Incorporation Form

Company Name
The proposed name of the new Company in order of preference is
1st Choice*:
2nd Choice*:
3rd Choice*:
Director 1
Name*:
Address*:
Resident in Ireland*:	yes no
PPS No*:
Date of Birth*: [ dd/mm/yy ]
Occupation*:
Nationality*:
Other Directorships
Company Name:
CRO No:
Please email if you have more than one other Directorship

Director 2
Name:
Address:
Resident in Ireland:	yes no
PPS No:
Date of Birth:
Occupation:
Nationality:
Other Directorships
Company Name:
CRO No:
Please email if you have more than one other Directorship

Company Secretary
Name:
Address:
Date of Birth:
Occupation:
PPS No:
Nationality:
Other Directorships
Company Name:
CRO No:
Please email if you have more than one other Directorship

Registered Office:
Business Address:
Authorised Share Capital:
Shareholders
Name:
Address:
No of shares:
Main objects of proposed company:
Order Placed by:

company secretarial