Stocks & Shares ISA Application Form

Thank you for choosing Arjent for your investment needs.

Please complete all sections as regrettably we are unable to accept incomplete applications. If a section is not applicable, please enter ‘N/A’. If you require any assistance in completing any part of this form, please contact us on 020 7965 0650 between 9am to 5pm, Monday to Friday.

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1. Account Name

Please enter the Account Name which should be as shown on page 1 of the Client Application Pack.

Account Name

This form is to be completed in respect of both ISA – Advisory Dealing accounts and ISA – Managed accounts.

2. Investment Details

If you are making a new ISA subscription, please complete this section.

Please indicate the amount that you would like to invest: (minimum £500)

Please indicate how you would like to subscribe the above amount:

Cheque (made payable to Pershing Securities Limited)

Transfer from another Arjent account: Please enter account number

Please confirm that you are happy to have a continuous annual subscription by ticking this box

3. Declaration

I wish to:

a. Subscribe to a Stocks & Shares ISA for the tax year ending 5 April (enter year) and if applicable each subsequent year

until further notice or a subscription is not paid for any one full tax year ; and/or

b. Transfer an ISA from another ISA Manager and I have completed an ISA Transfer Authority form for each transfer

I confirm:

a. All subscriptions made and to be made, belong to me;

b. I am aged 18 or over;

c. I have not subscribed and will not subscribe more than the current ISA allowance in total to a Cash ISA and a Stocks & Shares ISA in

the same tax year;

d. I have not subscribed and will not subscribe to another Stocks & Shares ISA in the same tax year that I subscribe to this ISA; and

e. I am resident and ordinarily resident in the United Kingdom for tax purposes or, if not so resident, either performs duties which,

by virtue of s.28 of the Income Tax (Earnings & Pensions) Act 2003 (Crown employees serving overseas), are treated as being
performed in the United Kingdom, or I am married to, or in a civil partnership with, a person who performs such duties. I will
inform Arjent if I cease to be so resident or to perform such duties or be married to, or in a civil partnership with, a person who
performs such duties.

I authorise Pershing Securities Limited and/or Arjent:

a. To hold cash subscription(s), ISA investments, interest, dividends, or any other rights or proceeds in respect of those investments

and any other cash; and

b. To make on my behalf any claims to relief from tax in respect of ISA investments.

I declare that the information given on this Application Form is true and correct to the best of my knowledge and belief.

I confirm that I will advise Arjent of any changes in these circumstances without delay.

I declare that I have read and agree to be bound by the ISA Terms and Conditions overleaf.

Signature

Print Name

Date

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Arjent Limited is authorised and regulated by the Financial Services Authority (FSA no. 197330). Arjent Limited is registered in England. Registered No. 4077864. Registered office: Arjent Limited, 25 Christopher Street, London, EC2A 2BS. VAT Registration No. 888 5631 63. Past performance is not a guide to future performance.