Registration of Business Name for Individual Form

company secretarial

Business Name to be registered*:
Date of adoption of business name*: [ dd/mm/yy ]
Address of principal place of business*:
Other Business Name(s) under which this business is conducted:
Name of Individual*:
Residential Address*:
Country of Nationality*:
Resident in Ireland*:	yes no
Date of Birth*: [ dd/mm/yy ]
Business Occupation*:
Other Directorships
Company Name:
CRO No: