Full Name and Title

Email Address

Phone Number

Proposed Company Name (Choice 1)

Proposed Company Name (Choice 2)

Principal Business Activity: (Please describe the main activity of the company clearly)

Registered Office Address (The company's official address, shown on public record) Registered Office Address (The company's official address, shown on public record) Use Your Own UK Address Use Our Registered Office Address Service (London Address). (We recommend this if you don't want a residential address on public record. Annual fee billed separately.)

Registered Office Address (If using your own)

Director 1 Full Name

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

Director 1 Nationality

Director 1 Occupation

Director 1 Full Residential Address (Not usually shown on public record)

Director 1 Director's Service Address (Official correspondence address, shown on public record) Director 1 Director's Service Address (Official correspondence address, shown on public record) Use Residential Address provided above as the Service Address. Use a different UK Address Use our Director Service Address Service (London Address) (Annual Fee billed separately).

Director 1 Director's Service Address (If using your own)

Director 1 Nationality

Director 1 Nationality

1st director email address

1st director National Insurance number

1st director Mother's maiden name

1st director place of birth

1st director favourite colour

Total number of shares issued by the company

1st shareholder total shareholding

Do you wish the company to be registered for VAT? Do you wish the company to be registered for VAT? Yes No Don't know

If you answered yes to the above question, what do you think your turnover will be in the next 12 months?

Would you prefer to use Ltd or Limited for your company name? Would you prefer to use Ltd or Limited for your company name? Ltd Limited No preference