| Please provide below as a percentage of where your business will be derived from | |
| Introducers | 0 |
| Client Retention | 80 |
| Client Referrals | 20 |
| Purchase of Leads | 0 |
| Other (please provide details of source) | 0 |
| Introducers – if you have provided a percentage above for introducers, please provide the following: | |
| Name of Firm/individual | |
| Will they be referring protection business | No |
| Will they be advertising your services | No |
| 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. | My wife has a unrelated business -Belle Divino Ltd (retail sales online). I am company secretary, but not a director or shareholder. |
| Please provide details of any other business interests (if N/A, please state) | As above. I have never been a director, company secretary or shareholder of any of the financial firms I have worked for. |