Consultation & Application Check Application Form

Step One
First Name
Surname
Email
Name of agent firm (if relevant)
Address of agent firm (if relevant)
Contact number (incl. area code)
What is your relationship with the company?
(e.g. presenter, director, please specify)


Step Two - Company strike-off Information
Name of company
Previous name of company
(if changed within last 12 months)


Registered "trading-as" business name(s) (if any)
Other trading names used in last 12 months (if any)
Registered office
Former registered office
(if changed within last 12 months)
Principal place of business
(if different to current registered office)
Company registration number
Has this company ever traded?YesNo
Are you authorised to engage us on behalf of the above company?Yes
Does the company have any assets or liabilities in excess of €150? (the answer must be "no" before we can commence)No


Step Three - Strike-off by order of
First Name
Surname
Position within the company?DirectorSecretary
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