{"id":896,"date":"2021-08-24T12:52:29","date_gmt":"2021-08-24T12:52:29","guid":{"rendered":"https:\/\/www.bcos.ie\/?page_id=896"},"modified":"2021-09-29T14:31:28","modified_gmt":"2021-09-29T14:31:28","slug":"ucform","status":"publish","type":"page","link":"https:\/\/www.bcos.ie\/ucform\/","title":{"rendered":"UCIncorporation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"896\" class=\"elementor elementor-896\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-933677a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"933677a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c5f2eb\" data-id=\"7c5f2eb\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5aedbb6 elementor-widget elementor-widget-image\" data-id=\"5aedbb6\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"376\" height=\"200\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAAAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==\" data-lazy-original=\"https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" srcset=\"https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark.png 376w, https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark-300x160.png 300w\" sizes=\"(max-width: 376px) 100vw, 376px\" \/><noscript><img loading=\"lazy\" decoding=\"async\" width=\"376\" height=\"200\" src=\"https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" srcset=\"https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark.png 376w, https:\/\/www.bcos.ie\/wp-content\/uploads\/2021\/05\/LogoDark-300x160.png 300w\" sizes=\"(max-width: 376px) 100vw, 376px\" \/><\/noscript>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e4e557 elementor-hidden-phone elementor-widget elementor-widget-heading\" data-id=\"9e4e557\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Incorporation Form for an Irish<br>Unlimited Company (\"UC\").<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60ebe87 elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-heading\" data-id=\"60ebe87\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Incorporation Form for an Irish Unlimited Company (\"UC\").<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f8b1bd elementor-widget elementor-widget-heading\" data-id=\"2f8b1bd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Not what you were looking for?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-df43a2d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"df43a2d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-f872401\" data-id=\"f872401\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2dcbd61 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2dcbd61\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/bcos.ie\" class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Home<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-a7a2d4e\" data-id=\"a7a2d4e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-076ce91 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"076ce91\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/bcos.ie\/services#incorp\" class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Incorporations<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-c57f4c5\" data-id=\"c57f4c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18b91e6 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"18b91e6\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/bcos.ie\/contact\" class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-ea67a06\" data-id=\"ea67a06\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a1ffc1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a1ffc1\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-47777bd\" data-id=\"47777bd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f8bdae elementor-widget elementor-widget-shortcode\" data-id=\"6f8bdae\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>.column-count-1-of-2 {  width: 50%; }<\/style><style>.column-count-2-of-2 {  width: 50%; }<\/style>\t\t<div class=\"elementor-shortcode\">\n                <div class='gf_browser_chrome gform_wrapper geform2016_wrapper' id='gform_wrapper_12' style='display:none'><a id='gf_12' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_12' class='geform2016' action='\/wp-json\/wp\/v2\/pages\/896#gf_12'><div id='gf_page_steps_12' class='gf_page_steps'><div id='gf_step_12_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Company Information<\/span><\/div><div id='gf_step_12_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Director Information<\/span><\/div><div id='gf_step_12_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span>&nbsp;<span class='gf_step_label'>Company Secretary<\/span><\/div><div id='gf_step_12_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span>&nbsp;<span class='gf_step_label'>Shareholder Information<\/span><\/div><div id='gf_step_12_5' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>5<\/span>&nbsp;<span class='gf_step_label'>Order Confirmation<\/span><\/div><div class='gf_step_clear'><\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_12_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_178' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Part 1: Company Information<\/h2><\/li><li id='field_12_367' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>You are about to incorporate a Company of the following type:<\/h2><\/li><li id='field_12_176' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Company Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_176'><li class='gchoice_12_176_0'><input name='input_176' type='radio' value='Unlimited Company (&quot;UC&quot;)' checked='checked' id='choice_12_176_0' tabindex='1'    \/><label for='choice_12_176_0' id='label_12_176_0'>Unlimited Company (\"UC\")<\/label><\/li><\/ul><\/div><\/li><li id='field_12_177' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_177' >Company Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please list <strong>three names<\/strong> in order of preference.<\/div><div class='ginput_container ginput_container_text'><input name='input_177' id='input_12_177' type='text' value='' class='medium'  tabindex='2'  placeholder='First preference*' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_272' class='gfield field_sublabel_above field_description_above hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_12_272' ><\/label><div class='ginput_container ginput_container_text'><input name='input_272' id='input_12_272' type='text' value='' class='medium'  tabindex='3'  placeholder='Second preference'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_179' class='gfield field_sublabel_above field_description_above hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_12_179' ><\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_12_179' type='text' value='' class='medium'  tabindex='4'  placeholder='Third preference'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_187' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_187' >Main Business of the Company<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please provide precise details of the business to be carried out by the new company.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_187' id='input_12_187' class='textarea medium' tabindex='5'  placeholder='The company&#039;s main activity or activities' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_12_368' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_368' >Objects of the company<\/label><div class='gfield_description'>Please provide any specific objects clauses to be included in the Company's Constitution.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_368' id='input_12_368' class='textarea medium' tabindex='6'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_12_188' class='gfield countryfullwidth gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_188_1' >Registered Office Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Must be within the Republic of Ireland only.