Northern Ireland Company

The Minimum Requirement for Registration is one Director who can also be the Shareholder

PLEASE ENSURE THAT ALL ADDRESSES, POST CODES, CHRISTIAN AND SURNAMES ARE CORRECTLY SPELT.

If you require more that 2 Directors/Shareholders please submit this form first and then you will be given the option to complete Continuation pages as needed.

Your Name:
Your Firm/Company Name:*
Your Address:
Your Email Address:
Your Telephone No:
Registered Office Address:
(Must be situated in N. Ireland)
Proposed Company Names:
(In order of choice)
*Only if Accountant or Solicitors Practice
*Please specify your preference between Ltd or Limited
*Required
*Required
*Required
*Required
*Required
*Required
Principle Business Activity:
(SIC Code) Download list here
Multiple Codes can be used

1st Director/Shareholder Details
Designation:*
Title:*
Full Name:
Date of Birth:
Nationality:
Occupation:
Residential Address:
Service Address:
(Required)
Electronic Filing Details (All Required)
First 3 letters of Town of Birth:
Last 3 numbers of Home Phone No.
First 3 letters of Mothers Maiden Name:
Number of Shares to be Taken:
*Director *Director/Secretary
*Shareholder Only
*Mr *Mrs *Miss *Ms *Dr
This address will not appear on the Public Record when a Service Address is used.
This address will appear on the Public Record, the Registered Office Address of the Company may be used.
Electronic Filing Details

These MUST be the details of the person being appointed in this section.
*Required (use "0" if none being taken)
I consent to act as Director/Shareholder
This box must be ticked before submitting Form
Is this Person a PSC :
P.S.C. Details (Person of Significant Control)
YES / NO (If yes complete box below)
P.S.C. Details (Person of Significant Control)
Individual Legal Entity

Trustee of a Trust

Firm
TYPE OF CONTROL
NATURE AND EXTENT  OF CONTROL

Select the appropriate statement from the options below.

The person/entity holds the Rights directly or indirectly

The person/entity exercises or has the right to exercise significant influence or control over the activities of a trust whose trustees hold the Rights

The person/entity exercises or has the right to exercise significant influence or control over the activities of a firm whose members hold the Rights

Indicate the nature and extent of the control from the options below.  Please select all relevant options that apply to this person (but it is not necessary to select the fourth option if one or more of the first three options applies).
Power to appoint or remove the majority of the board of directors

Right to exercise significant influence or control
For more guidance please click here.

2nd Director/Shareholder Details (If Required)
Designation:*
Title:*
Full Name:
Date of Birth:
Nationality:
Occupation:
Residential Address:
Service Address:
(Required)
Electronic Filing Details (All Required)
First 3 letters of Town of Birth:
Last 3 numbers of Home Phone No.
First 3 letters of Mothers Maiden Name:
Number of Shares to be Taken:
*Mr *Mrs *Miss *Ms *Dr
This address will not appear on the Public Record when a Service Address is used.
This address will appear on the Public Record, the Registered Office Address of the Company may be used.
Electronic Filing Details

These MUST be the details of the person being appointed in this section.
*Required (use "0" if none being taken)
I consent to act as Director/Shareholder
This box must be ticked before submitting Form
*Director *Director/Secretary
*Shareholder Only
Is this Person a PSC :
YES / NO (If yes complete box below)
P.S.C. Details (Person of Significant Control)
P.S.C. Details (Person of Significant Control)
Individual Legal Entity

Trustee of a Trust

Firm
TYPE OF CONTROL
NATURE AND EXTENT  OF CONTROL

Select the appropriate statement from the options below.

The person/entity holds the Rights directly or indirectly

The person/entity exercises or has the right to exercise significant influence or control over the activities of a trust whose trustees hold the Rights

The person/entity exercises or has the right to exercise significant influence or control over the activities of a firm whose members hold the Rights

Indicate the nature and extent of the control from the options below.  Please select all relevant options that apply to this person (but it is not necessary to select the fourth option if one or more of the first three options applies).
Power to appoint or remove the majority of the board of directors

Right to exercise significant influence or control
For more guidance please click here.

Secretary Details (If Required)
Title:*
Full Name:
Service Address:
(Required)
Electronic Filing Details (All Required)
First 3 letters of Town of Birth:
Last 3 numbers of Home Phone No.
First 3 letters of Mothers Maiden Name:
Number of Shares to be Taken:
*Mr *Mrs *Miss *Ms *Dr
This address will appear on the Public Record, the Registered Office Address of the Company may be used.
Electronic Filing Details

These MUST be the details of the person being appointed in this section.
*Required (use "0" if none being taken)
I consent to act as Secretary
This box must be ticked before submitting Form
P.S.C. Details (Person of Significant Control)
Is this Person a PSC :
YES / NO (If yes complete box below)
P.S.C. Details (Person of Significant Control)
Individual Legal Entity

Trustee of a Trust

Firm
TYPE OF CONTROL
NATURE AND EXTENT  OF CONTROL

Select the appropriate statement from the options below.

The person/entity holds the Rights directly or indirectly

The person/entity exercises or has the right to exercise significant influence or control over the activities of a trust whose trustees hold the Rights

The person/entity exercises or has the right to exercise significant influence or control over the activities of a firm whose members hold the Rights

Indicate the nature and extent of the control from the options below.  Please select all relevant options that apply to this person (but it is not necessary to select the fourth option if one or more of the first three options applies).
Power to appoint or remove the majority of the board of directors

Right to exercise significant influence or control
For more guidance please click here.

Corporate Body as Director/Shareholder/Secretary Details
Designation:*
Full Company Name:
Registered Office Address:
Electronic Filing Details (All Required)
First 3 letters of Town of Birth:
Last 3 numbers of Home Phone No.
First 3 letters of Mothers Maiden Name:
Number of Shares to be Taken:
*Director *Secretary *Shareholder Only
Place of Registration:
Company No.:
Authorised Representative on behalf of Company
Title:*
Full Name:
*Mr *Mrs *Miss *Ms *Dr
Electronic Filing Details

These MUST be the details of the person being appointed in this section.
*Required (use "0" if none being taken)
I consent to act as Director/Shareholder
This box must be ticked before submitting Form
P.S.C. Details (Person of Significant Control)
Is this Person a PSC :
YES / NO (If yes complete box below)
P.S.C. Details (Person of Significant Control)
Relevant Legal Entity

Trustee of a Trust

Firm
TYPE OF CONTROL
NATURE AND EXTENT  OF CONTROL

Select the appropriate statement from the options below.

The person/entity holds the Rights directly or indirectly

The person/entity exercises or has the right to exercise significant influence or control over the activities of a trust whose trustees hold the Rights

The person/entity exercises or has the right to exercise significant influence or control over the activities of a firm whose members hold the Rights

Indicate the nature and extent of the control from the options below.  Please select all relevant options that apply to this person (but it is not necessary to select the fourth option if one or more of the first three options applies).
Power to appoint or remove the majority of the board of directors

Right to exercise significant influence or control
For more guidance please click here.

No. of Continuation Sheets to follow:
*Required (use "0" if none being used)
BEFORE SUBMITTING, HAVE YOU CHECKED:

1. ALL WHO ARE BEING APPOINTED HAVE TICKED THE CONSENT TO ACT BOX
2. ALL NAMES ARE SPELT CORRECTLY
2. ALL POSTCODES ARE GIVEN AND CORRECT
Any other Specific Instructions or Information: