(A) Your email address:

(1) What is the full name of the company?

(2) Did Company Registrations Online form this company?

Yes - please go to Question (3)
No - please go to Question (4)

(3) Have there been subsequent changes to the company's shareholders, shareholding, directors, secretary or registered office?

Yes - please specify detais of all changes below
No - please go to Question (12)

(4) Please state the company incorporation number:

(5) Please state the full date of incorporation:

(6) What is the full Registered Office address of the company (including postcode)?

(7) What is the Accounting Reference Date (ARD) for the company?

(8) What is the company's Authorised Capital?

N.B. If there are multiple share classes, please advise us separately

(9) Please provide full names, addresses and current share allocation for all shareholders below - continue in additional information field at the end of the form if there are more than four shareholders:

1st Shareholder (a) Title Mr Mrs Miss Ms Dr Rev Please select (b) Name (c) Number of shares (d) Address (including postcode)	2nd Shareholder (a) Title Mr Mrs Miss Ms Dr Rev Please select (b) Name (c) Number of shares (d) Address (including postcode)
3rd Shareholder (a) Title Mr Mrs Miss Ms Dr Rev Please select (b) Name (c) Number of shares (d) Address (including postcode)	4th Shareholder (a) Title Mr Mrs Miss Ms Dr Rev Please select (b) Name (c) Number of shares (d) Address (including postcode)

(10) Please provide the full name of the Company Secretary:

(11) Please provide the full names of all Directors:

(12) Should the Shareholders' Agreement specify a minimum or maximum number of directors? (Enter "none" if not relevant.)

(13) Is there an appointed Chairman?

Yes - please state his/her name below
No - please go to Question (14)

(14) Is a Chairman to be appointed (we will do this if required)?

Yes - please state his/her name below
No - please go to Question (16)

(15) Should the Chairman have a casting vote?

Yes
No

(16) Enter the name, address and postcode of the company's Accountants / Auditors (Enter "none" if none appointed):

(17) Enter the name, address and postcode of the company's Bankers (Enter "none" if none appointed):

(18) Do you require any specific cheque signing instructions (e.g. named signatories, authorised limits)?

Yes - please specify below
No - please go to Question (19)

(19) Please specify any amounts (or leave blank if not relevant) above which ALL shareholders must give approval before committing the company in respect of:

(a) borrowing:
(b) legal proceedings:
(c) capital expenditure:

(20) Is it to be assumed that full rights of pre-emption for share transfers are to be included?

Yes - please go to question (21)
No - please specify exceptions below

(21) Will the shareholders have varying rights in respect of:

(a) appointing directors?

Yes - please specify below
No - please go to question (21)(b)

(b) transferring shares?

Yes - please specify below
No - please go to question (22)

(22) Would a minority shareholder who is also an employee of the company be required to relinquish his or shares upon cessation of employment?

Yes - please specify below
No - please go to question (23)

(23) Please specify the percentage shareholding below which shareholders would cease to be party to the agreement (Enter "none" if not relevant):

(24) If the agreement is not intended to run indefinitely, please specify your preferred expiry date below:

(25) Please specify below any other requirements not covered elsewhere in the questionnaire (or use this space to include the titles, names, addresses, postcodes and number of shares held for any additional shareholders not submitted in question 9).

Note: There may be an additional charge if extra time is required to redraft our standard document. We will advise you before commencing any work if applicable.