The following information is required for the incorporation of a Private Company Limited by Shares. Please complete all sections marked with an asterisk*:

The following information is required for the incorporation of a Private Company Limited by Shares.

Contact Name:
Email Address:
Telephone Number:
Postal Address:
Proposed Company Name:
Alternate Company Name (should your preferred company name be unavailable):
Full Postal Address of your company's Registered Office:
Full Postal Address of place of Central Administration (if different from Registered Office):
Full Postal Address of principal place(s) of business (if different from Registered Office):
Nature of proposed business (Please provide a description of proposed company activities):
Full name of Company Secretary:
Residential address of Company Secretary:
Date of birth of Company Secretary:
Full name of first Company Director:
Residential address of first Company Director:
Date of birth of first Company Director:
Nationality of first Company Director:
Occupation of first Company Director:
Details of other directorships of first Company Director (if any):
Full name of second Company Director:
Residential address of second Company Director:
Date of birth of second Company Director:
Nationality of second Company Director:
Occupation of second Company Director:
Details of other directorships of second Company Director (if any):
Amount of Authorised Share Capital (This is normally 1,000,000 Ordinary Shares of 1� each and represents the maximum number of shares a company can issue):
Amount of Issued Share Capital (This is normally 100 Ordinary Shares of 1� each and represents the actual number of shares the company will issue to its shareholders):
Name of first Shareholder:
Number of shares to be issued to first Shareholder:
Name of second Shareholder:
Number of shares to be issued to second Shareholder:
Any additional information required not provided for in the foregoing must be included here i.e. details of additional directors/shareholders, etc:
DECLARATION: I HEREBY CONFIRM THAT ALL OF THE DETAILS PROVIDED ABOVE ARE TRUE AND CORRECT AND AUTHORISE NEW COMPANY SETUP TO SET UP THIS COMPANY ON MY BEHALF	Yes