Lurene Vincent

 “POLITICALLY EXPOSED PERSON” QUESTIONNAIRE In accordance with Regulation 35 of the Money Laundering, Terrorist Financing and Transfer of Funds Regulations 2017 this firm is required to check if a client, or anyone connected with a client, might be a “Politically Exposed Person” (known as a “PEP”). If a client is a PEP, the firm might have to undertake additional anti-money laundering procedures. Please answer the questions below, and if necessary add any explanation at the end. Have you been entrusted with a prominent public function as listed below Yes No Answer “YES” if now or in the recent past (certainly in the last 12 months) you have held any roles, in any country: Member of parliament Member of the governing body of a political party Appeal court judge Member of the court of auditors or the board of a central bank Diplomat or high-ranking officer in the armed forces Member of the administrative, management or supervisory body of a State-owned enterprise Senior officer or director of an international organisation Head of state, head of government, minister or deputy or assistant minister Does a member of your family hold such a function as listed above? Yes No  Your spouse or civil partner  Your parents, or the parents of your spouse or civil partner  Your children Does a close associate of yours hold such a function as listed above? Yes No Answer “YES” if any of the following hold any of the roles listed above:  Someone with whom you have a close business relationship  Someone with whom you have joint beneficial ownership of a legal entity or a legal arrangement (e.g. a company or a trust)  Someone for whose benefit a legal entity or a legal arrangement has been set up in respect of which you have sole ownership If you have answered “YES” to any question, please provide further details here: Signed: ……………………… Name: ………………………………Date: ……………………………