Account Application Form for 30 Day Notice Deposit Accounts with Investec Bank plc

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Account Application Form for 30 Day Notice Deposit Accounts with Investec Bank plc (For Modular ISA, Modular GIA, Wrap ISA and Wrap Investment Portfolio only) JHAY0701g Please complete this form and return to James Hay Partnership using one of the following methods: 1. Fax please complete the form in block capitals and send to fax number: 03333 206 353 (or 0044 3333 206 353 if faxing from outside the UK). 2. Post please complete the form in block capitals and return it to: James Hay Partnership, Dunn s House, St Paul s Road, Salisbury SP2 7BF. If you need any help to complete this form please call your Account Executive or our general enquiry number 03455 212 414. Section 1: Application by the Client to James Hay Partnership (Client to complete) 1.1 Client details Client name Client address Postcode Client date of birth D D M M Y Y Y Y Product number Country of residence Nationality Dual nationality Names also known as 1.2 Amount of deposit for the Notice Deposit Account Deposit amount (minimum 25,000 per account) 1.3 Declaration I/we instruct James Hay Partnership to open a 30 Day Notice Deposit Account with Investec Bank plc and I/we have read and agree to the Terms and Conditions under which it will be operated. I/we accept that the terms of this offer are available to new or existing James Hay Partnership clients subject to a minimum deposit of 25,000. I/we accept that Investec Bank plc may in its discretion perform independent checks to verify my/our identity and/or address and/or to validate certified documents that I/we have provided to James Hay Partnership. I/we further agree that these recognised independent checks may include documented checks of electronic phone directory and electoral register records, and/or confirmation from a solicitor or accountant. I/we confirm that James Hay Partnership may consent on my/our behalf to Investec Bank plc doing so. I/we acknowledge receipt of the Information Sheet and Exclusions List document which explains how the Financial Services Compensation Scheme works, and I/we acknowledge that this document applies in relation to each of the accounts I/we have asked you to open in the attached instruction. Either: Client Or: Financial Adviser (on behalf of the Client) Date D D M M Y Y Y Y Date D D M M Y Y Y Y Section 2: Application by James Hay Partnership to Investec Bank plc (for James Hay Partnership to complete) 2.1 Applicant details James Hay Wrap Managers Limited (Registration Number: 4773695) for (insert beneficiary name) Contact address: James Hay Partnership, Dunn s House, St Paul s Road, Salisbury SP2 7BF. Contact name Tel no