<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_188' >\n                         <span class='ginput_full address_line_1' id='input_12_188_1_container' >\n                                        <input type='text' name='input_188.1' id='input_12_188_1' value='' tabindex='7'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_188_1' id='input_12_188_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_188_2_container' >\n                                        <input type='text' name='input_188.2' id='input_12_188_2' value='' tabindex='8'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_188_2' id='input_12_188_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_188_3_container' >\n                                    <input type='text' name='input_188.3' id='input_12_188_3' value='' tabindex='9'  placeholder='City\/Town'\/>\n                                    <label for='input_12_188_3' id='input_12_188_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_188_4_container' >\n                                        <input type='text' name='input_188.4' id='input_12_188_4' value='' tabindex='11'    placeholder='County'\/>\n                                        <label for='input_12_188_4' id='input_12_188_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_188_5_container' >\n                                    <input type='text' name='input_188.5' id='input_12_188_5' value='' tabindex='12'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_188_5' id='input_12_188_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_188_6_container' >\n                                        <select name='input_188.6' id='input_12_188_6' tabindex='13' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_188_6' id='input_12_188_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_189' class='gfield sameasprevious gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_189_1' >Place of Business<span class='gfield_required'>*<\/span><\/label>    <div id='input_12_189_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_12_189_copy_values_activated' class='copy_values_activated' value='1' name='input_189_copy_values_activated'  \/>\n                                        <label for='input_12_189_copy_values_activated' id='input_12_189_copy_values_option_label' class='copy_values_option_label inline'>Same as previous<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_189' >\n                         <span class='ginput_full address_line_1' id='input_12_189_1_container' >\n                                        <input type='text' name='input_189.1' id='input_12_189_1' value='' tabindex='14'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_189_1' id='input_12_189_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_189_2_container' >\n                                        <input type='text' name='input_189.2' id='input_12_189_2' value='' tabindex='15'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_189_2' id='input_12_189_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_189_3_container' >\n                                    <input type='text' name='input_189.3' id='input_12_189_3' value='' tabindex='16'  placeholder='City\/Town'\/>\n                                    <label for='input_12_189_3' id='input_12_189_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_189_4_container' >\n                                        <input type='text' name='input_189.4' id='input_12_189_4' value='' tabindex='18'    placeholder='County'\/>\n                                        <label for='input_12_189_4' id='input_12_189_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_189_5_container' >\n                                    <input type='text' name='input_189.5' id='input_12_189_5' value='' tabindex='19'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_189_5' id='input_12_189_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_189_6_container' >\n                                        <select name='input_189.6' id='input_12_189_6' tabindex='20' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_189_6' id='input_12_189_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_12_47' class='gform_next_button button' value='Next' tabindex='21' onclick='jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_12_link' class='gform_save_link' tabindex='22' onclick='if(window[\"gf_submitting_12\"]){return false;}  window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_2' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_228' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Part 2: Director Information<\/h2><div class='gsection_description'>A minimum of two directors is required for an Unlimited Company. For third and subsequent directors, please use the Additional Directors section later in this form.<\/div><\/li><li class=\"column-count-1-of-2 divider-list-item multicolumn-start\"><div class=\"multicolumn-wrapper\"><ul><li id='field_12_238' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Director 1<\/h2><\/li><li id='field_12_191' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_191_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Full name (no initials)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_191'>\n                            \n                            <span id='input_12_191_3_container' class='name_first' >\n                                                    <input type='text' name='input_191.3' id='input_12_191_3' value='' aria-label='First name' tabindex='24'  aria-required=\"true\" aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_191_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_191_6_container' class='name_last' >\n                                                    <input type='text' name='input_191.6' id='input_12_191_6' value='' aria-label='Last name' tabindex='26'  aria-required=\"true\" aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_191_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_12_353' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_353' >Previous Name(s), if any<\/label><div class='ginput_container ginput_container_text'><input name='input_353' id='input_12_353' type='text' value='' class='medium'  tabindex='28'  placeholder='All previous name(s)'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_208' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_208_1' >Residential Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_208' >\n                         <span class='ginput_full address_line_1' id='input_12_208_1_container' >\n                                        <input type='text' name='input_208.1' id='input_12_208_1' value='' tabindex='29'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_208_1' id='input_12_208_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_208_2_container' >\n                                        <input type='text' name='input_208.2' id='input_12_208_2' value='' tabindex='30'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_208_2' id='input_12_208_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_208_3_container' >\n                                    <input type='text' name='input_208.3' id='input_12_208_3' value='' tabindex='31'  placeholder='City\/Town'\/>\n                                    <label for='input_12_208_3' id='input_12_208_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_208_4_container' >\n                                        <input type='text' name='input_208.4' id='input_12_208_4' value='' tabindex='33'    placeholder='County'\/>\n                                        <label for='input_12_208_4' id='input_12_208_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_208_5_container' >\n                                    <input type='text' name='input_208.5' id='input_12_208_5' value='' tabindex='34'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_208_5' id='input_12_208_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_208_6_container' >\n                                        <select name='input_208.6' id='input_12_208_6' tabindex='35' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_208_6' id='input_12_208_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_209' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_209' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>A director must be at least 18 years old.