I instruct you to form a company on my behalf, with bona fide officers appointed at incorporation, as follows:

Company Name:

 LIMITED

Registered Office:

Postcode:

Address for despatch of documentation: (if different from Registered Office)

Postcode

Your details:

Company Authentication Code

Note: This is the Companies House Web Filing Code for lodging Annual Returns and other documents online. It must be six letters and/or numbers. If you do not set a code, we set one and notify you of it.

Directors

NOTE: The first (or sole) director must be an individual, not a corporate entity.

Forename(s):                         (forenames must be given in full, not initials)

Surname:                          

Service Address: 

Postcode:

Postcode:

NOTE: The home address is not shown on the public record of the company at Companies House, but is available to credit reference agencies. The service address is the director's publicly available address. If the home address is the same as the service address,  enter 'As above'.

Date of Birth:       Day        Month        Year      

Nationality: 

Business occupation 

Also a shareholder?   

If yes, number of shares (one share if not specified)

Also Secretary? (A private company is not required to have a secretary)

Other details about the appointee required by Companies House. You need to pick any three of the seven choices, and you can either accept the ones shown below or click on the arrows to see alternative choices.

  First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

  Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

  Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth Last three digits of telephone number

Director 2

Note: If the director is to be a corporate entity, please go to 'Corporate Director' below

Forename(s):                        (forenames must be given in full, (not initials)

Surname:                         

Service Address:

Postcode

Home address: 

Postcode

Date of Birth       Day        Month        Year      

Nationality 

Business occupation 

Also a shareholder?   

If yes, number of shares (one share if not specified)

Also Secretary?

Other details about the appointee required by Companies House. You need to pick any three of the seven choices, and you can either accept the ones shown below or click on the arrows to see alternative choices.

First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth Last three digits of telephone number

Corporate director

If Director 2 is a company, enter the details here:

Corporate Name:

Registered Office:

Postcode

Where Registered (including state if applicable)

Registration Number:    

Legal Form:    

Also a shareholder?   

If yes, number of shares (one share if not specified)

Also Secretary?

Authorised Representative

Surname    

First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

Additional Directors

If you require more directors than the two provided for on this form, you can appoint them afterwards free of charge using Companies House Form AP01.

However, we can appoint additional directors on incorporation. Our charge of £87 including VAT covers up to two directors, and further directors cost £10 each including VAT. If you want to incorporate with more than two directors, please state the number of additional directors below. After submitting this form you will be given an option to open the Additional Officers Order Form.

Number of additional directors at £10 each including VAT

Secretary (if not also a director)

NOTE: A private company is no longer required to have a company secretary

If the Secretary is to be a corporate entity, please go to 'Corporate Secretary' below

Forename(s):                          (forenames must be given in full, not initials)

Service address: 

Postcode

Other details about the appointee required by Companies House. You need to pick any three of the seven choices, and you can either accept the ones shown below or click on the arrows to see alternative choices.

First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth Last three digits of telephone number

Also a shareholder? 

If yes, number of shares (one share if not specified)

Corporate Secretary

If the Secretary is a company, enter the details here:

Corporate Name:

Registered Office:

Postcode

Where Registered (including state if applicable)

Registration Number:    

Legal Form:    

Also a shareholder?   

If yes, number of shares (one share if not specified)

Authorised Representative

Surname    

Shareholders (if not also a director or secretary)

Companies are usually incorporated with £1 ordinary shares. If you require a different currency or share value, please specify below:

Currency      Value of each share  

Shareholder 1

Shareholder's name (If the shareholder is corporate, insert the name of its authorised representative, and the name of the corporate shareholder below)

Forename(s)

Corporate Name

Service Address 

Postcode

Number of shares  (one share if not specified)

Other details about the shareholder (or its corporate representative) required by Companies House. You need to pick any three of the seven choices, and you can either accept the ones shown below or click on the arrows to see alternative choices.

First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth Last three digits of telephone number

Shareholder 2

Shareholder's name (If the shareholder is corporate, the name of its authorised representative, and the name of the corporate shareholder below)

Forename(s)

Surname           

Corporate Name

Registered Office 

Postcode

Number of shares  (one share if not specified)

Other details about the shareholder (or its authorised representative) required by Companies House. You need to pick any three of the seven choices, and you can either accept the ones shown below or click on the arrows to see alternative choices.

First three letters of town of birth Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename

Last three digits of telephone number Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth

Last three characters of National Insurance Number Last three numbers of Passport Number First three letters of mother's maiden name First three letters of eye colour First three letters of father's first forename First three letters of town of birth Last three digits of telephone number

Note: If you require more shareholders than provided for on this form, you can allot additional shares afterwards free of charge using Companies House Form SH01. 

If you want to incorporate with additional shareholders, please state the number below. After submitting this form you will be given an option to open the Additional Officers Order Form. We charge £10 including VAT for each shareholder over two.

Number of additional shareholders                              

Additional Information

If you wish to keep a copy for your records, print or save before pressing the submit button to send the form to us. To save a copy on your computer, click on the form (not in a box), press Ctrl-A for select all, Ctrl-C for copy, open a word processing program such as Word, and Ctrl-V pastes the data.