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S.I. No. 161/1991 - Companies (Forms) Order, 1991

Type Statutory Instrument
Publication 1991-06-26
Last updated 2014-12-23
State Repealed superseded text
Text As published
Source Irish Statute Book
articles 9

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

Reform history JSON API
Statement of first secretary and directors and situation of registered office Companies Acts 1963 to 1986 Companies Acts 1963 to 1986 Companies Acts 1963 to 1986 Registration fee stamp to be affixed above A1
Section 3 of Companies (Amendment) Act, 1982
Declaration of compliance Company number Company number Company number
Section 5 of the Companies (Amendment) Act, 1983 ||||___|__ ||||___|__ ||||___|__
Please complete using black blocks capitals or typewriting Company name in full
Limited
Note one Maximum number of characters per line characters per line is thirty. Please leave one space between words Address of registered office note one Address of registered office note one Address of registered office note one Address of registered office note one Address of registered office note one
Note one Maximum number of characters per line characters per line is thirty. Please leave one space between words |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Note one Maximum number of characters per line characters per line is thirty. Please leave one space between words |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
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If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address Agent's name Agent's name Agent's name
If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address Agent's address Agent's address Agent's address
If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address
If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address If the memorandum is delivered by an agent for the subscribers of the memorandum mark "x" in this box and insert the agent's name and address
Number of continuation sheets attached Number of continuation sheets attached Number of continuation sheets attached
Particulars of secretary Particulars of secretary
Note two Insert full name (initials will not suffice) and usual residential address. Where there are joint secretaries, details and signature of consent should be annexed hereto Names and particulars of the person(s) who is/are to be secretary/joint secretaries Names and particulars of the person(s) who is/are to be secretary/joint secretaries
Note two Insert full name (initials will not suffice) and usual residential address. Where there are joint secretaries, details and signature of consent should be annexed hereto Surname note two Surname note two Forname note two Forname note two Forname note two
Note two Insert full name (initials will not suffice) and usual residential address. Where there are joint secretaries, details and signature of consent should be annexed hereto
Note two Insert full name (initials will not suffice) and usual residential address. Where there are joint secretaries, details and signature of consent should be annexed hereto Former Surname note three Former Surname note three Former Surname note three Former Forename note three Former Forename note three
Note three Former forename or surname does not includethe following: Address note two Address note two
Note three Former forename or surname does not includethe following:
In the case of a person known by a title different from his surname, the name by which he was known previous to the adoption of the title:
In the case of a person known by a title different from his surname, the name by which he was known previous to the adoption of the title:
In the case of a person known by a title different from his surname, the name by which he was known previous to the adoption of the title: I hereby consent to act as secretary of the aforementioned company I hereby consent to act as secretary of the aforementioned company I hereby consent to act as secretary of the aforementioned company I hereby consent to act as secretary of the aforementioned company I hereby consent to act as secretary of the aforementioned company
In the case of a person known by a title different from his surname, the name by which he was known previous to the adoption of the title:
Signature Signature Date Date Date
In the case of any person, a former forename or surname where that name 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 any person, a former forename or surname where that name 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 any person, a former forename or surname where that name 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 Presenter's name Presenter's name Address Address Address
In the case of any person, a former forename or surname where that name 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 any person, a former forename or surname where that name 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 any person, a former forename or surname where that name 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 the marriage.
Telephone Number Telephone Number Reference Reference Reference
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Particulars of Directors (including shadow directors) Particulars of Directors (including shadow directors) Particulars of Directors (including shadow directors) Particulars of Directors (including shadow directors) Particulars of Directors (including shadow directors)
Names and particulars of the persons who are to be the first directors of the company Names and particulars of the persons who are to be the first directors of the company Names and particulars of the persons who are to be the first directors of the company Names and particulars of the persons who are to be the first directors of the company Names and particulars of the persons who are to be the first directors of the company
Surname note two Forename note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three Former Forename note three
Date of birth: Date of birth: Day Day
Business Occupation Nationality Nationality Nationality Nationality
Home Address note two
Other directorships note four Registered at note five Registered at note five Registered at note five Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date
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 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 subsididiaries of the company
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 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 subsididiaries of the company
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 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 subsididiaries of the company Surname note two Forename note two Forename note two Forename note two Forename note two
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 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 subsididiaries of the company Former Surname note three Former Forename note three Former Forename note three Former Forename note three Former Forename note three