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_209' id='input_12_209' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='36'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_209' class='gform_hidden' value='https:\/\/www.bcos.ie\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_12_376' class='gfield gfield_html gfield_html_formatted field_sublabel_above field_description_above gfield_visibility_visible' ><script type=\"text\/javascript\">\ngform.addFilter( 'gform_datepicker_options_pre_init', function( optionsObj, formId, fieldId ) {\nif ( formId == 12 && fieldId == 209, 217, 231, 242 ) {\noptionsObj.maxDate = '-18 Y';\n}\nreturn optionsObj;\n} );\n<\/script><\/li><li id='field_12_210' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_210' >Occupation<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_210' id='input_12_210' type='text' value='' class='medium'  tabindex='37'  placeholder='Current Occupation' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_211' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_211' >Nationality<\/label><div class='ginput_container ginput_container_select'><select name='input_211' id='input_12_211'  class='medium gfield_select' tabindex='38'   aria-invalid=\"false\"><option value='Afghan' >Afghan<\/option><option value='Albanian' >Albanian<\/option><option value='Algerian' >Algerian<\/option><option value='American' >American<\/option><option value='Andorran' >Andorran<\/option><option value='Angolan' >Angolan<\/option><option value='Antiguans' >Antiguans<\/option><option value='Argentinean' >Argentinean<\/option><option value='Armenian' >Armenian<\/option><option value='Australian' >Australian<\/option><option value='Austrian' >Austrian<\/option><option value='Azerbaijani' >Azerbaijani<\/option><option value='Bahamian' >Bahamian<\/option><option value='Bahraini' >Bahraini<\/option><option value='Bangladeshi' >Bangladeshi<\/option><option value='Barbadian' >Barbadian<\/option><option value='Barbudans' >Barbudans<\/option><option value='Batswana' >Batswana<\/option><option value='Belarusian' >Belarusian<\/option><option value='Belgian' >Belgian<\/option><option value='Belizean' >Belizean<\/option><option value='Beninese' >Beninese<\/option><option value='Bhutanese' >Bhutanese<\/option><option value='Bolivian' >Bolivian<\/option><option value='Bosnian' >Bosnian<\/option><option value='Brazilian' >Brazilian<\/option><option value='British' >British<\/option><option value='Bruneian' >Bruneian<\/option><option value='Bulgarian' >Bulgarian<\/option><option value='Burkinabe' >Burkinabe<\/option><option value='Burmese' >Burmese<\/option><option value='Burundian' >Burundian<\/option><option value='Cambodian' >Cambodian<\/option><option value='Cameroonian' >Cameroonian<\/option><option value='Canadian' >Canadian<\/option><option value='Cape Verdean' >Cape Verdean<\/option><option value='Central African' >Central African<\/option><option value='Chadian' >Chadian<\/option><option value='Chilean' >Chilean<\/option><option value='Chinese' >Chinese<\/option><option value='Colombian' >Colombian<\/option><option value='Comoran' >Comoran<\/option><option value='Congolese' >Congolese<\/option><option value='Congolese' >Congolese<\/option><option value='Costa Rican' >Costa Rican<\/option><option value='Croatian' >Croatian<\/option><option value='Cuban' >Cuban<\/option><option value='Cypriot' >Cypriot<\/option><option value='Czech' >Czech<\/option><option value='Danish' >Danish<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominican' >Dominican<\/option><option value='Dominican' >Dominican<\/option><option value='Dutch' >Dutch<\/option><option value='Dutchman' >Dutchman<\/option><option value='Dutchwoman' >Dutchwoman<\/option><option value='East Timorese' >East Timorese<\/option><option value='Ecuadorean' >Ecuadorean<\/option><option value='Egyptian' >Egyptian<\/option><option value='Emirian' >Emirian<\/option><option value='Equatorial Guinean' >Equatorial Guinean<\/option><option value='Eritrean' >Eritrean<\/option><option value='Estonian' >Estonian<\/option><option value='Ethiopian' >Ethiopian<\/option><option value='Fijian' >Fijian<\/option><option value='Filipino' >Filipino<\/option><option value='Finnish' >Finnish<\/option><option value='French' >French<\/option><option value='Gabonese' >Gabonese<\/option><option value='Gambian' >Gambian<\/option><option value='Georgian' >Georgian<\/option><option value='German' >German<\/option><option value='Ghanaian' >Ghanaian<\/option><option value='Greek' >Greek<\/option><option value='Grenadian' >Grenadian<\/option><option value='Guatemalan' >Guatemalan<\/option><option value='Guinea-Bissauan' >Guinea-Bissauan<\/option><option value='Guinean' >Guinean<\/option><option value='Guyanese' >Guyanese<\/option><option value='Haitian' >Haitian<\/option><option value='Herzegovinian' >Herzegovinian<\/option><option value='Honduran' >Honduran<\/option><option value='Hungarian' >Hungarian<\/option><option value='I-Kiribati' >I-Kiribati<\/option><option value='Icelander' >Icelander<\/option><option value='Indian' >Indian<\/option><option value='Indonesian' >Indonesian<\/option><option value='Iranian' >Iranian<\/option><option value='Iraqi' >Iraqi<\/option><option value='Irish' selected='selected'>Irish<\/option><option value='Irish' selected='selected'>Irish<\/option><option value='Israeli' >Israeli<\/option><option value='Italian' >Italian<\/option><option value='Ivorian' >Ivorian<\/option><option value='Jamaican' >Jamaican<\/option><option value='Japanese' >Japanese<\/option><option value='Jordanian' >Jordanian<\/option><option value='Kazakhstani' >Kazakhstani<\/option><option value='Kenyan' >Kenyan<\/option><option value='Kittian and Nevisian' >Kittian and Nevisian<\/option><option value='Kuwaiti' >Kuwaiti<\/option><option value='Kyrgyz' >Kyrgyz<\/option><option value='Laotian' >Laotian<\/option><option value='Latvian' >Latvian<\/option><option value='Lebanese' >Lebanese<\/option><option value='Liberian' >Liberian<\/option><option value='Libyan' >Libyan<\/option><option value='Liechtensteiner' >Liechtensteiner<\/option><option value='Lithuanian' >Lithuanian<\/option><option value='Luxembourger' >Luxembourger<\/option><option value='Macedonian' >Macedonian<\/option><option value='Malagasy' >Malagasy<\/option><option value='Malawian' >Malawian<\/option><option value='Malaysian' >Malaysian<\/option><option value='Maldivan' >Maldivan<\/option><option value='Malian' >Malian<\/option><option value='Maltese' >Maltese<\/option><option value='Marshallese' >Marshallese<\/option><option value='Mauritanian' >Mauritanian<\/option><option value='Mauritian' >Mauritian<\/option><option value='Mexican' >Mexican<\/option><option value='Micronesian' >Micronesian<\/option><option value='Moldovan' >Moldovan<\/option><option value='Monacan' >Monacan<\/option><option value='Mongolian' >Mongolian<\/option><option value='Moroccan' >Moroccan<\/option><option value='Mosotho' >Mosotho<\/option><option value='Motswana' >Motswana<\/option><option value='Mozambican' >Mozambican<\/option><option value='Namibian' >Namibian<\/option><option value='Nauruan' >Nauruan<\/option><option value='Nepalese' >Nepalese<\/option><option value='Netherlander' >Netherlander<\/option><option value='New Zealander' >New Zealander<\/option><option value='Ni-Vanuatu' >Ni-Vanuatu<\/option><option value='Nicaraguan' >Nicaraguan<\/option><option value='Nigerian' >Nigerian<\/option><option value='Nigerien' >Nigerien<\/option><option value='North Korean' >North Korean<\/option><option value='Northern Irish' >Northern Irish<\/option><option value='Norwegian' >Norwegian<\/option><option value='Omani' >Omani<\/option><option value='Pakistani' >Pakistani<\/option><option value='Palauan' >Palauan<\/option><option value='Panamanian' >Panamanian<\/option><option value='Papua New Guinean' >Papua New Guinean<\/option><option value='Paraguayan' >Paraguayan<\/option><option value='Peruvian' >Peruvian<\/option><option value='Polish' >Polish<\/option><option value='Portuguese' >Portuguese<\/option><option value='Qatari' >Qatari<\/option><option value='Romanian' >Romanian<\/option><option value='Russian' >Russian<\/option><option value='Rwandan' >Rwandan<\/option><option value='Saint Lucian' >Saint Lucian<\/option><option value='Salvadoran' >Salvadoran<\/option><option value='Samoan' >Samoan<\/option><option value='San Marinese' >San Marinese<\/option><option value='Sao Tomean' >Sao Tomean<\/option><option value='Saudi' >Saudi<\/option><option value='Scottish' >Scottish<\/option><option value='Senegalese' >Senegalese<\/option><option value='Serbian' >Serbian<\/option><option value='Seychellois' >Seychellois<\/option><option value='Sierra Leonean' >Sierra Leonean<\/option><option value='Singaporean' >Singaporean<\/option><option value='Slovakian' >Slovakian<\/option><option value='Slovenian' >Slovenian<\/option><option value='Solomon Islander' >Solomon Islander<\/option><option value='Somali' >Somali<\/option><option value='South African' >South African<\/option><option value='South Korean' >South Korean<\/option><option value='Spanish' >Spanish<\/option><option value='Sri Lankan' >Sri Lankan<\/option><option value='Sudanese' >Sudanese<\/option><option value='Surinamer' >Surinamer<\/option><option value='Swazi' >Swazi<\/option><option value='Swedish' >Swedish<\/option><option value='Swiss' >Swiss<\/option><option value='Syrian' >Syrian<\/option><option value='Taiwanese' >Taiwanese<\/option><option