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Corporate Application Form

Name of the company to be incorporated or purchased:

First choice:
Second choice:
Third choice:

Do you want us to provide our own Nominee Secretary? Yes 

Do you want us to provide our own Registered Office in London? Yes 

Please advise the Name, Address, Telephone Number, Date & Place of Birth, Nationality, Mother's Maiden Name of at least one person to appear as the Company Director (it cannot be the same with the Company Secretary):

First Director:
(mandatory)
Second Director:
(optional)
Third Director:
(optional)

Please advise the Name, Address, Telephone Number, Date & Place of Birth, Nationality, Mother's Maiden Name of at least one person to appear as the Company Secretary (it cannot be the same with the Company Director)

Secretary:
(mandatory)

Please advise the Names, Addresses, Telephone Numbers, Date & Place of Birth, Nationality, Mother's Maiden Names of at least two persons to appear as the Company Shareholders (and their percentage in the company):

First Shareholder:
(mandatory)
Second Shareholder:
(mandatory)

Please advise the Registered Office Address in the United Kingdom (in case you do NOT want to use our own facility in London):

Please list below a general description of the main activities of the company:


Special instructions (if any):

Name:
Date:
Address
Street:
City :   State/Province 
Postal Code:                 Country:   
Phone:
Fax:
E-mail:
(required)



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