as may from time to time in the opinion of the Operator be required to perfect the appointments made by this deed. IN WITNESS OF WHICH this document is executed as a deed and is delivered on the date stated above. SIGNED as a deed, and delivered when dated, by GAM acting by: C S Gladman (Member) R W Walker (Member) SIGNED as a deed, and delivered when dated, by: Member In the presence of: Name of Witness * SIGNED as a deed, and delivered when dated, by: Reserve Trustee Name Reserve Trustee In the presence of: Name of Witness Page 14: v.100314

Additional Information If you have any other information to declare that is relevant to your application, add it below. Information Checklist Please ensure the following documents accompany this application form, for we cannot process the establishment of the SIPP without all of them. Please tick the boxes below to confirm all the information is included. This application form fully completed and signed in all places Bank account application form fully completed and signed Professional Adviser Form (if not already submitted) Copy of photo page of passport or driving license Copy of a recent utility bill showing your address (within the last three months) Pension providers transfer/discharge forms (see Contact Your Pension Provider note on page 5) Contribution cheque (if applicable) Please send all requirements to: EvolutionSIPP, SIPPclub Limited, Westons Place, Warnham, West Sussex, RH12 3QQ P: 0845 056 8734 E: evolutionsipp@sippclub.com W: www.sippclub.com/evolution-sipp Greyfriars Asset Management LLP (GAM) is authorised and regulated by the Financial Conduct Authority as a SIPP operator (registration number: 229285). GAM operates a registered pension scheme (reference number: 00605703RE). GAM is the operator of the Scheme for regulatory purposes. The Scheme Administrator for tax purposes is GAM of The Cedars, 11 High Street, Fleckney, Leicester, LE8 8AJ. Phone: 0116 240 4402 Pension providers transfer/discharge forms Page 15: v.100314