Session Expired!

Your session has been timed out due to inactivity. Please click on the ‘Sign in’ button to Login again.
Sign In

Introducer Application Form

  • Director Information

    Please note: The details for two directors (including residential addresses) are required to complete this section of the form.

  • Nominated Bank Account details

  • Anti-Money Laundering (AML) and Anti-Bribery & Corruption (ABC)

  • Insurance

  • Information & Data Security

  • Business Conduct

  • Sales Processes

  • Relationship with Regulators

  • Appointed Representatives (ARs) & Introducer Appointed Representatives (IARs)

  • Complaints Management

Please attach a Staff List / Team Sheet, Professional Indemnity Certificate and the firms Terms of Business / Customer Consent – These documents must be uploaded as PDF files. Add document
  • I/We wish to be appointed as an Introducer and I/We understand that the appointment of an Introducer to the Introducer Panel is subject to the execution of the Introducer Agreement and is also at the entire discretion of the Bank.
  • I/We declare that the information in this application is true and complete.
  • I/We understand credit searches may be carried out against the business and hereby give consent.
  • I/We confirm that I/We would like to receive information about products and services, case studies and insights from Allica.
  • I/We confirm that I/We have read and understood the privacy policy on the Allica website, understand how Allica will use any information I/We supply and accept Allica’s privacy policy.
Submit

Thank you for taking the time to complete this application. A member of the Allica team will be in touch shortly.

Are you sure?

You cannot edit the details once you have submitted the form. Do you wish to continue?