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is as follows: Street Address # of Apts Unit Telephone # Post code Area Unit Name (if different) Email Name of Contact Person(s) Name of Contact Person(s) 1. Name of my proposed company: PLC/Limited/Unlimited* 2. Address I am intending to operate my proposed company from: 3. I am not an officer of my proposed company I have obtained my approval of my application from a director or any person authorised in writing to act in relation to my proposed company 4. Name of my proposed director(s): Name of my proposed director(s): 5. Address for each director: Address for each director: Please provide a copy of your company registration and/or company charter. Please provide a copy of any amendments or amendments that you would like to make to your company registration or to the terms and conditions of your company charter. 6. If you are the owner: If you are the owner: 7. If you are not the owner: Please provide a written estimate of your expected annual loss of assets for the period you intend to operate as a PLC. Please provide a written estimate of your expected annual loss of assets for the period you intend to operate as a PLC. 8. If you have been operating as a PLC for an aggregate of at least three financial years: If you have been operating as a PLC for an aggregate of at least three financial years: 9. If you do not have a financial history since the commencement of your PLC's activities: If you do not have a financial history since the commencement of your PLC's activities: 10. Please provide a written estimate of your expected annual losses of assets for the period of time you intend to establish your PLC. Please provide a written estimate of your expected annual losses of assets for the period of time you intend to establish your PLC. 11. Please provide a written estimate of your expected annual profit for the period of time you intend to establish your PLC. Please provide a written estimate of your expected annual profit for the period of time you intend to establish your PLC. 12. If you have been operating your PLC as an employee: If you have been operating your PLC as an employee: 13. Address for each employee: Address for each employee: 14. If you have been operating your PLC as an independent contractor: If you have been operating your PLC as

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The form CR14 is a document that gives details of the directors and secretaries of the company.