Incorporation Form

1 Company Information

2 Director Information

3 Company Secretary

4 Members & Shares

5 Order Confirmation

Part 1: Company Information
Company Type*
- Private Company Limited by Shares (LTD)
- Designated Activity Company Limited (DAC)
- Company Limited by Guarantee
- Unlimited Private Company
Company Name*
Please list three names in order of preference
Principal Activity of the Company*
Pleae provide precise details of the business to be carried out by the new company
Registered Office Address*
Must be within the Republic of Ireland only

Street Address Address Line 2 City County / State / Region Country
Place of Business*
Same as previous

Street Address Address Line 2 City County / State / Region Country

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Part 2: Director Information
An LTD may have a minimum of one director. All other companies require a minimum of two
- Director 1
- Name*
  Full name (no initials)
  First Last
- Previous Name(s), if any
  Maiden name not necessary
- Residential Address*
  Including post code
  
  Street Address Address Line 2 City County / State / Region Country
- Date of Birth*
  A director must be, at least, 18 years old
- Occupation*
- Nationality*
- EEA Resident
  The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway
  - Yes
  - No
- Other Directorships
  Please include a list of the companies the above person is or has been a director of in the past 5 years to include: place of incorporation and registration number. If there are no other directors, please insert “none”.
- Director 2
- Name
  Full name (no initials)
  First Last
- Previous Name(s), if any
  Maiden name not necessary
- Residential Address
  Including post code
  
  Street Address Address Line 2 City County / State / Region Country
- Date of Birth
  A director must be, at least, 18 years old
- Occupation
- Nationality
- EEA Resident
  The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway
  - Yes
  - No
- Other Directorships
  Please include a list of the companies the above person is or has been a director of in the past 5 years to include: place of incorporation and registration number. If there are no other directors, please insert “none”.
More than 2 Directors?*
Add additional directors
- Yes
- No
Additional Director
Name
Full name (no initials)
First Last
Previous Name(s), if any
Maiden name not necessary
Residential Address
Including post code

Street Address Address Line 2 City County / State / Region Country
Date of Birth
A director must be, at least, 18 years old
Occupation
Nationality
EEA Resident
The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway
- Yes
- No
Other Directorships
Please include a list of the companies the above person is or has been a director of in the past 5 years to include: place of incorporation and registration number. If there are no other directors, please insert “none”.
Remove Additional DirectorAdd Additional Director

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Part 3: Company Secretary
The sole director of an LTD company cannot act as company secretary
Company Secretary*
Will your company secretary be an individual or a company?
- Individual
- Company
Name*
Full name (no initials)
First Last
Residential Address*
Including post code

Street Address Address Line 2 City County / State / Region Country
Date of Birth*
Nationality
Company name*
Registered Office Address*
Including post code

Street Address Address Line 2 City County / State / Region Country
Company Registration Number*

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Please list all Members
Part 4: Members & Shares
Member Information
Name
Shares to be Issued
Address of Member
Street Address Address Line 2 City County / State / Region Country
Remove memberAdd another member

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Part 5: Order Confirmation
Compliance with the Companies Registration Office
The CRO operates a rigorous compliance system, including late filing fees and loss of audit exemption. Do you wish for us to assist with your ongoing compliance obligations?
- Yes
- No
Confirmation of Order
To: Beacon Company Secretaries Limited, please proceed with this incorporation order on the basis of the information provided in this document and in accordance with your standard terms & conditions of business. I note that your normal fee in this matter may be subject to change to cover any non-standard instructions contained in this order form and that as the provider of instructions, my firm or I, as the case may be, is responsible for the disbursement of your fee.
Name and Firm*
Address*
Street Address Address Line 2 City County / State / Region Country
Phone*
*
Email*
Date*
Notes
Phone
This field is for validation purposes and should be left unchanged.

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Please complete the order form in full before moving to the next step

Part 1: Company Information

Part 2: Director Information

Director 1

Director 2

Additional Director

Part 3: Company Secretary

Please list all Members

Part 4: Members & Shares

Member Information

Part 5: Order Confirmation

Confirmation of Order

Beacon Company Secretaries Limited

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