value='Tajik' >Tajik<\/option><option value='Tanzanian' >Tanzanian<\/option><option value='Thai' >Thai<\/option><option value='Togolese' >Togolese<\/option><option value='Tongan' >Tongan<\/option><option value='Trinidadian or Tobagonian' >Trinidadian or Tobagonian<\/option><option value='Tunisian' >Tunisian<\/option><option value='Turkish' >Turkish<\/option><option value='Tuvaluan' >Tuvaluan<\/option><option value='Ugandan' >Ugandan<\/option><option value='Ukrainian' >Ukrainian<\/option><option value='Uruguayan' >Uruguayan<\/option><option value='Uzbekistani' >Uzbekistani<\/option><option value='Venezuelan' >Venezuelan<\/option><option value='Vietnamese' >Vietnamese<\/option><option value='Welsh' >Welsh<\/option><option value='Welsh' >Welsh<\/option><option value='Yemenite' >Yemenite<\/option><option value='Zambian' >Zambian<\/option><option value='Zimbabwean' >Zimbabwean<\/option><\/select><\/div><\/li><li id='field_12_214' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >EEA Resident<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_214'><li class='gchoice_12_214_0'><input name='input_214' type='radio' value='Yes' checked='checked' id='choice_12_214_0' tabindex='39'    \/><label for='choice_12_214_0' id='label_12_214_0'>Yes<\/label><\/li><li class='gchoice_12_214_1'><input name='input_214' type='radio' value='No'  id='choice_12_214_1' tabindex='40'    \/><label for='choice_12_214_1' id='label_12_214_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_12_199' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_199' >Other Directorships<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please include a list of the companies the above person is or has been a director of in the past 5 years to include place of incorporation and registration number. If there are no other directorships, please insert \u201cnone\u201d.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_199' id='input_12_199' class='textarea medium' tabindex='41'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><li class=\"column-count-2-of-2 divider-list-item\"><div><ul><li id='field_12_221' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Director 2<\/h2><\/li><li id='field_12_220' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_220_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Full name (no initials)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_220'>\n                            \n                            <span id='input_12_220_3_container' class='name_first' >\n                                                    <input type='text' name='input_220.3' id='input_12_220_3' value='' aria-label='First name' tabindex='43'  aria-required=\"true\" aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_220_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_220_6_container' class='name_last' >\n                                                    <input type='text' name='input_220.6' id='input_12_220_6' value='' aria-label='Last name' tabindex='45'  aria-required=\"true\" aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_220_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_12_354' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_354' >Previous Name(s), if any<\/label><div class='ginput_container ginput_container_text'><input name='input_354' id='input_12_354' type='text' value='' class='medium'  tabindex='47'  placeholder='All previous name(s)'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_218' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_218_1' >Residential Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_218' >\n                         <span class='ginput_full address_line_1' id='input_12_218_1_container' >\n                                        <input type='text' name='input_218.1' id='input_12_218_1' value='' tabindex='48'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_218_1' id='input_12_218_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_218_2_container' >\n                                        <input type='text' name='input_218.2' id='input_12_218_2' value='' tabindex='49'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_218_2' id='input_12_218_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_218_3_container' >\n                                    <input type='text' name='input_218.3' id='input_12_218_3' value='' tabindex='50'  placeholder='City\/Town'\/>\n                                    <label for='input_12_218_3' id='input_12_218_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_218_4_container' >\n                                        <input type='text' name='input_218.4' id='input_12_218_4' value='' tabindex='52'    placeholder='County'\/>\n                                        <label for='input_12_218_4' id='input_12_218_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_218_5_container' >\n                                    <input type='text' name='input_218.5' id='input_12_218_5' value='' tabindex='53'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_218_5' id='input_12_218_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_218_6_container' >\n                                        <select name='input_218.6' id='input_12_218_6' tabindex='54' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_218_6' id='input_12_218_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_217' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_217' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>A director must be at least 18 years old.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_217' id='input_12_217' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='55'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_217' class='gform_hidden' value='https:\/\/www.bcos.ie\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_12_216' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_216' >Occupation<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_216' id='input_12_216' type='text' value='' class='medium'  tabindex='56'  placeholder='Current Occupation' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_215' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_215' >Nationality<\/label><div class='ginput_container ginput_container_select'><select name='input_215' id='input_12_215'  class='medium gfield_select' tabindex='57'   aria-invalid=\"false\"><option value='' selected='selected' class='gf_placeholder'>Irish<\/option><option value='Afghan' >Afghan<\/option><option value='Albanian' >Albanian<\/option><option value='Algerian' >Algerian<\/option><option value='American' >American<\/option><option value='Andorran' >Andorran<\/option><option value='Angolan' >Angolan<\/option><option value='Antiguans' >Antiguans<\/option><option value='Argentinean' >Argentinean<\/option><option value='Armenian' >Armenian<\/option><option value='Australian' >Australian<\/option><option value='Austrian' >Austrian<\/option><option value='Azerbaijani' >Azerbaijani<\/option><option value='Bahamian' >Bahamian<\/option><option value='Bahraini' >Bahraini<\/option><option value='Bangladeshi' >Bangladeshi<\/option><option value='Barbadian' >Barbadian<\/option><option value='Barbudans' >Barbudans<\/option><option value='Batswana' >Batswana<\/option><option value='Belarusian' >Belarusian<\/option><option value='Belgian' >Belgian<\/option><option value='Belizean' >Belizean<\/option><option value='Beninese' >Beninese<\/option><option value='Bhutanese' >Bhutanese<\/option><option value='Bolivian' >Bolivian<\/option><option value='Bosnian' >Bosnian<\/option><option value='Brazilian' >Brazilian<\/option><option value='British' >British<\/option><option value='Bruneian' >Bruneian<\/option><option value='Bulgarian' >Bulgarian<\/option><option value='Burkinabe' >Burkinabe<\/option><option value='Burmese' >Burmese<\/option><option value='Burundian' >Burundian<\/option><option value='Cambodian' >Cambodian<\/option><option value='Cameroonian' >Cameroonian<\/option><option value='Canadian' >Canadian<\/option><option value='Cape Verdean' >Cape Verdean<\/option><option value='Central African' >Central African<\/option><option value='Chadian' >Chadian<\/option><option value='Chilean' >Chilean<\/option><option value='Chinese' >Chinese<\/option><option value='Colombian' >Colombian<\/option><option value='Comoran' >Comoran<\/option><option value='Congolese' >Congolese<\/option><option value='Congolese' >Congolese<\/option><option value='Costa Rican' >Costa Rican<\/option><option value='Croatian' >Croatian<\/option><option value='Cuban' >Cuban<\/option><option value='Cypriot' >Cypriot<\/option><option