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Electronic Company Application - 1 Director

Please ensure your Email Address is correct.

**Note: This Form was designed to appoint one director and one secretary only. If you want to appoint more than one director please choose here:

Two Directors - Three Directors - Four Directors

Personal Contact Details
Cost per Incorporation:	£89.99 (delivery by post)
Email: (This is where your Incorporation documents will be sent)
First Name and Surname:
The Name your Invoice will be addressed to:
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Country:
Telephone Number:


Details for Company:
Company Name
Registered Office Address
Address Line 1
Address Line 2
Town
County
Postcode
Country
Authorised Share Capital
Share Class
Share Currency
Number Of Shares
Value Per Share (£)


Company Director Details:
Title:
First Forename:
Other Forenames:
Surname:
Previous Surname (if applicable):
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Country:
Date Of Birth:(dd/mm/yyyy)
Nationality:
Occupation:
Directorships in last 5 years?

Personal Identification Information (used instead of a signature):
Enter the first 3 characters of each of your selections
Please Note: Numerical entries must not start with a 0




Number of shares held if any:


Company Secretary Details:
Title:
First Forename:
Other Forenames:
Surname:
Previous Surname (if applicable):
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Country:

Personal Identification Information (used instead of a signature):
Enter the first 3 characters of each of your selections
Please Note: Numerical entries must not start with a 0




Number of shares held if any:

Alternative/Additional Shareholder Details (1): (optional)
Title:
First Forename:
Other Forenames:
Surname:
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Country:
Personal Identification Information (used instead of a signature): Enter the first 3 characters of each of your selections Please Note: Numerical entries must not start with a 0



Number of shares held if any:

Alternative/Additional Shareholder Details (2): (optional)
Title:
First Forename:
Other Forenames:
Surname:
Address Line 1:
Address Line 2:
Town:
County:
Postcode:
Country:
Personal Identification Information (used instead of a signature): Enter the first 3 characters of each of your selections Please Note: Numerical entries must not start with a 0



Number of shares held if any: