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DIRECTOR DETAILS
Governing Data Exchange
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Title
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Mr.
Mrs.
Miss.
Ms.
Dr.
Name:
*
First
Last
Has the director used a different name for business purposes in the last 20 years?
*
-
Yes
No
Former Name:
*
First
Last
Nationality
*
Date of Birth
*
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National Insurance Number
*
Phone
*
Email
*
Job Title
*
Would you like to use the Company Registered office as the correspondence address for this Director
*
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Yes
No
This address will be used to send notifications to the director. If you do not wish to use the registered office, please click no and enter your preferred address. This address will be publicly available on the Companies House online register.
What is the correspondence address for this Director?
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Is the home address different to the registered office for this Director
*
-
Yes
No
Tell us where this Director lives. Only give a business address if they also live there. This address won't be publicly available on the Companies House online register, unless it's also used for the company's registered office address or the person's correspondence address.
What is the home address for this Director?
*
Address Line 1
City
State / Province / Region
Postal Code
GDPR Compliance - Please tick box
*
I agree to the storage and handling of data provided on this form
Create electronic signature for this Director - Please select 3 from options below
*
Town of birth
Mother's maiden name
Father's first name
Telephone number
National Insurance number
Passport number
This personal information is taken instead of a real signature and is used to confirm that this application complies with the law. It won't be placed on the public record.
Enter Town of birth
Enter Mother's maiden name
Enter Father's first name
Enter Telephone number
Enter National Insurance number
Enter Passport Number
Date
*
Any Additional Information
Message
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