2.2 Product information 30 Day Notice Deposit Account (minimum investment 25,000) Amount to invest 2.3 Bank Details for Withdrawal Upon giving 30 days written notice please pay the deposit, together with accrued interest, to the following bank account held in our name: Name of bank/building society Account number Sort code Contact telephone number Declarations 1. I/we apply for the 30 Day Notice Deposit Account as detailed above (such account being an Account as defined in the Investec Bank plc General Terms and Conditions) to be opened in our names. 2. I/we acknowledge receipt of and confirm that I/we accept the terms of the Agreement, as defined in the Investec Bank plc General Terms and Conditions that apply to the Account. 3. I/we declare that all of the information provided in this application form and supporting documents is true and complete and confirm our understanding that Investec Bank plc (the Bank ), in making its decision to open the Account, will be relying on such information. 4. I/we accept that the Bank will only be bound by the Agreement in relation to the Account, once I/we have completed, signed and returned this application form with all supporting documentation and the Bank has completed its final checks and has agreed to open the Account for us. 5. I/we agree that the personal information provided on this application form and other information relating to the Account may only be used in accordance with the purposes and disclosures under the current data protection legislation. By signing this application form, I/we confirm that I/we have read and agreed to the data protection policy as disclosed in the Investec Bank plc General Terms and Conditions and I/we consent to the activities described therein. 6. I/we agree that the Bank may in its discretion perform independent checks to verify our identity and/or address and/or to validate certified documents that I/we have provided to the Bank. I/we further agree that these recognised independent checks may include documented checks of electronic phone directory and electoral register records, and/or confirmation from a solicitor or accountant. I/we also confirm that the beneficiary(ies), settlor(s) and protector(s) and Authorised Signatories (if any) have agreed that the Bank may in its discretion perform such checks in relation to them. 7. I/we confirm that I/we have carried out all anti-money laundering checks in relation to the beneficiary(ies), the settlor(s), and protector(s) (as appropriate). 8. I/we will provide the Bank on demand with certified copies of all evidence of our anti-money laundering checks in relation to the beneficiary(ies), the settlor(s) and protector(s) (as appropriate). 9. I/we instruct the Bank to act on instructions given by any Authorised Signatories, and subject to such Authorised Signatory Conditions, as may be confirmed by James Hay Wrap Managers Limited to the Bank in writing from time to time and I/we confirm that those Authorised Signatories shall be Authorised Signatories in relation to the Account(s). These instructions remain valid until revoked by notice to the Bank sent by us in writing. 10. The Account will be held by us for the benefit of the beneficiary/ies named above and I/we confirm that all sums deposited on the Account together with all interest earned will be held by us for the benefit of the beneficiary/ies. I/we confirm that the beneficiary/ies have been informed that (1) James Hay Wrap Managers Limited may receive a fee from the Bank for introducing the Account and (2) the sums deposited will be held in a 30 day notice deposit account and accordingly those sums can only be withdrawn upon giving 30 days written notice, and that the beneficiary/ies have agreed that I/we are permitted to enter into the Agreement for the Account on that basis. 11. I/we confirm that the persons signing this form are duly authorised to sign this form on our behalf. Signed for and on behalf of James Hay Wrap Managers Limited Authorised Signatory Name Authorised Signatory Name Date Place D D M M Y Y Y Y Date D D M M Y Y Y Place Y Investec Specialist Bank is a part of Investec Bank plc of 2 Gresham Street, London EC2V 7QP, which is registered in England under company number 489604. Investec Bank plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority and is a member of the London Stock Exchange. James Hay Partnership is the trading name of James Hay Insurance Company Limited (JHIC) (registered in Jersey number 77318); IPS Pensions Limited (IPS) (registered in England number 2601833); James Hay Administration Company Limited (JHAC) (registered in England number 4068398); James Hay Pension Trustees Limited (JHPT) (registered in England number 1435887); James Hay Wrap Managers Limited (JHWM) (registered in England number 4773695); James Hay Wrap Nominee Company Limited (JHWNC) (registered in England number 7259308); PAL Trustees Limited (PAL) (registered in England number 1666419); Santhouse Pensioneer Trustee Company Limited (SPTCL) (registered in England number 1670940); Sarum Trustees Limited (SarumTL) (registered in England number 1003681); Sealgrove Trustees Limited (STL) (registered in England number 1444964); The IPS Partnership Plc (IPS Plc) (registered in England number 1458445); Union Pension Trustees Limited (UPT) (registered in England number 2634371) and Union Pensions Trustees (London) Limited (UPTL) (registered in England number 1739546). JHIC has its registered office at 3rd Floor, 37 Esplanade, St Helier, Jersey, JE2 3QA. IPS, JHAC, JHPT, JHWM, JHWNC, SPTCL, SarumTL and IPS Plc have their registered office at Trinity House, Buckingway Business Park, Anderson Road, Swavesey, Cambs CB24 4UQ. PAL, STL, UPT and UPTL have their registered office at Dunn s House, St Paul s Road, Salisbury, SP2 7BF. JHIC is regulated by the Jersey Financial Services Commission and JHAC, JHWM, IPS and IPS Plc are authorised and regulated by the Financial Conduct Authority. The provision of Small Self Administered Schemes (SSAS) and trustee and/or administration services for SSAS are not regulated by the FCA. Therefore, IPS and IPS Plc are not regulated by the FCA in relation to these schemes or services.(01/14) JHAY0701g DEC15 GDF

The Financial Services Compensation Scheme Please read this important information about your rights under the United Kingdom s Financial Services Compensation Scheme

Information sheet Basic information about the protection of your eligible deposits Eligible deposits in Investec Bank plc are protected by: The Financial Services Compensation Scheme ( FSCS ) 1 Limit of protection: If you have more eligible deposits at the same bank/ building society/credit union: If you have a joint account with other person(s): Reimbursement period in case of bank, building society or credit union s failure: Currency of reimbursement: To contact Investec Bank plc for enquiries relating to your account: 75,000 per depositor per bank /building society/credit union 2 All your eligible deposits at the same bank /building society/ credit union are aggregated and the total is subject to the limit of 75,000 2 The limit of 75,000 applies to each depositor separately 3 20 working days 4 Pound sterling (GBP, ) or, for branches of UK banks operating in other EEA Member States, the currency of that State Investec Bank plc Operations 2 Gresham Street London EC2V 7QP Tel: +44 (0)20 7597 4131 To contact the FSCS for further information on compensation: Financial Services Compensation Scheme 10th Floor Beaufort House 15 St Botolph Street London EC3A 7QU Tel: 0800 678 1100 or +44 (0)20 7741 4100 Email: ICT@fscs.org.uk More information: http://www.fscs.org.uk