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 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 subsididiaries of the company Date of birth: Day Day Day
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 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 subsididiaries of the company Business Occupation Nationality Nationality Nationality Nationality
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 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 subsididiaries of the company Home Address note two
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 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 subsididiaries of the company
Other directorships note four Registered at note five Registered at note five Registered at note five Registered at note five Company number
Note five Place of incorporation if outside the State
Note five Place of incorporation if outside the State
I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date
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Surname note two Forename note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three Former Forename note three
Date of birth Date of birth Day Day Month
Business Occupation Nationality Nationality Nationality Nationality
Home Address note two
Other directorships note four Registered at note five Registered at note five Registered at note five Registered at note five Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date
Surname note two Forename note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three Former Forename note three
Date of birth Date of birth Date of birth Day Month
Business Occupation Nationality Nationality Nationality Nationality
Home Address note two
Other directorships note four Registered at note five Registered at note five Registered at note five Registered at note five Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date
Surname note two Forename note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three Former Forename note three
Date of birth Day Day Day Month
Business Occupation Nationality Nationality Nationality Nationality
Home Address note two
Other directorship note four Registered at note five Registered at note five Registered at note five Registered at note five Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date
--- --- --- --- --- ---
Surname note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three
Date of birth: Date of birth: Day Month Year
Business Occupation Nationality Nationality Nationality
Home Address note two
Other directorships note four Registered at note five Registered at note five Registered at note five Company number Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date Date Date
Surname note two Forename note two Forename note two Forename note two
Former Surname note three Former Forename note three Former Forename note three Former Forename note three
Date of birth: Day Day Month Year
Business Occupation Nationality Nationality Nationality
Home Address note two
Other directorships note four Registered at note five Registered at note five Registered at note five Company number Company number
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I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company I hereby consent to act as director of the aforementioned company
Signature Date Date Date
Signed by or on behalf of the subscribers to the memorandum Signed by or on behalf of the subscribers to the memorandum Signed by or on behalf of the subscribers to the memorandum Signed by or on behalf of the subscribers to the memorandum Signed by or on behalf of the subscribers to the memorandum Signed by or on behalf of the subscribers to the memorandum
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
Signature □ Subscriber □ Agent □ Subscriber □ Agent □ Subscriber □ Agent Date Date
--- --- --- --- --- ---
Declaration of compliance
I name of home address of home address of home address of home address
Note six "A solicitor engaged in the formation " or " a person named as director/secretary" do solemnly and sincerely declare that I am (note six) do solemnly and sincerely declare that I am (note six) do solemnly and sincerely declare that I am (note six) do solemnly and sincerely declare that I am (note six) do solemnly and sincerely declare that I am (note six)
Note six "A solicitor engaged in the formation " or " a person named as director/secretary"
of company of company
and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 . and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 . Declared before me by Declared before me by Declared before me by
and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 . and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 .
and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 . and that all the requirements of the Companies Acts, 1963 to 1990 in respect of the registration of the said company, and of maters precedent and incidental thereto have been complied with. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938 . who is personally known to me or who is identified to me by who is personally known to me or who is identified to me by who is personally known to me or who is identified to me by
Signature of Declarant Signature of Declarant who is personally known to me at who is personally known to me at who is personally known to me at
Commissioner for Oaths Commissioner for Oaths
□ Commissioner for Oaths □ Commissioner for Oaths
□ Notary Public □ Peace Commissioner □ Notary Public □ Peace Commissioner this day of 19

Part IV
Restoration to register of company struck off Companies Acts 1963 to 1990 Companies Acts 1963 to 1990 Registration fee stamp to be affixed above Registration fee stamp to be affixed above
Section 311A, Companies Act, 1963 H1 H1
Section 246, Companies Act, 1990 Company number Company number
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Please complete using black block capitals or typewriting Company name in full
Please complete using black block capitals or typewriting Limited Limited
Note one All outstanding annual returns of the company, if any, must be submitted hereby applies to be restored to the register of companies under section 311A of the Companies Act, 1963 note one hereby applies to be restored to the register of companies under section 311A of the Companies Act, 1963 note one hereby applies to be restored to the register of companies under section 311A of the Companies Act, 1963 note one hereby applies to be restored to the register of companies under section 311A of the Companies Act, 1963 note one hereby applies to be restored to the register of companies under section 311A of the Companies Act, 1963 note one
The company was dissolved on The company was dissolved on The company was dissolved on The company was dissolved on The company was dissolved on
Day Month Month Year Year
Signature □ Director □ Company secretary □ Company secretary Date
Name Block letters please
Presenter's name Address Address
Telephone Number Reference Reference

Part V

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