FORM C

Companies House - Identity Verification for a Director and/or Shareholder

1. Full Name*

2. Address of current primary residence*

3. Date of birth*

4. Please upload a form of photographic identity (eg driving licence or passport)*

5. Please upload a utility bill or council tax bill showing your name and address as on the photographic ID.*

If it is too much trouble to upload a copy of your photographic identification here, please feel free to submit a copy by other means (eg email, post etc).

Langstaffs

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