Full Name and Title

Email Address

Phone Number

Authority Confirmation Authority Confirmation I confirm I am authorised to instruct Phillips & Co Accountants to form this company.

Proposed Company Name (Choice 1)

Proposed Company Name (Choice 2)

Principal Business Activity-Example: “Web design and support”

Preferred Accounting Year-End

SIC code: Leave blank if unsure—we’ll recommend the most suitable code.

Registered Office (shown on public record) Registered Office (shown on public record) Use my UK address (enter below) Use Phillips & Co Registered Office service (London) (annual fee applies)

Registered Office Address (If using own)

Director Service Address (public) — per director Director Service Address (public) — per director Use residential address Use another UK address (enter below) Use Phillips & Co Director Service Address (London) (annual fee applies)

Director Service Address (If using own)

Director 1 Full Name and Title

Director 1 Date of Birth (DD/MM/YYYY)

Director 1 Nationality

Director 1 Occupation

Director 1 Country of Residence

Director_1_Residential_Address_(not public)

Director 1 Service Address (if different)

Total Shares to be Issued at Incorporation-Example: 100

Share Class & Rights-Example: Ordinary shares—1 vote per share; rights to dividends and capital

Nominal Value Per Share-Example: £1

Shareholder 1 Full name and Title / Entity name

Shareholder 1 Address

Shareholder 1 Allocation (number of shares or %)

Shareholder 1 Date of Birth (individuals) or Company Number (corporates)

Persons_with_Significant_Control_(PSC)_Confirmation Persons_with_Significant_Control_(PSC)_Confirmation I confirm the PSCs for the company are accurately reflected by the shareholder details provided, and I consent to PSC registration on the public record.

Register for VAT? Register for VAT? Yes No Not Sure

If yes/unsure: Estimated 12-month taxable turnover: £ _____

Preferred VAT scheme (if known): Standard / Cash / Flat Rate / Not sure

Additional Notes for the Formation Team (optional)

Security Questions (important): Companies House may require any 3 of the items below to authenticate certain officer filings. For security, do not enter these in this form. Instead: Create a simple Word document listing any three items (with your answers). Save as: CH-Authentication-[YourName].docx Upload it to your IRIS OpenSpace folder after we send your portal invite. Choose any three from this list: Town of birth, Eye colour, Father’s first name, Telephone number, Mother’s maiden name, National Insurance number, Passport number.

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