Broker Membership

Membership of FISA is open to firms and individuals engaged in the business of granting or arranging secured loans on consumers’ homes. Members are required to observe the FISA Code of Conduct. The annual membership subscription is £363.43+VAT. (The subscription contains an element on which the VAT is due at the current rate and an element on which VAT is zero rated) Learn More)

Finance Industry Standards Association - Application Form for Broker Membership

Company Name:

Company trading style (s):

Company type:

Sole trader
Partnership
Limited Company

Registered office address:

County:

Postcode:

Place(s) of business address (if different from above):

Telephone number:

Email address:

If you have you ever traded under any other name please provide details:

Date firm established:

How many employees does the firm currently employ in total:

How many employees does the firm currently employ that are engaged in secured lending:

Do you charge up front fees:

No
Yes

If so on which products:

Company Number:

Consumer credit licence no:

If you are FSA authorised please provided you registration number:

If you are FSA authorised for regulated mortgage contracts, is it for advising or arranging:

N/A
Advising
Arranging

If you are FSA authorised for non-investment insurance contracts, is it for advising or arranging:

N/A
Advising
Arranging

Have you informed the Information Commissioner that you process personal data:

No
Yes

Please provide your Registration Number:

Please provide the name of your compliance officer or the person who will be responsible for compliance:

Please provide the telephone number of your compliance officer or the person who will be responsible for compliance:

Please provide the email address of your compliance officer or the person who will be responsible for compliance:

Please provide the name of the Managing Director, Chief Executive or Principal:

Has any Partner, Director or Controller ever been bankrupt, insolvent, compounded with creditors or had any County Court Judgements against them within the last three years:

No
Yes

If so please provide details:

Has any Partner, Director or Controller ever been a director or controller of a firm which has been the subject of an investigation by the Office of Fair Trading, Department of Trade and Industry, Financial Services Authority, Information Commissioner, the Police or been censured or disciplined by any professional body to which they belong. If so please provide full details:

Declaration

I confirm that the answers given in this application are true and complete. I agree that you may submit this information to any Lender Member of the Association which may take references and make credit reference searches. I agree the Association may, at its sole discretion, pass this information to any national or local government department or agency including but not limited to Trading Standards, the Office of Fair Trading, the Financial Services Authority, the Department for Business, Enterprise and Regulatory Reform and the Police. I have read the Code of Conduct including the Disciplinary Procedures of the Association and agree to be bound by them. I agree the Association may, at its sole discretion, retain this information for as long as necessary. I agree to notify the Association if there is any material change in the information provided in this application.

I understand that the Association has absolute discretion to determine qualifications for membership and its decision is final. The Association shall not be bound to give any reasons for rejecting an application.

I agree that non-disclosure of material fact or false statement will invalidate membership and incur forfeiture of any monies paid.