Company Formations Ireland

Name:

E-mail (required):
Confirm E-mail (required):

Phone Number:

Postal Address:

Proposed Company Name:

Address of Registered Office:

Nature of Business (please include some description):

The place or places in the State where it is proposed to carry on the activity is/are:

The place where the central administration office of the company will normally be carried on will be:

Authorised:     Issued:

Name:

Residential Address:

Current Occupation:

Date of Birth:

Nationality:

Other Directorships:

Name:

Residential Address:

Current Occupation:

Date of Birth:

Nationality:

Other Directorships:

Name:

Residential Address:

Current Occupation:

Date of Birth:

Nationality:

First Shareholder:

Name:

Residential Address:

Number of shares to be held:

Second Shareholder:

Name:

Residential Address:

Number of shares to be held:

I confirm all the details entered above are true and correct.