Agents Registraion
Business Name
*
Trading as
Address Line 1
*
Address Line 2
Post Code
*
Telephone Number
*
Mobile Number
Fax Number
Email
Year Business Commenced Trading
Type of Business
*
Sole Trader
Partnership
Limited Company
If Limited Company
Registration Number
Date of Incorporation
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Month
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Day
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1920
Year
Registered Office Address
Post Code
Full Name & private addresses of Directors/Partners/Proprietors
1
Name
Address
Post Code
Telephone Number
Length of time at this address
2
Name
Address
Post Code
Telephone Number
Length of time at this address
Has the company or any associated persons on this application ever:
Been convicted of any money laundering offence
Yes
No
Filed for Bankrupcy or been subjected to any involuntary bankrupcy
Yes
No
Documents Required
MLR Certificate
Browse Files
Cancel
of
Passport Copy of Owner
Browse Files
Cancel
of
Residential Proof of Owners
Browse Files
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of
Company's Proof of Address
Browse Files
Cancel
of
Declaration
*
I hereby declare that the information i have given is true and correct
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