Introducer registration (Form B)

All introducer activity, marketing and investor communications are subject to the approval and regulatory oversight of Amersham Investment Management Limited (FCA FRN 507460).

01 — Introducer

Company Name * Company Reg Number Principal Contact * Email * Landline Mobile Registered Office Address * Postcode * Trading Address (if different) Trading Postcode

02 — Regulation

Yes — the company is regulated No — acting solely as introducer

Regulatory Status Regulatory Body Licence / Regulatory Number

The company confirms it will act solely as an introducer and will not carry out any regulated activities within the meaning of FSMA 2000.

03/04 — Introducer Status & Promotional Plans I confirm the introducer will act solely as an introducer of Prospective Clients; will not advise, arrange or execute; will not hold client money; will not represent itself as acting on behalf of AIML or NAHL; and will comply with Form C. Confirmed: we will only promote products in jurisdictions where legally permitted, and will not communicate Financial Promotions in breach of s21 FSMA 2000.

05 — Platforms & promotion types

All channels listed are subject to prior approval by AIML.

06 — Data source Data is opt-in Data is not opt-in

07 — Promotion targets

Investment Professional (UK Regulated) Investment Professional (Overseas Regulated) Certified High Net Worth Individual High Net Worth Company Sophisticated Investor Self-Certified Sophisticated Investor

08 — Sub-introducers Yes No Upstream introducer details (if any) All sub-introducers will be contracted using Form C.

09 / 10 / 11 — Compliance & risk confirmations We will not create, amend or distribute marketing without AIML's written approval; we will only use AIML-approved materials; all communications will be fair, clear and not misleading. We will comply with FSMA 2000, FCA rules, the Bribery Act 2010, DPA 2018 / UK GDPR, and all other applicable laws. We acknowledge that the Products may be high risk and illiquid, capital is at risk, and the Products may not be suitable for all investors.

12 — Additional notes

13 — Signature

Name printed * Date *

Supporting documents

Passport / Driving Licence Utility Bill / Bank Statement (last 3 months) ICO licence / confirmation Regulatory licence (if applicable)