I confirm that:
1. I have read the Offer Document, including the Social, Community and Environmental Benefits, Risk Factors and the Guidance Notes to this Application Form;
2. I support the aims and objectives of North Lincolnshire Community Energy as set out in the Offer Document;
3. I am over 18 and the Applicant meets the Offer eligibility criteria;
4. North Lincolnshire Community Energy is hereby authorised to make such enquiries as are deemed necessary to confirm the eligibility of this Application;
5. the Applicant is not making an application or multiple applications for a total of more than 100,000 Shares in total;
6. the Applicant is not relying on any information or representation in relation to the Shares, North Lincolnshire Community Energy or the Site which is not included in the Offer Document;
7. the Applicant shall provide all additional information and documentation requested by North Lincolnshire Community Energy in connection with this Application, including in connection with anti-money-laundering, taxation or other regulations applicable to North Lincolnshire Community Energy; and North Lincolnshire Community Energy with the assistance of Energy4All will perform identity checks on applicants using a secure third-party provider as part of their anti-money laundering, prevention of fraud and customer due diligence checks.
8. if submitting this Application on behalf of any person/organisation I am doing so with express authority.