CHANGE OF PARTICULARS for director or secretary (NOT for by nym11541


									This information can be filed securely and accurately online using WebFiling. This downloadable form,
however, contains no inbuilt checks and must be printed, signed and posted to Companies House for
manual processing.

                                                              CHANGE OF PARTICULARS for director
    Please complete in typescript,                            or secretary(NOT for appointment (use Form
    or in bold black capitals.
                                                                          288a) or resignation (use Form 288b))
                               Company Number

                      Company Name in full

                                                                                                            Day      Month             Year
    Changes of                  Complete in all cases
                                                            Date of change of particulars
    form                     Name          *Style / Title                                                *Honours etc



                                                              Day       Month            Year

                                        ¦ Date of Birth

    Change of name (enter new name) Forename(s)


    Change of usual residential address ¦¦
   (enter new address)

   ¦¦ Tick this box if the                   Post town
   address shown is a
                                      County / Region
   service address for                                                                                              Postcode
   the beneficiary of a
   Confidentiality Order
   granted under the                             Country
   provisions of section
   723B of the
   Companies Act 1985                   Other change
                                       (please specify)
                                                            A serving director, secretary etc must sign the form below.
    * Voluntary details.                        Signed                                                                 Date
    ¦ Directors only.
    **Delete as appropriate.
                                                            (** director / secretary / administrator / administrative receiver / receiver manager / receiver)
    You do not have to give any contact
    information in the box opposite but if you
    do, it will help Companies House to contact
    you if there is a query on the form. The
    contact information that you give will be
    visible to searchers of the public record..                                                    Tel

                                                             DX number                              DX exchange

        Companies House receipt date barcode
                                                            When you have completed and signed the form please send it to the
                                                            Registrar of Companies at:
    This form has been provided free of charge              Companies House, Crown Way, Cardiff, CF14 3UZ      DX 33050 Cardiff
               by Companies House                           for companies registered in England and Wales   or
                                                            Companies House, 139 Fountainbridge, Edinburgh, EH3 9FF
    Form 10/03                                              for companies registered in Scotland                DX 235 Edinburgh
                                                                                                                or LP - 4 Edinburgh 2

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