Additional Information 1 Scheme responsible for the protection of your eligible deposit Your eligible deposit is covered by a statutory Deposit Guarantee Scheme. If insolvency of your bank, building society or credit union should occur, your eligible deposits would be repaid up to 75,000 by the Deposit Guarantee Scheme. 2 General limit of protection If a covered deposit is unavailable because a bank, building society or credit union is unable to meet its financial obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers at maximum 75,000 per bank, building society or credit union. This means that all eligible deposits at the same bank, building society or credit union are added up in order to determine the coverage level. If, for instance a depositor holds a savings account with 80,000 and a current account with 20,000, he or she will only be repaid 75,000. In some cases eligible deposits which are categorised as temporary high balances are protected above 75,000 for six months after the amount has been credited or from the moment when such eligible deposits become legally transferable. These are eligible deposits connected with certain events including: (a) certain transactions relating to the depositor s current or prospective only or main residence or dwelling; (b) a death, or the depositor s marriage or civil partnership, divorce, retirement, dismissal, redundancy or invalidity; (c) the payment to the depositor of insurance benefits or compensation for criminal injuries or wrongful conviction. More information can be obtained under http://www.fscs.org.uk 3 Limit of protection for joint accounts In case of joint accounts, the limit of 75,000 applies to each depositor. However, eligible deposits in an account to which two or more persons are entitled as members of a business partnership, association or grouping of a similar nature, without legal personality, are aggregated and treated as if made by a single depositor for the purpose of calculating the limit of 75,000. 4 Reimbursement The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10th Floor Beaufort House, 15 St Botolph Street, London, EC3A 7QU, Tel: 0800 678 1100 or +44 (0)20 7741 4100, Email: ICT@fscs.org.uk. It will repay your eligible deposits (up to 75,000) within 20 working days until 31 December 2018; within 15 working days from 1 January 2019 until 31 December 2020; within 10 working days from 1 January 2021 to 31 December 2023; and within 7 working days from 1 January 2024 onwards, save where specific exceptions apply. Where the FSCS cannot make the repayable amount available within 7 working days, it will, from 1 June 2016 until 31 December 2023, ensure that you have access to an appropriate amount of your covered deposits to cover the cost of living (in the case of a depositor which is an individual) or to cover necessary business expenses (in the case of a depositor which is not an individual or a large company) within 5 working days of a request. Again, there are specific exceptions to this obligation. In the case of a depositor which is a large company, where the FSCS cannot make the repayable amount available within 7 working days, it will, from 3 July 2015 until 1 December 2016, ensure that you have access to your covered deposits within fifteen working days of a request containing sufficient information to enable it to make a payment, save where specific exceptions apply. In the case of a depositor which is a small local authority, where the FSCS cannot make the repayable amount available within 7 working days, it will, from 3 July 2015 until 1 June 2016, ensure that you have access to your covered deposits within fifteen working days of a request containing sufficient information to enable it to make a payment, save where specific exceptions apply. If you have not been repaid within these deadlines, you should contact the Deposit Guarantee Scheme since the time to claim reimbursement may be barred after a certain time limit. Further information can be obtained under http://www.fscs.org.uk. 5 Other important information In general, all retail depositors and businesses are covered by Deposit Guarantee Schemes. Exceptions for certain deposits are stated on the website of the responsible Deposit Guarantee Scheme. Your bank, building society or credit union will also inform you of any exclusions from protection which may apply. If deposits are eligible, the bank, building society or credit union shall also confirm this on the statement of account.

Exclusions list A deposit is excluded from protection if: 1 The holder and any beneficial owner of the deposit have never been identified in accordance with money laundering requirements. For further information, contact your bank, building society or credit union. 2 The deposit arises out of transactions in connection with which there has been a criminal conviction for money laundering. 3 It is a deposit made by a depositor which is one of the following: credit institution financial institution investment firm insurance undertaking reinsurance undertaking collective investment undertaking pension or retirement fund 1 public authority, other than a small local authority. The following are deposits, categories of deposits or other instruments which will no longer be protected from 3 July 2015: deposits of a credit union to which the credit union itself is entitled deposits which can only be proven by a financial instrument 2 (unless it is a savings product which is evidenced by a certificate of deposit made out to a named person and which exists in a Member State on 2 July 2014) deposits of a collective investment scheme which qualifies as a small company 3 deposits of an overseas financial services institution which qualifies as a small company 4 deposits of certain regulated firms (investment firms, insurance undertakings and reinsurance undertakings) which qualify as a small business or a small company 5 refer to the FSCS for further information on this category For further information about exclusions, refer to the FSCS website at www.fscs.org.uk 1. Deposits by personal pension schemes, stakeholder pension schemes and occupational pension schemes of micro, small and medium sized enterprises are not excluded. 2. Listed in Section C of Annex 1 of Directive 2014/65/EU. 3. Under the Companies Act 1985 or Companies Act 2006. 4. See footnote 3. 5. See footnote 3. Investec Private Banking is a part of Investec Bank plc (registered no. 489604). Registered address: 2 Gresham Street, London EC2V 7QP. Investec Bank plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority and is a member of the London Stock Exchange. December 2015. To see our Privacy Policy, please visit www.investec.co.uk/legal/privacy-policy.html IS-FSCS-01-0715