| Please provide below as a percentage of where your business will be derived from | |
| Introducers | 0 |
| Client Retention | 50 |
| Client Referrals | 50 |
| Purchase of Leads | 0 |
| Other | 0 |
| If other, please provide details of source | |
| Introducers – if you have provided a percentage above for introducers, please provide the following: | |
| Name of Firm/individual | |
| Will they be referring protection business | |
| Will they be advertising your services | |
| Please provide details of ALL companies where you have been a director, company secretary or shareholder.
If the company has dissolved, please provide full details including the reason for dissolution and if there was any debt as a result of this. If N/A, please state. | Affluence Cars Ltd - 10993574
MAZZACK PROPERTIES LTD - 10903754 - Dissolved as we never used the company for its purpose which was going to be property related. Me and my brother decided to close the company as we had no intentions to use. Company never had any debt at all |
| Please provide details of any other business interests (if N/A, please state) | N/A |
| Please indicate how much income you expect to generate over the first 12 months (after becoming an Appointed Representative), that is derived from non-regulated, non-financial services activities. | |