Thank you for taking the time to complete this form.
Please, keep in mind that you'll need the details for at least two of the Company's Directors in order to complete it (Residential Address, National Insurance Number, Date of Birth).
Company Registered Name*
Company Trading Name
Date of Incorporation*
Principal Trading Address
Nature of activities*
Who oversees the day-to-day operations of the business?*
Legal Structure of the business?*
Limited Company (LTD)Limited Partnership (LLP)Sole TraderPartnership
Expected Annual Income/Turnover For The Next 12 Months*
Pre-Revenue<£1m£1m to £10m>£10m
Key Source(s) of Income and Capital*
Operational Cash FlowDebtEquity Financing
Typical Revenue Transaction For The Next 12 Months*
<£100£100 to £1,000>£1,000
Expected Profit For The Next 12 Months*
Loss-Making<£1m£1m to £10m>£10m
How Many Beneficial Owners Does The Company Have?*
Are Any Of Your Beneficial Owners A Corporate Entity*
We will need to contact you to get additional information on your Beneficial Owners.
Are Any Of Your Beneficial Owners Also A Director?*
Date of Birth*
National Insurance Number*
Residential Address(es) for the last 3 years (where possible, specify the move-in date)*
Driving Licence Number
Please add below any other relevant details on the beneficial owners (individuals or corporate entities) of your Company
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