VICKERS  INFORMATION (Partners: B J Payne & M A Childs)

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Company Registration & Business Information Services

1 HIGH  STREET MEWS - WIMBLEDON  VILLAGE - LONDON  SW19  7RG

URGENT CALLS ON 078 60 514631

E-mail: info@vickersinformation.co.uk                            24  HOUR  ANSWERING  SERVICE

Web: www.vickersinformation.co.uk                               020 8944 2067               

COMPANY NAME

(Please indicate if the word Limited is to be in full or as Ltd)

First Choice:

Second Choice:

Note:

If any sensitive words, such as International, are being used special permission may be needed. We will advise on the extra information required.

SPECIAL REQUIREMENTS

Please insert here any extra requirements:

REGISTERED OFFICE ADDRESS (In England and Wales)

Full Street Address:

Town:

County

Post Code

DIRECTOR (Number 1)

Full name:

Service address:
(Including town and post code)

Residential address:

(Including town and post code)

Date of Birth:

Nationality:

Occupation:

Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

DIRECTOR (Number 2)

Full name:

Service address:
(Including town and post code)

Residential address:

(Including town and post code)

Date of Birth:

Nationality:

Occupation:

Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

DIRECTOR (Number 3)

Full name:

Service address:
(Including town and post code)

Residential address:

(Including town and post code)

Date of Birth:

Nationality:

Occupation:

Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

A company secretary is no longer legally required but one can be appointed if desired.

SECRETARY

Full name:

Service address:
(Including town and post code)

Residential address:

(Including town and post code)

Date of Birth:

Nationality:

Occupation:

Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

SUBSCRIBERS: (or Shareholders)   (if not already shown as Directors or Secretary)

Full name:

Usual Residential address:

(Including town and post code)

 
Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

SUBSCRIBERS:    (if not already shown as Directors or Secretary)

Full name:

Usual Residential address:

(Including town and post code)

 
Number of shares to be held:

Three pieces of personal identification are required and these answers will obviate the need for  physical signatures.

Eye colour:

Maiden name of mother:

First name of father:

Town of Birth:

Passport Number:

Telephone number:

National Insurance Number:

PROOF OF IDENTITY

To cover the requirements of the Money Laundering Regulations we need a copy of your passport photograph page (or similar proof of identity) and a current utility bill. This is required for each officer and for the subscribers if they are different.