value='Czech' >Czech<\/option><option value='Danish' >Danish<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominican' >Dominican<\/option><option value='Dominican' >Dominican<\/option><option value='Dutch' >Dutch<\/option><option value='Dutchman' >Dutchman<\/option><option value='Dutchwoman' >Dutchwoman<\/option><option value='East Timorese' >East Timorese<\/option><option value='Ecuadorean' >Ecuadorean<\/option><option value='Egyptian' >Egyptian<\/option><option value='Emirian' >Emirian<\/option><option value='Equatorial Guinean' >Equatorial Guinean<\/option><option value='Eritrean' >Eritrean<\/option><option value='Estonian' >Estonian<\/option><option value='Ethiopian' >Ethiopian<\/option><option value='Fijian' >Fijian<\/option><option value='Filipino' >Filipino<\/option><option value='Finnish' >Finnish<\/option><option value='French' >French<\/option><option value='Gabonese' >Gabonese<\/option><option value='Gambian' >Gambian<\/option><option value='Georgian' >Georgian<\/option><option value='German' >German<\/option><option value='Ghanaian' >Ghanaian<\/option><option value='Greek' >Greek<\/option><option value='Grenadian' >Grenadian<\/option><option value='Guatemalan' >Guatemalan<\/option><option value='Guinea-Bissauan' >Guinea-Bissauan<\/option><option value='Guinean' >Guinean<\/option><option value='Guyanese' >Guyanese<\/option><option value='Haitian' >Haitian<\/option><option value='Herzegovinian' >Herzegovinian<\/option><option value='Honduran' >Honduran<\/option><option value='Hungarian' >Hungarian<\/option><option value='I-Kiribati' >I-Kiribati<\/option><option value='Icelander' >Icelander<\/option><option value='Indian' >Indian<\/option><option value='Indonesian' >Indonesian<\/option><option value='Iranian' >Iranian<\/option><option value='Iraqi' >Iraqi<\/option><option value='Irish' >Irish<\/option><option value='Irish' >Irish<\/option><option value='Israeli' >Israeli<\/option><option value='Italian' >Italian<\/option><option value='Ivorian' >Ivorian<\/option><option value='Jamaican' >Jamaican<\/option><option value='Japanese' >Japanese<\/option><option value='Jordanian' >Jordanian<\/option><option value='Kazakhstani' >Kazakhstani<\/option><option value='Kenyan' >Kenyan<\/option><option value='Kittian and Nevisian' >Kittian and Nevisian<\/option><option value='Kuwaiti' >Kuwaiti<\/option><option value='Kyrgyz' >Kyrgyz<\/option><option value='Laotian' >Laotian<\/option><option value='Latvian' >Latvian<\/option><option value='Lebanese' >Lebanese<\/option><option value='Liberian' >Liberian<\/option><option value='Libyan' >Libyan<\/option><option value='Liechtensteiner' >Liechtensteiner<\/option><option value='Lithuanian' >Lithuanian<\/option><option value='Luxembourger' >Luxembourger<\/option><option value='Macedonian' >Macedonian<\/option><option value='Malagasy' >Malagasy<\/option><option value='Malawian' >Malawian<\/option><option value='Malaysian' >Malaysian<\/option><option value='Maldivan' >Maldivan<\/option><option value='Malian' >Malian<\/option><option value='Maltese' >Maltese<\/option><option value='Marshallese' >Marshallese<\/option><option value='Mauritanian' >Mauritanian<\/option><option value='Mauritian' >Mauritian<\/option><option value='Mexican' >Mexican<\/option><option value='Micronesian' >Micronesian<\/option><option value='Moldovan' >Moldovan<\/option><option value='Monacan' >Monacan<\/option><option value='Mongolian' >Mongolian<\/option><option value='Moroccan' >Moroccan<\/option><option value='Mosotho' >Mosotho<\/option><option value='Motswana' >Motswana<\/option><option value='Mozambican' >Mozambican<\/option><option value='Namibian' >Namibian<\/option><option value='Nauruan' >Nauruan<\/option><option value='Nepalese' >Nepalese<\/option><option value='Netherlander' >Netherlander<\/option><option value='New Zealander' >New Zealander<\/option><option value='Ni-Vanuatu' >Ni-Vanuatu<\/option><option value='Nicaraguan' >Nicaraguan<\/option><option value='Nigerian' >Nigerian<\/option><option value='Nigerien' >Nigerien<\/option><option value='North Korean' >North Korean<\/option><option value='Northern Irish' >Northern Irish<\/option><option value='Norwegian' >Norwegian<\/option><option value='Omani' >Omani<\/option><option value='Pakistani' >Pakistani<\/option><option value='Palauan' >Palauan<\/option><option value='Panamanian' >Panamanian<\/option><option value='Papua New Guinean' >Papua New Guinean<\/option><option value='Paraguayan' >Paraguayan<\/option><option value='Peruvian' >Peruvian<\/option><option value='Polish' >Polish<\/option><option value='Portuguese' >Portuguese<\/option><option value='Qatari' >Qatari<\/option><option value='Romanian' >Romanian<\/option><option value='Russian' >Russian<\/option><option value='Rwandan' >Rwandan<\/option><option value='Saint Lucian' >Saint Lucian<\/option><option value='Salvadoran' >Salvadoran<\/option><option value='Samoan' >Samoan<\/option><option value='San Marinese' >San Marinese<\/option><option value='Sao Tomean' >Sao Tomean<\/option><option value='Saudi' >Saudi<\/option><option value='Scottish' >Scottish<\/option><option value='Senegalese' >Senegalese<\/option><option value='Serbian' >Serbian<\/option><option value='Seychellois' >Seychellois<\/option><option value='Sierra Leonean' >Sierra Leonean<\/option><option value='Singaporean' >Singaporean<\/option><option value='Slovakian' >Slovakian<\/option><option value='Slovenian' >Slovenian<\/option><option value='Solomon Islander' >Solomon Islander<\/option><option value='Somali' >Somali<\/option><option value='South African' >South African<\/option><option value='South Korean' >South Korean<\/option><option value='Spanish' >Spanish<\/option><option value='Sri Lankan' >Sri Lankan<\/option><option value='Sudanese' >Sudanese<\/option><option value='Surinamer' >Surinamer<\/option><option value='Swazi' >Swazi<\/option><option value='Swedish' >Swedish<\/option><option value='Swiss' >Swiss<\/option><option value='Syrian' >Syrian<\/option><option value='Taiwanese' >Taiwanese<\/option><option value='Tajik' >Tajik<\/option><option value='Tanzanian' >Tanzanian<\/option><option value='Thai' >Thai<\/option><option value='Togolese' >Togolese<\/option><option value='Tongan' >Tongan<\/option><option value='Trinidadian or Tobagonian' >Trinidadian or Tobagonian<\/option><option value='Tunisian' >Tunisian<\/option><option value='Turkish' >Turkish<\/option><option value='Tuvaluan' >Tuvaluan<\/option><option value='Ugandan' >Ugandan<\/option><option value='Ukrainian' >Ukrainian<\/option><option value='Uruguayan' >Uruguayan<\/option><option value='Uzbekistani' >Uzbekistani<\/option><option value='Venezuelan' >Venezuelan<\/option><option value='Vietnamese' >Vietnamese<\/option><option value='Welsh' >Welsh<\/option><option value='Welsh' >Welsh<\/option><option value='Yemenite' >Yemenite<\/option><option value='Zambian' >Zambian<\/option><option value='Zimbabwean' >Zimbabwean<\/option><\/select><\/div><\/li><li id='field_12_212' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >EEA Resident<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_212'><li class='gchoice_12_212_0'><input name='input_212' type='radio' value='Yes' checked='checked' id='choice_12_212_0' tabindex='58'    \/><label for='choice_12_212_0' id='label_12_212_0'>Yes<\/label><\/li><li class='gchoice_12_212_1'><input name='input_212' type='radio' value='No'  id='choice_12_212_1' tabindex='59'    \/><label for='choice_12_212_1' id='label_12_212_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_12_356' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_356' >Other Directorships<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Please include a list of the companies the above person is or has been a director of in the past 5 years to include place of incorporation and registration number. If there are no other directorships, please insert \u201cnone\u201d.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_356' id='input_12_356' class='textarea medium' tabindex='60'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div><\/li><li id='field_12_259' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >More than 2 Directors?