5 Strand Court, Bath Road, Cheltenham, GL53 7LW --- ESTABLISHED 2012 USING ONLY HMRC RECOGNISED PAYROLL SOFTWARE
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Contractors
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CIS Registration Form
For Businesses
Outsourcing for Accountants
Sign up to our services
Umbrella
Why Choose Us?
Why agencies trust us
Register
FAQs
Staff Benefits
About us
IR35 & BREXIT
IR35 changes since April 2021
BREXIT: EU Citizens in the UK – Changes from 01-01-2021
Contact us
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Request For Information
Section A
All clients please answer 1,2 and 3 so we know exactly which service you require
1. Sole Trader: Help with my sole Trader business
Yes
No
2. Do you already have a Limited Company ? Accountancy Service for my current limited company
Yes
No
3. Please set up a Limited company as soon as possible and act as my accountant
Yes
No
Notes: ALL CLIENTS TO COMPLETE FROM SECTION B ONWARDS FOR LIMITED COMPANY CLIENTS ONLY : Please complete one RFI form for each shareholder of the company FOR LIMITED COMPANY CLIENTS ONLY: If you already have a limited company please answer:
Name of your limited company
Company number
Number of directors in your company
Section B
Full Name including middle names (If you have a maiden name please let us know what that name was and the date of your marriage) :
Name
*
Mr
Mrs
Miss
Ms
Dr
Prof.
Rev.
Prefix
First name(s)
Surname
Maiden Name
Date of birth
*
DD dash MM dash YYYY
Date of marriage
DD dot MM dot YYYY
Nationality
Are you permitted to work in the UK?
Yes
No
Current Address
*
Street Address
Address Line 2
City
County
Post Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
(This address will be used as the address for your Limited company. Alternatively, Purlieus Consulting can offer a registered address for £99 + VAT a year, if you require this then please let us know)
I require a registered address with Purlieus for £99+ VAT per year
Yes
No
What date did you move into the address above
DD dot MM dot YYYY
If there are previous addresses in the last 3 years please enter them below and include the dates you moved in and out.
Mobile Tel
*
Landline
Email
*
National Insurance Number
Unique Tax Ref Number (UTR)
VERY IMPORTANT – IF YOU DO ALREADY HAVE A UTR NUMBER YOU MUST PROVIDE THIS AS WE WILL REGISTER YOU FOR A NEW UTR NUMBER IF YOU LEAVE THIS SECTION BLANK.
FOR LIMITED COMPANY CLIENTS ONLY please provide a company name - Please enter 2 desired company names in order of preference
OCCUPATION -Please give ‘Job Title’ AND a brief overview of job duties
ANNUAL EARNINGS (ESTIMATED)
*** NOTE: WE REQUIRE THIS AMOUNT SO WE CAN PRODUCE YOUR MONTHLY PAYSLIPS – DON’T WORRY YOU CAN CHANGE THIS AMOUNT AT A LATER DATE***
HOW DID YOU HEAR ABOUT PURLIEUS CONSULTING?
ONLY ANSWER THE BELOW 3 QUESTIONS FOR NEW COMPANY FORMATIONS:
Place (Town/City) of birth
First three letters of your eye colour
Last three digits of your telephone number
1. I consent to you sharing my information with third parties such as insurance brokers. 2. I consent to receiving future contact from ‘Purlieus Consulting’ in the form of text messages, emails and via social media regarding special offers / information on topical developments / New Legislation 3. I confirm that the above information provided is correct and that I consent to being a director of the company. 4. I understand my legal responsibilities and duties on being appointed a company director. 5. I confirm that there are no reasons, such as disqualification or bankruptcy, why I should not be a director.
Consent
*
I consent
Date
DD dot MM dot YYYY
Name of your limited company
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