LegalizeS.I. No. 161/1991 - Companies (Forms) Order, 1991
This is the act as published. Later amendments are not folded into the text below: each one is a separate act in this repository and an entry in this law's history.
3 amending acts · 2014-12-23, Companies Act 2014
S.I. No. 161 of 1991.
COMPANIES (FORMS) ORDER, 1991.
I, DESMOND O'MALLEY, Minister for Industry and Commerce, in exercise of the powers conferred on me by sections 160 , 195 , 311 A, 395 and 396 of the Companies Act, 1963 (No. 33 of 1963), hereby order as follows:
1.
1.
(1) This Order may be cited as the Companies (Forms) Order, 1991.
- (2) The Companies (Forms) Orders, 1964 to 1990, and this Order may be cited together as the Companies (Forms) Orders, 1964 to 1991.
2.
2.
This Order shall come into operation on the 1st day of July, 1991.
3.
3.
In this Order—
"the Act of 1963" means the Companies Act, 1963 (No. 33 of 1963);
"the Act of 1990" means the Companies Act, 1990 (No. 33 of 1990).
4.
4.
The form set out in Part I of the Schedule to this Order, or a form to the like effect, is hereby prescribed as the form to be used for the purposes of section 160 (5A) (inserted by section 183 of the Act of 1990) of the Act of 1963 with such variations as circumstances require.
5.
5.
The Companies (Forms) Order, 1964 ( S.I. No. 45 of 1964 ), is hereby amended by the substitution for Form No. 9 (inserted by Article 3 of the Companies (Forms) Order, 1982 ( S.I. No. 256 of 1982 )) in the Schedule thereto of Form B10 set out in Part II of the Schedule to this Order.
6.
6.
The Companies (Forms) Order, 1982 ( S.I. No. 256 of 1982 ), is hereby amended by the substitution for Form No. A1 (inserted by Article 4 of the Companies (Forms) Order, 1987 ( S.I. No. 147 of 1987 )) in Part I of the Schedule thereto of the form set out in Part III of the Schedule to this Order.
7.
7.
The form set out in Part IV of the Schedule to this Order, or a form to the like effect, is hereby prescribed as the form to be used for the purposes of section 311A (inserted by section 246 of the Act of 1990) of the Act of 1963 with such variations as circumstances require.
8.
8.
The Fifth Schedule to the Act of 1963 is hereby altered by the substitution for the form set out in Part II of the forms set out in Part V of the Schedule to this Order.
9.
9.
The Companies (Forms) Order, 1964 is hereby amended by the deletion in the Schedule of Form No. 9A.
SCHEDULE
FORMS
Part I
| Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | |||
| Notice of Removal of Auditor | Notice of Removal of Auditor | ||||||||
| Section 160, Companies Act, 1963 | Section 160, Companies Act, 1963 | H3 | H3 | H3 | |||||
| Section 183, Companies Act, 1990 | Section 183, Companies Act, 1990 | ||||||||
| Company number | Company number | Company number | Company number | ||||||
| |___|___|___|___| | |___|___|___|___| | |___|___|___|___| | |___|___|___|___| | ||||||
| Please complete using black block capitals or typewriting | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ | Company name in full______ |
| Please complete using black block capitals or typewriting | |||||||||
| Limited | Limited | ||||||||
| Note one Notice must be filed within 14 days of the resolution being passed | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one | A resolution removing note one |
| Note one Notice must be filed within 14 days of the resolution being passed | Name __ | ||||||||
| Note one Notice must be filed within 14 days of the resolution being passed | Address______ | ||||||||
| an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | an auditor of the above-named company was duly passed pursuant to section 160 (5) of the Companies Act, 1963 on the | |
| Day | Month | Month | Month | Month | Month | Year | Year | Year | |
| I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | I hereby certify that the above particulars are correct | |
| Signature | Signature | Signature | □ Director | □ Director | □ Company secretary | □ Company secretary | □ Company secretary | Date____ | |
| Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | |
| Presenter's name | Presenter's name | Presenter's name | Presenter's name | Address_____ | Address_____ | Address_____ | Address_____ | Address_____ | |
| Telephone Number_____ | Telephone Number_____ | Telephone Number_____ | Telephone Number_____ | Reference | Reference | Reference | Reference | Reference |
Part II
| Notice of change of directors or secretaries | Notice of change of directors or secretaries | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Companies Acts 1963 to 1990 | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | Registration fee stamp to be affixed above | |
| Section 195, Companies Act, 1963 | Section 195, Companies Act, 1963 | B10 | B10 | B10 | B10 | B10 | B10 | ||||||||
| Section 51, Companies Act, 1990 | Section 51, Companies Act, 1990 | ||||||||||||||
| Company number | Company number | Company number | Company number | Company number | Company number | Company number | |||||||||
| |_||||___ | |_||||___ | |_||||___ | |_||||___ | |_||||___ | |_||||___ | |_||||___ | |||||||||
| Please complete using black block capitals or typewriting | Company name in full__ | Company name in full__ | |||||||||||||
| Please complete using black block capitals or typewriting | |||||||||||||||
| Limited | Limited | Limited | Limited | Limited | Limited | Limited | |||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one | gives notice of the following change(s) note one |
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | Date change(s) take(s) effect | Date change(s) take(s) effect | Date change(s) take(s) effect | Date change(s) take(s) effect | Date change(s) take(s) effect | Day | Day | Month | Month | Month | Month | Year | Year | Year | Year |
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two | Particulars of new director (including shadow director)/secretary note two |
| Note one Give details of change(s) and specify date. Only changes which occur on the same date may be registered by this notification. Otherwise, separate notifications should be made. If a new director or secretary has been appointed complete the next section. | |||||||||||||||
| Surname note three | Surname note three | Surname note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | Forename note three | ||
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | Former surname note five | Former surname note five | Former surname note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | |
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | Business Occupation note four | Business Occupation note four | Business Occupation note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Day | Month | Year | |
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | |||||||||||||||
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | |||||||||||||||
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | |||||||||||||||
| Note two Delete as appropriate. Where particulars of directors are included by virtue of section 195 (9) the directors consent need not be completed | Other directorships note six | Other directorships note six | Other directorships note six | Other directorships note six | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Company number | Company number | Company number |
| | | | | | | |||||||||||||
| Note three Insert full name (initials will not suffice) and usual residential address. Where all the partners in a firm are joint secretaries the name and principal address of the firm alone may be given. | | | | | | | ||||||||||||
