Company Incorporation Application

Important. Questions with on-line help are shown as links on your browser.

Details of primary applicant

Full Name
Former Name
Full Postal Address
City / State / Area Country
Zip / Post / Code Email
Phone no. (inc. code) Fax no.
Place of Birth & Nationality
Occupation
Passport No. Place of Issue

(Please provide a copy of the relevant pages of your passport)

Will you be a shareholder? Yes No
Do you wish OCM to act as nominee shareholder? Yes No
Number of shares to be allotted or to be held in trust
Will you be a director? Yes No
Do you wish OCM to act as nominee director? Yes No

Proposed Company details (Please provide as much detail as possible)

2nd choice name

3rd choice name

Other shareholder details:

Full Name
Former Name
Address
City / State / Area Country
Zip / Post / Code Email
Phone no. (inc. code) Fax no.
Place of Birth & Nationality
Occupation
Passport No. Place of Issue

(Please provide a copy of the relevant pages of your passport)

Do you wish OCM to act as nominee shareholder? Yes No
Number of shares to be allotted or to be held in trust
Will you be a director? Yes No
Do you wish OCM to act as nominee director? Yes No

 

Other shareholder details:

Full Name
Former Name
Address
City / State / Area Country
Zip / Post / Code Email
Phone no. (inc. code) Fax no.
Place of Birth & Nationality
Occupation
Passport No. Place of Issue

(Please provide a copy of the relevant pages of your passport)

Do you wish OCM to act as nominee shareholder? Yes No
Number of shares to be allotted or to be held in trust
Will you be a director? Yes No
Do you wish OCM to act as nominee director? Yes No
Full Name
Organisation / Co.
Address
City / State / Area
Zip / Post / Code
Profession
Relationship to applicant
Full Name
Organisation / Co.
Address
City / State / Area
Zip / Post / Code
Profession
Relationship to applicant

 

Full Name
Organisation / Co.
Address
City / State / Area
Zip / Post / Code
Profession
Relationship to applicant

 

Please select services to be provided by OCM

Yes 

No

Yes

No

Yes

No

Number of Directors to be provided

1

2

All

Yes

No

Number of Nominees to be provided

1

2

All

Yes

No

Yes

No

Tax/Residency Compliance Declaration Annually

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

UK Address Required

Yes

No

Yes

No

Please state your business or other address if you wish mail to be sent there

Address Designation
Contact Name / Title
Address
City / State / Area Country
Zip / Post / Code Email
Phone Fax

Please address all correspondence to
Business Address Home Address

Other matters. Please answer the following question by ticking appropriately.

Bankruptcy and Corporate Failure

Have you, or has any corporation of which you have been a Director or Officer within the last ten years ever gone into creditors liquidation, or been obliged to compound with creditors?

Yes No

If yes please give details below.

Tax Investigation or Litigation

Are you currently being investigated by or involved in litigation with HM Inland Revenue or HM Customs and Excise or other tax authorities in any Jurisdiction?

Yes No

If yes please give details below.

Criminal Offences

Have you or any companies of which you have been a Director or an Officer ever been convicted of any serious crime or any offence consequent upon on investigation by law enforcement agency or regulatory body or any foreign government or agency?

  Yes No

If yes please give details below.

Please state any other details or information you feel may be relevant to your application.