Company formation Form Company Name: * Please provide alternative names in case name rejected. Alternate Name 1: * Alternate Name 2: * Company Registered Address: * Please provide a registered address in Republic of Ireland. Company Address 1: * Company Address 2 Company Address 3 Principal Activity: * Amount per share: * Issued Share Capital: * Director 1 Name: * Director 1 Date of Birth: * Director 1 Nationality: * Director 1 Address 1: * Director 1 Address 2: Director 1 Address 3: Director 1 Occupation: * Director 2 name: Director 2 Date of Birth: Director 2 Address 1: Director 2 Address 2: Director 2 Address 3: Director 2 Occupation: Director 3 Name: Director 3 Date of Birth: Director 3 Nationality: Director 3 Address 1: Director 3 Address 2: Director 3 Address 3: Director 3 Occupation: Company Secretary Name: Date of Birth: Secretary Address 1: Secretary Address 2: Secretary Address 3: Subscriber 1 Name: Subscriber 1 Address: Subscriber 1 Shares: Subscriber 2 Name: Subscriber 2 Address: Subscriber 2 Shares: Submit