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Add additional directors<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_259'><li class='gchoice_12_259_0'><input name='input_259' type='radio' value='Yes'  id='choice_12_259_0' tabindex='61'  onclick='gf_apply_rules(12,[190,190,227,355,233,231,234,235,236,357,227,355,233,231,234,235,236,357]);' onkeypress='gf_apply_rules(12,[190,190,227,355,233,231,234,235,236,357,227,355,233,231,234,235,236,357]);'  \/><label for='choice_12_259_0' id='label_12_259_0'>Yes<\/label><\/li><li class='gchoice_12_259_1'><input name='input_259' type='radio' value='No' checked='checked' id='choice_12_259_1' tabindex='62'  onclick='gf_apply_rules(12,[190,190,227,355,233,231,234,235,236,357,227,355,233,231,234,235,236,357]);' onkeypress='gf_apply_rules(12,[190,190,227,355,233,231,234,235,236,357,227,355,233,231,234,235,236,357]);'  \/><label for='choice_12_259_1' id='label_12_259_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_12_229' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><div class=\"ginput_container ginput_container_repeater\"><input name='input_229' id='input_12_229' type='hidden' class='gform_repeater' value='{\"formId\":12,\"min\":\"1\",\"max\":\"12\",\"children\":{\"190\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"227\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"355\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"233\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"231\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"234\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"235\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"236\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}},\"357\":{\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"all\",\"rules\":[{\"fieldId\":\"259\",\"operator\":\"is\",\"value\":\"Yes\"}]}}}}' tabindex='63' \/><\/div><\/li><li id='field_12_190' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Additional Director<\/h2><\/li><li id='field_12_227' class='gfield field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_227_3' >Name<\/label><div class='gfield_description'>Full name (no initials)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_227'>\n                            \n                            <span id='input_12_227_3_container' class='name_first' >\n                                                    <input type='text' name='input_227.3' id='input_12_227_3' value='' aria-label='First name' tabindex='65'   aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_227_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_227_6_container' class='name_last' >\n                                                    <input type='text' name='input_227.6' id='input_12_227_6' value='' aria-label='Last name' tabindex='67'   aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_227_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_12_355' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_355' >Previous Name(s), if any<\/label><div class='ginput_container ginput_container_text'><input name='input_355' id='input_12_355' type='text' value='' class='medium'  tabindex='69'  placeholder='All previous name(s)'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_233' class='gfield field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_233_1' >Residential Address<\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_233' >\n                         <span class='ginput_full address_line_1' id='input_12_233_1_container' >\n                                        <input type='text' name='input_233.1' id='input_12_233_1' value='' tabindex='70'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_233_1' id='input_12_233_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_233_2_container' >\n                                        <input type='text' name='input_233.2' id='input_12_233_2' value='' tabindex='71'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_233_2' id='input_12_233_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_233_3_container' >\n                                    <input type='text' name='input_233.3' id='input_12_233_3' value='' tabindex='72'  placeholder='City\/Town'\/>\n                                    <label for='input_12_233_3' id='input_12_233_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_233_4_container' >\n                                        <input type='text' name='input_233.4' id='input_12_233_4' value='' tabindex='74'    placeholder='County'\/>\n                                        <label for='input_12_233_4' id='input_12_233_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_233_5_container' >\n                                    <input type='text' name='input_233.5' id='input_12_233_5' value='' tabindex='75'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_233_5' id='input_12_233_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_233_6_container' >\n                                        <select name='input_233.6' id='input_12_233_6' tabindex='76' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_233_6' id='input_12_233_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_231' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_231' >Date of Birth<\/label><div class='gfield_description'>A director must be at least 18 years old.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_231' id='input_12_231' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='77'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_231' class='gform_hidden' value='https:\/\/www.bcos.ie\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_12_234' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_234' >Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_234' id='input_12_234' type='text' value='' class='medium'  tabindex='78'  placeholder='Current Occupation'  aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_235' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_235' >Nationality<\/label><div class='ginput_container ginput_container_select'><select name='input_235' id='input_12_235'  class='medium gfield_select' tabindex='79'   aria-invalid=\"false\"><option value='' selected='selected' class='gf_placeholder'>Irish<\/option><option value='Afghan' >Afghan<\/option><option value='Albanian' >Albanian<\/option><option value='Algerian' >Algerian<\/option><option value='American' >American<\/option><option value='Andorran' >Andorran<\/option><option value='Angolan' >Angolan<\/option><option value='Antiguans' >Antiguans<\/option><option value='Argentinean' >Argentinean<\/option><option value='Armenian' >Armenian<\/option><option value='Australian' >Australian<\/option><option value='Austrian' >Austrian<\/option><option value='Azerbaijani' >Azerbaijani<\/option><option value='Bahamian' >Bahamian<\/option><option value='Bahraini' >Bahraini<\/option><option value='Bangladeshi' >Bangladeshi<\/option><option value='Barbadian' >Barbadian<\/option><option value='Barbudans' >Barbudans<\/option><option value='Batswana' >Batswana<\/option><option value='Belarusian' >Belarusian<\/option><option value='Belgian' >Belgian<\/option><option value='Belizean' >Belizean<\/option><option value='Beninese' >Beninese<\/option><option value='Bhutanese' >Bhutanese<\/option><option value='Bolivian' >Bolivian<\/option><option value='Bosnian' >Bosnian<\/option><option value='Brazilian' >Brazilian<\/option><option value='British' >British<\/option><option value='Bruneian' >Bruneian<\/option><option value='Bulgarian' >Bulgarian<\/option><option value='Burkinabe' >Burkinabe<\/option><option value='Burmese' >Burmese<\/option><option value='Burundian' >Burundian<\/option><option value='Cambodian' >Cambodian<\/option><option value='Cameroonian' >Cameroonian<\/option><option value='Canadian' >Canadian<\/option><option value='Cape Verdean' >Cape Verdean<\/option><option value='Central African' >Central African<\/option><option value='Chadian' >Chadian<\/option><option value='Chilean' >Chilean<\/option><option value='Chinese' >Chinese<\/option><option value='Colombian' >Colombian<\/option><option value='Comoran' >Comoran<\/option><option value='Congolese' >Congolese<\/option><option value='Congolese' >Congolese<\/option><option value='Costa Rican' >Costa Rican<\/option><option value='Croatian' >Croatian<\/option><option value='Cuban' >Cuban<\/option><option value='Cypriot' >Cypriot<\/option><option value='Czech' >Czech<\/option><option value='Danish' >Danish<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominican' >Dominican<\/option><option value='Dominican' >Dominican<\/option><option value='Dutch' >Dutch<\/option><option value='Dutchman' >Dutchman<\/option><option value='Dutchwoman' >Dutchwoman<\/option><option value='East Timorese' >East Timorese<\/option><option value='Ecuadorean' >Ecuadorean<\/option><option value='Egyptian' >Egyptian<\/option><option value='Emirian' >Emirian<\/option><option value='Equatorial Guinean' >Equatorial Guinean<\/option><option value='Eritrean' >Eritrean<\/option><option