Apply for an agency

To apply for an agency please download and read the Terms of Business and complete the questions below.

Thank you for your enquiry. We will be in touch shortly.
1Company details
2Trading contact details
3Governance and declaration
Page 1 of 3 : Company details

About your company

(If sole trader or partnership, please enter ‘0’)
Please enter each name on a new line

Trading address

Page 2 of 3 : Trading contact details

Trading contact details

Accounts contact

Page 3 of 3 : Governance and declaration

Product governance - Fair Value

To help inform our fair value assessment of the product/s you place through Glemham Underwriting Ltd, we require information on the remuneration you receive and the services you provide as a part of your role within the distribution chain

As a minimum, and in accordance with PROD 4, we require information regarding:

  • The type and amount of remuneration you receive, including in relation to ‘add-ons’
  • An explanation of the services you provide as part of the distribution arrangements, and
  • Confirmation that any remuneration is consistent with your regulatory obligations

Your fees/charges

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