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Address services registration

Address Services Registration

Welcome to Elemental CoSec and thank you in advance for your time in completing this form. This form is designed for new clients who wish to make use of one or more of our address services.

As part of our client opening procedures and as required by UK law, we need to collect certain information on you and the beneficial owners. This form will take you through the requirements. If you do not have the relevant information to hand, you can still complete the form and provide the information later.

We believe this is one of the most convenient methods for both you and us, but please feel free to contact us if you would rather provide the information in another manner.

Step 1 of 3

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Mailing Service*
Please select whether you would like to use our registered office service only or our full mailing address service. Please note that the registered office service is included as standard as part of the full mailing address service.
- Full Mailing Address (£240 per year plus £35 postage deposit)
- Registered Office (£100 per year)
Postage Deposit
A £35 postage deposit is required for the full mailing service. This will be drawn upon for postage charges as required.
Director's Service Address*
As well as a registered office, you can use our address for the director's service address to keep the director's residential address confidential. The fee is £40 per year. You will need to purchase this service for each director who wishes to use it.
Name of Director
Please provide the name of the director using the director's service address.
First Last
Name of Second Director
Please provide the name of the second director using the director's service address.
First Last
Name of Third Director
Please provide the name of the third director using the director's service address.
First Last
Name of Fourth Director
Please provide the name of the fourth director using the director's service address.
First Last
Name of Fifth Director
Please provide the name of the fifth director using the director's service address.
First Last
Payment Method*
Please indicate your preferred payment method.
- Bank Transfer
- Credit or Debit Card
- PayPal
Total
Please note that VAT at 20% will be added to all invoices.
£ 0.00

Client name*
Please provide the full company name of the proposed client. This will be the company that we are receiving mail for. If the company has not yet been formed, please insert the proposed name.
Is the company registered?*
Please confirm whether the company has already been formed or not. If you would like to use our registered office in the formation process, this is fine. Please just select 'No' below.
- Yes - Company already formed
- No - The company will be formed once the registered office is ready
Registered number*
Please provide the registered company number of the proposed client.
Registered Office*
Please provide the registered office of the client. This should be the current registered office rather than our address.

Street Address Address Line 2 City ZIP / Postal Code Country
Trading address
Please provide the main trading address of the client if different from the registered office.

Street Address Address Line 2 City ZIP / Postal Code Country
Mail Forwarding Address*
Please confirm where the mail should be forwarded upon receipt.
- Current registered office
- Trading address
- Other address
Mail Forwarding Address*
Please enter the address for mail to be forwarded to.

Street Address Address Line 2 City ZIP / Postal Code Country
Contact Name*
First Last
Contact Email*
Contact Phone*
Business website
If your business has a website, please enter it here.
Business purpose*
Please briefly described the nature of the business and any specific purpose of the company
Reason for UK Address*
Please explain why you need these address services for the business and how it will be used.
Volume of Mail*
Please provide an estimate of the volume of mail to be received.
Terms and conditions*
Please confirm that you have read, understood and accept Elemental CoSec's terms and conditions of business.
- I accept the terms and conditions

Beneficial owners

We are required to collect details of all major shareholders. This means all individuals who own 25% or more of the company or who exercise control over the company. If the individual owns the shares through a holding company, then please provide the details of the ultimate owner.

Full Name	Date of Birth	Address

First beneficial owner
Please confirm whether the first beneficial owner lives in the UK.
- UK Resident
- Non-UK Resident
Second beneficial owner (if applicable)
Please confirm whether the second beneficial owner (if any) lives in the UK.
- UK Resident
- Non-UK Resident
Third beneficial owner (if applicable)
Please confirm whether the third beneficial owner (if any) lives in the UK.
- UK Resident
- Non-UK Resident
Fourth beneficial owner (if applicable)
Please confirm whether the fourth beneficial owner (if any) lives in the UK.
- UK Resident
- Non-UK Resident
Identity Documents
Please upload the requested identity documents below (the options will appear when you have confirmed whether the beneficial owners are UK resident or not). If necessary, these documents can be provided separately.
Photo ID for first beneficial owner
Please provide a copy of a current photo ID such as a passport, government ID or photo driving licence.
Max. file size: 80 MB.
Address identity for first beneficial owner
Please provide a copy of a utility bill, bank statement of similar which includes the current address. The document should be less than three months old.
Max. file size: 80 MB.
Photo ID for second beneficial owner
Please provide a copy of a current photo ID such as a passport, government ID or photo driving licence.
Max. file size: 80 MB.
Address identity for second beneficial owner
Please provide a copy of a utility bill, bank statement of similar which includes the current address. The document should be less than three months old.
Max. file size: 80 MB.
Photo ID for third beneficial owner
Please provide a copy of a current photo ID such as a passport, government ID or photo driving licence.
Max. file size: 80 MB.
Address identity for third beneficial owner
Please provide a copy of a utility bill, bank statement of similar which includes the current address. The document should be less than three months old.
Max. file size: 80 MB.
Photo ID for fourth beneficial owner
Please provide a copy of a current photo ID such as a passport, government ID or photo driving licence.
Max. file size: 80 MB.
Address identity for fourth beneficial owner
Please provide a copy of a utility bill, bank statement of similar which includes the current address. The document should be less than three months old.
Max. file size: 80 MB.
If a non-UK resident is a beneficial owner, we will need to confirm their identity through other means. This can often be achieved relatively simply, but please get in touch to discuss this.
Name
This field is for validation purposes and should be left unchanged.

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