value='Estonian' >Estonian<\/option><option value='Ethiopian' >Ethiopian<\/option><option value='Fijian' >Fijian<\/option><option value='Filipino' >Filipino<\/option><option value='Finnish' >Finnish<\/option><option value='French' >French<\/option><option value='Gabonese' >Gabonese<\/option><option value='Gambian' >Gambian<\/option><option value='Georgian' >Georgian<\/option><option value='German' >German<\/option><option value='Ghanaian' >Ghanaian<\/option><option value='Greek' >Greek<\/option><option value='Grenadian' >Grenadian<\/option><option value='Guatemalan' >Guatemalan<\/option><option value='Guinea-Bissauan' >Guinea-Bissauan<\/option><option value='Guinean' >Guinean<\/option><option value='Guyanese' >Guyanese<\/option><option value='Haitian' >Haitian<\/option><option value='Herzegovinian' >Herzegovinian<\/option><option value='Honduran' >Honduran<\/option><option value='Hungarian' >Hungarian<\/option><option value='I-Kiribati' >I-Kiribati<\/option><option value='Icelander' >Icelander<\/option><option value='Indian' >Indian<\/option><option value='Indonesian' >Indonesian<\/option><option value='Iranian' >Iranian<\/option><option value='Iraqi' >Iraqi<\/option><option value='Irish' >Irish<\/option><option value='Irish' >Irish<\/option><option value='Israeli' >Israeli<\/option><option value='Italian' >Italian<\/option><option value='Ivorian' >Ivorian<\/option><option value='Jamaican' >Jamaican<\/option><option value='Japanese' >Japanese<\/option><option value='Jordanian' >Jordanian<\/option><option value='Kazakhstani' >Kazakhstani<\/option><option value='Kenyan' >Kenyan<\/option><option value='Kittian and Nevisian' >Kittian and Nevisian<\/option><option value='Kuwaiti' >Kuwaiti<\/option><option value='Kyrgyz' >Kyrgyz<\/option><option value='Laotian' >Laotian<\/option><option value='Latvian' >Latvian<\/option><option value='Lebanese' >Lebanese<\/option><option value='Liberian' >Liberian<\/option><option value='Libyan' >Libyan<\/option><option value='Liechtensteiner' >Liechtensteiner<\/option><option value='Lithuanian' >Lithuanian<\/option><option value='Luxembourger' >Luxembourger<\/option><option value='Macedonian' >Macedonian<\/option><option value='Malagasy' >Malagasy<\/option><option value='Malawian' >Malawian<\/option><option value='Malaysian' >Malaysian<\/option><option value='Maldivan' >Maldivan<\/option><option value='Malian' >Malian<\/option><option value='Maltese' >Maltese<\/option><option value='Marshallese' >Marshallese<\/option><option value='Mauritanian' >Mauritanian<\/option><option value='Mauritian' >Mauritian<\/option><option value='Mexican' >Mexican<\/option><option value='Micronesian' >Micronesian<\/option><option value='Moldovan' >Moldovan<\/option><option value='Monacan' >Monacan<\/option><option value='Mongolian' >Mongolian<\/option><option value='Moroccan' >Moroccan<\/option><option value='Mosotho' >Mosotho<\/option><option value='Motswana' >Motswana<\/option><option value='Mozambican' >Mozambican<\/option><option value='Namibian' >Namibian<\/option><option value='Nauruan' >Nauruan<\/option><option value='Nepalese' >Nepalese<\/option><option value='Netherlander' >Netherlander<\/option><option value='New Zealander' >New Zealander<\/option><option value='Ni-Vanuatu' >Ni-Vanuatu<\/option><option value='Nicaraguan' >Nicaraguan<\/option><option value='Nigerian' >Nigerian<\/option><option value='Nigerien' >Nigerien<\/option><option value='North Korean' >North Korean<\/option><option value='Northern Irish' >Northern Irish<\/option><option value='Norwegian' >Norwegian<\/option><option value='Omani' >Omani<\/option><option value='Pakistani' >Pakistani<\/option><option value='Palauan' >Palauan<\/option><option value='Panamanian' >Panamanian<\/option><option value='Papua New Guinean' >Papua New Guinean<\/option><option value='Paraguayan' >Paraguayan<\/option><option value='Peruvian' >Peruvian<\/option><option value='Polish' >Polish<\/option><option value='Portuguese' >Portuguese<\/option><option value='Qatari' >Qatari<\/option><option value='Romanian' >Romanian<\/option><option value='Russian' >Russian<\/option><option value='Rwandan' >Rwandan<\/option><option value='Saint Lucian' >Saint Lucian<\/option><option value='Salvadoran' >Salvadoran<\/option><option value='Samoan' >Samoan<\/option><option value='San Marinese' >San Marinese<\/option><option value='Sao Tomean' >Sao Tomean<\/option><option value='Saudi' >Saudi<\/option><option value='Scottish' >Scottish<\/option><option value='Senegalese' >Senegalese<\/option><option value='Serbian' >Serbian<\/option><option value='Seychellois' >Seychellois<\/option><option value='Sierra Leonean' >Sierra Leonean<\/option><option value='Singaporean' >Singaporean<\/option><option value='Slovakian' >Slovakian<\/option><option value='Slovenian' >Slovenian<\/option><option value='Solomon Islander' >Solomon Islander<\/option><option value='Somali' >Somali<\/option><option value='South African' >South African<\/option><option value='South Korean' >South Korean<\/option><option value='Spanish' >Spanish<\/option><option value='Sri Lankan' >Sri Lankan<\/option><option value='Sudanese' >Sudanese<\/option><option value='Surinamer' >Surinamer<\/option><option value='Swazi' >Swazi<\/option><option value='Swedish' >Swedish<\/option><option value='Swiss' >Swiss<\/option><option value='Syrian' >Syrian<\/option><option value='Taiwanese' >Taiwanese<\/option><option value='Tajik' >Tajik<\/option><option value='Tanzanian' >Tanzanian<\/option><option value='Thai' >Thai<\/option><option value='Togolese' >Togolese<\/option><option value='Tongan' >Tongan<\/option><option value='Trinidadian or Tobagonian' >Trinidadian or Tobagonian<\/option><option value='Tunisian' >Tunisian<\/option><option value='Turkish' >Turkish<\/option><option value='Tuvaluan' >Tuvaluan<\/option><option value='Ugandan' >Ugandan<\/option><option value='Ukrainian' >Ukrainian<\/option><option value='Uruguayan' >Uruguayan<\/option><option value='Uzbekistani' >Uzbekistani<\/option><option value='Venezuelan' >Venezuelan<\/option><option value='Vietnamese' >Vietnamese<\/option><option value='Welsh' >Welsh<\/option><option value='Welsh' >Welsh<\/option><option value='Yemenite' >Yemenite<\/option><option value='Zambian' >Zambian<\/option><option value='Zimbabwean' >Zimbabwean<\/option><\/select><\/div><\/li><li id='field_12_236' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >EEA Resident<\/label><div class='gfield_description'>The EEA includes all the Member States of the EU, Iceland, Liechtenstein and Norway.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_236'><li class='gchoice_12_236_0'><input name='input_236' type='radio' value='Yes' checked='checked' id='choice_12_236_0' tabindex='80'    \/><label for='choice_12_236_0' id='label_12_236_0'>Yes<\/label><\/li><li class='gchoice_12_236_1'><input name='input_236' type='radio' value='No'  id='choice_12_236_1' tabindex='81'    \/><label for='choice_12_236_1' id='label_12_236_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_12_357' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_357' >Other Directorships<\/label><div class='gfield_description'>Please include a list of the companies the above person is or has been a director of in the past 5 years to include place of incorporation and registration number. If there are no other directorships, please insert \u201cnone\u201d.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_357' id='input_12_357' class='textarea medium' tabindex='82'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_12_230' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><div class=\"ginput_container ginput_container_repeater-end\">\n<span class=\"gf_repeater_remove\" tabindex='83'>Remove Additional Director \/ <\/span><span class=\"gf_repeater_add\" tabindex='83'>Add Additional Director<\/span><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_12_239' class='gform_previous_button button' value='Previous' tabindex='84' onclick='jQuery(\"#gform_target_page_number_12\").val(\"1\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"1\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_239' class='gform_next_button button' value='Next' tabindex='85' onclick='jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_12_link' class='gform_save_link' tabindex='86' onclick='if(window[\"gf_submitting_12\"]){return false;}  window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_3' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_261' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Part 3: Company Secretary<\/h2><div class='gsection_description'>A director of a UC may act as company secretary.