Question A
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Has the individual:
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(1) performed a certification2 function for our firm; or
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(2) been an approved person for our firm.
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Answer:
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Yes
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No
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Question B:
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Has the individual performed one or more of the following roles in relation to our firm:
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(1) notified non-executive director;
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(2) credit union non-executive director; 3
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(3) key function holder (other than a controlled function); or3
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3(4) board director.
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Answer:
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Yes
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No
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Question C:
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If we have answered ‘yes’ to either Question A or B above, we set out the details of each position held below, including:
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(1) what the controlled function, certification2 function or key function holder role is or was;
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(2) (in the case of a controlled function) whether the approval is or was subject to a condition, suspension, limitation, restriction or time limit;
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(3) whether any potential FCA governing function is or was included in a PRA controlled function; and
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(4) the dates during which the individual held the position.
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Answer:
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Question D:
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Has the individual performed a role for our firm other than the roles referred to in Questions A and B above:
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Answer:
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Yes
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No
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If ‘yes’, we have provided summary details of the other role(s), e.g. job title, department and business unit, below.
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Question E:
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Have we concluded that the individual was not fit and proper to perform a function:
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Answer:
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Yes
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No
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If ‘yes’ and associated disciplinary action was taken as a result, please refer to Question F below.
If ‘yes’, and no associated disciplinary action was taken as a result, we have set out below the facts which led to our conclusion.
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Question F:
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We have taken disciplinary action against the individual that:
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(1) relates to an action, failure to act, or circumstances, that amounts to a breach of any individual conduct requirements that:
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(a) apply or applied to the individual; or
(b) (if the individual is or was a key function holder, a notified non-executive director or a credit union non-executive director for your firm) the individual is or was required to observe under PRA rules (including if applicable, PRA rules in force before 7 March 2016); or
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(2) relates to the individual not being fit and proper to perform a function.
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Answer:
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Yes
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No
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If ‘yes’, we have provided below a description of the breaches (including dates of when they occurred) and the basis for, and outcome of, the subsequent disciplinary action.
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Question G:
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Are we aware of any other information that we reasonably consider to be relevant to your assessment of whether the individual is fit and proper? This disclosure is made on the basis that we shall only disclose something that:
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(1) occurred or existed:
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(a) in the six years before your request for a reference; or
(b) between the date of your request for the reference and the date of this reference; or
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(2) is serious misconduct.
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Answer:
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Yes
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No
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If ‘yes’, we have provided the relevant information below.
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