I/We confirm that the information given here is true and accurate and I/we understand that the submission of misleading information may lead to the refusal of the application or subsequent cancellation of membership.

I/We undertake to observe the provisions of the Memorandum and Articles of Association and such
membership regulations of the Association of Mortgage Intermediaries Limited as may, from time to time, be
laid down by the Board of the Association. I/We can request a copy at any time.

I/We understand that AMI may wish to use any personal data contained in this form or subsequently obtained
during the course of its activities and may disclose such data to approved third parties. By signing this
application, I/we consent to such processing.

I/We acknowledge that should I not wish data to be disclosed to third parties (save those with whom it is
necessary for AMI to share such data) I may indicate this by ticking this box.

Do not share my information with third parties