| | | | | | | |||||||||||||
| I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | ||||||||||
| Signature | Signature | Signature | Signature | Date | Date | Date | Date | Date | Date | Date | Date | ||||
| Note four Applicable to direcors only | |||||||||||||||
| I hereby certify that the particulars contained in this form are correct | I hereby certify that the particulars contained in this form are correct | I hereby certify that the particulars contained in this form are correct | I hereby certify that the particulars contained in this form are correct | □ Director | □ Director | □ Director | □ Director | □ Director | □ Director | □ Company Secretary | □ Company Secretary | □ Company Secretary | □ Company Secretary | □ Company Secretary | |
| Signature | Signature | Signature | Signature | Date | Date | Date | Date | Date | Date | ||||||
| Name Block letters please | Name Block letters please | Name Block letters please | Name Block letters please | ||||||||||||
| Presenter's name | Presenter's name | Presenter's name | Presenter's name | Address | Address | Address | Address | Address | Address | ||||||
| Telephone Number | Telephone Number | Telephone Number | Telephone Number | Reference | Reference | Reference | Reference | Reference | Reference |
Particulars of director (including shadow directors)/secretary note two
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | Surname note three | Surname note three | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | |
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | Former surname note five | Former surname note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | |
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | Business Occupation note four | Business Occupation note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Day | Day | Day | Day | Month | Month | Month | Year | Year | |
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | Home address note three | Home address note three | Home address note three | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four |
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | ||||||||||||||||||
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | ||||||||||||||||||
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | ||||||||||||||||||
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | ||||||||||||||||||
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | Other directorship note six | Other directorship note six | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number |
| Note five Former forname or surname does not include the following: In the case of a person usually known by atitle different from his surname, the name by which he was known previous to the adoption of or succession to the title;. | | | | | | | | | | | | | | | | | | | |||||||||
| | | | | | | | | | | | | | | | | | | ||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | |||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Signature | Signature | Date | Date | Date | Date | Date | Date | Date | |||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | ||||||||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Surname note three | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | |
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Former surname note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | |
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Business Occupation note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Day | Day | Day | Day | Month | Month | Month | Year | Year | Year | |
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Home address note three | Home address note three | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four |
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | ||||||||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | ||||||||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | ||||||||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | ||||||||||||||||||
| in the case of any person, a former forename or surname where that forename or surname was changed or disused before the person bearing the name attained the age of 18 years or has been changed or disused for a period of not less than 20 years; in the case of a married woman, the name or surname by which she was known previous to her marriage. | Other directorships note six | Other directorships note six | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number |
| | | | | | | | | | | | | | | | | | | ||||||||||
| | | | | | | | | | | | | | | | | | | ||||||||||
| Note six Applicable to directors only. | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | ||||||||||||||
| Signature | Signature | Date | Date | Date | Date | Date | Date | Date | ||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Surname note three | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | Forename | |
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Former surname note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | |
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Business Occupation note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | |
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Home address note three | Home address note three | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Day | Day | Day | Day | Month | Month | Month | Month | Month | Month | Year |
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Other directorship note six | Other directorship note six | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number |
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | | | | | | | | | | | | | | | | | | | |||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | | | | | | | | | | | | | | | | | | | |||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | |||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | Signature | Signature | Date | Date | Date | Date | Date | Date | Date | |||||||||
| Company name and number of other bodies corporate, whether incorporated in the State or elsewhere, except for bodies of which the person has not been a director at any time during the past ten years bodies of which the company is (or was at the relevant time) a wholly owned subsidiary bodies which are (or were at the relevant time) wholly owned subsidiaries of the company. Note seven Place of incorporation if outside the State. | ||||||||||||||||||
| Surname note three | Forename | Forename | Forename | Forename | Forename | Forename | Forename | |||||||||||
| Former surname note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | Former forename note five | |||||||||||
| Business Occupation note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | Date of Birth note four | |||||||||||
| Home address note three | Home address note three | Nationality note four | Nationality note four | Nationality note four | Nationality note four | Day | Day | Day | Day | Month | Month | Month | Month | Year | Year | Year | Year | |
| Other directorships note six | Other directorships note six | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Registered at note seven | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number | Company number | |
| I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | I hereby consent to act as director/secretary of the aforementioned company note two | ||||||||||||||
| Signature | Signature | Date | Date | Date | Date | Date | Date | Date | ||||||||||
Part III
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