Application Form for UK Companies * indicates required field Items of Particular Interest General Information Select Jurisdiction:* United Kingdom Name of the company to be incorporated or purchased: First Choice:* Second Choice:* Third Choice:* Do you want us to provide our own Nominee Secretary? Do you want us to provide our own Registered Office in London? Please advise the Name, Address, Telephone Number, Date & Place of Birth, Nationality, Mother's Maiden Name of at least one person to appear as the Company Director (it cannot be the same with the Company Secretary): First Director: (mandatory)* Second Director: (optional) Third Director: (optional) Please advise the Registered Office Address in the United Kingdom (in case you do NOT want to use our own facility in London):* Please list below a general description of the main activities of the company:* Special instructions (if any): Name:* Date:* ADDRESS Street:* City:* State/Province:* Postal Code:* Country:* Phone:* Fax: Email:* CAPTCHA Code:*