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FCA Application Form

First of all, please tell us about your business
Business Name(*)
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Trading Name
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Business Address(*)
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Business Postcode(*)
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Business Telephone Number(*)
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Type of Business(*)
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Date Business Started dd/mm/yyyy(*)
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Financial Year End Date dd/mmmm(*)
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Current FCA Status(*)
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Business Website Address
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Contact Person(*)
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Contact Person email address(*)
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Contact Person's phone no:(*)
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Next, please give us your Accountants / Auditors details
Your Accountants Name(*)
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Your Accountants Address(*)
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Your Accountants Postcode(*)
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Contact Person at your Accountants(*)
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Job Title
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Accountants eMail address
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Accountants Telephone
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We need to know some personal details now. Please complete this section for either a partner, a director or the business owner
Full Name(*)
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Postion / Job Title(*)
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Time with the company(*)
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The FCA will require 10 years directorship history and 5 years employment history. Please provide further details below:
Further information
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% Control(*)
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Mobile Number(*)
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Email Address(*)
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Date of Birth dd/mm/yyyy(*)
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Country of Birth(*)
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Nationality(*)
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Passport number OR National Insurance Number(*)
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Current Home Address(*)
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Current Home Postcode(*)
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Residential Status
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Date Moved in dd/mm/yyyy(*)
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If less than three years, please provide previous address(es)
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Please now give the details of partner 2 or another director. If this is not applicable please scroll down and press next
Full Name
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Position / Job Title
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Time with the company
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The FCA will require 10 years directorship history and 5 years employment history. Please provide further details below:
Further information
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% Control
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Mobile Number
Invalid Input

Email Address
Invalid Input

Date of Birth dd/mm/yyyy
Invalid Input

Country of Birth
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Nationality
Invalid Input

Passport number OR National Insurance Number
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Current Home Address
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Current Home Postcode
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Residential Status
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Date Moved in dd/mm/yyyy
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If less than three years, please provide previous address(es)
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Is there anything you'd like to add before submitting?
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By pressing submit you confirm that the answers you have given are true to the best of your knowledge, and that you confirm that you will respond to the final declaration email that you will now be sent.
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