<\/div><\/li><li id='field_12_258' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Company Secretary<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Will your company secretary be an individual or a company?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_258'><li class='gchoice_12_258_0'><input name='input_258' type='radio' value='Individual'  id='choice_12_258_0' tabindex='87'  onclick='gf_apply_rules(12,[240,241,242,243,249,248,308,375,380,378]);' onkeypress='gf_apply_rules(12,[240,241,242,243,249,248,308,375,380,378]);'  \/><label for='choice_12_258_0' id='label_12_258_0'>Individual<\/label><\/li><li class='gchoice_12_258_1'><input name='input_258' type='radio' value='Company'  id='choice_12_258_1' tabindex='88'  onclick='gf_apply_rules(12,[240,241,242,243,249,248,308,375,380,378]);' onkeypress='gf_apply_rules(12,[240,241,242,243,249,248,308,375,380,378]);'  \/><label for='choice_12_258_1' id='label_12_258_1'>Company<\/label><\/li><\/ul><\/div><\/li><li id='field_12_240' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_240_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Full name (no initials)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_240'>\n                            \n                            <span id='input_12_240_3_container' class='name_first' >\n                                                    <input type='text' name='input_240.3' id='input_12_240_3' value='' aria-label='First name' tabindex='90'  aria-required=\"true\" aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_240_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_240_6_container' class='name_last' >\n                                                    <input type='text' name='input_240.6' id='input_12_240_6' value='' aria-label='Last name' tabindex='92'  aria-required=\"true\" aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_240_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_12_241' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_241_1' >Residential Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_241' >\n                         <span class='ginput_full address_line_1' id='input_12_241_1_container' >\n                                        <input type='text' name='input_241.1' id='input_12_241_1' value='' tabindex='94'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_241_1' id='input_12_241_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_241_2_container' >\n                                        <input type='text' name='input_241.2' id='input_12_241_2' value='' tabindex='95'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_241_2' id='input_12_241_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_241_3_container' >\n                                    <input type='text' name='input_241.3' id='input_12_241_3' value='' tabindex='96'  placeholder='City\/Town'\/>\n                                    <label for='input_12_241_3' id='input_12_241_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_241_4_container' >\n                                        <input type='text' name='input_241.4' id='input_12_241_4' value='' tabindex='98'    placeholder='County'\/>\n                                        <label for='input_12_241_4' id='input_12_241_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_241_5_container' >\n                                    <input type='text' name='input_241.5' id='input_12_241_5' value='' tabindex='99'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_241_5' id='input_12_241_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_241_6_container' >\n                                        <select name='input_241.6' id='input_12_241_6' tabindex='100' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_241_6' id='input_12_241_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_242' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_242' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_242' id='input_12_242' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='101'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_242' class='gform_hidden' value='https:\/\/www.bcos.ie\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_12_243' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_243' >Nationality<\/label><div class='ginput_container ginput_container_select'><select name='input_243' id='input_12_243'  class='medium gfield_select' tabindex='102'   aria-invalid=\"false\"><option value='Afghan' >Afghan<\/option><option value='Albanian' >Albanian<\/option><option value='Algerian' >Algerian<\/option><option value='American' >American<\/option><option value='Andorran' >Andorran<\/option><option value='Angolan' >Angolan<\/option><option value='Antiguans' >Antiguans<\/option><option value='Argentinean' >Argentinean<\/option><option value='Armenian' >Armenian<\/option><option value='Australian' >Australian<\/option><option value='Austrian' >Austrian<\/option><option value='Azerbaijani' >Azerbaijani<\/option><option value='Bahamian' >Bahamian<\/option><option value='Bahraini' >Bahraini<\/option><option value='Bangladeshi' >Bangladeshi<\/option><option value='Barbadian' >Barbadian<\/option><option value='Barbudans' >Barbudans<\/option><option value='Batswana' >Batswana<\/option><option value='Belarusian' >Belarusian<\/option><option value='Belgian' >Belgian<\/option><option value='Belizean' >Belizean<\/option><option value='Beninese' >Beninese<\/option><option value='Bhutanese' >Bhutanese<\/option><option value='Bolivian' >Bolivian<\/option><option value='Bosnian' >Bosnian<\/option><option value='Brazilian' >Brazilian<\/option><option value='British' >British<\/option><option value='Bruneian' >Bruneian<\/option><option value='Bulgarian' >Bulgarian<\/option><option value='Burkinabe' >Burkinabe<\/option><option value='Burmese' >Burmese<\/option><option value='Burundian' >Burundian<\/option><option value='Cambodian' >Cambodian<\/option><option value='Cameroonian' >Cameroonian<\/option><option value='Canadian' >Canadian<\/option><option value='Cape Verdean' >Cape Verdean<\/option><option value='Central African' >Central African<\/option><option value='Chadian' >Chadian<\/option><option value='Chilean' >Chilean<\/option><option value='Chinese' >Chinese<\/option><option value='Colombian' >Colombian<\/option><option value='Comoran' >Comoran<\/option><option value='Congolese' >Congolese<\/option><option value='Congolese' >Congolese<\/option><option value='Costa Rican' >Costa Rican<\/option><option value='Croatian' >Croatian<\/option><option value='Cuban' >Cuban<\/option><option value='Cypriot' >Cypriot<\/option><option value='Czech' >Czech<\/option><option value='Danish' >Danish<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominican' >Dominican<\/option><option value='Dominican' >Dominican<\/option><option value='Dutch' >Dutch<\/option><option value='Dutchman' >Dutchman<\/option><option value='Dutchwoman' >Dutchwoman<\/option><option value='East Timorese' >East Timorese<\/option><option value='Ecuadorean' >Ecuadorean<\/option><option value='Egyptian' >Egyptian<\/option><option value='Emirian' >Emirian<\/option><option value='Equatorial Guinean' >Equatorial Guinean<\/option><option value='Eritrean' >Eritrean<\/option><option value='Estonian' >Estonian<\/option><option value='Ethiopian' >Ethiopian<\/option><option value='Fijian' >Fijian<\/option><option value='Filipino' >Filipino<\/option><option value='Finnish' >Finnish<\/option><option value='French' >French<\/option><option value='Gabonese' >Gabonese<\/option><option value='Gambian' >Gambian<\/option><option value='Georgian' >Georgian<\/option><option value='German' >German<\/option><option value='Ghanaian' >Ghanaian<\/option><option value='Greek' >Greek<\/option><option value='Grenadian' >Grenadian<\/option><option value='Guatemalan' >Guatemalan<\/option><option value='Guinea-Bissauan' >Guinea-Bissauan<\/option><option value='Guinean' >Guinean<\/option><option value='Guyanese' >Guyanese<\/option><option value='Haitian' >Haitian<\/option><option value='Herzegovinian' >Herzegovinian<\/option><option value='Honduran' >Honduran<\/option><option value='Hungarian' >Hungarian<\/option><option value='I-Kiribati' >I-Kiribati<\/option><option value='Icelander' >Icelander<\/option><option value='Indian' >Indian<\/option><option value='Indonesian' >Indonesian<\/option><option value='Iranian' >Iranian<\/option><option value='Iraqi' >Iraqi<\/option><option value='Irish' selected='selected'>Irish<\/option><option value='Irish' selected='selected'>Irish<\/option><option value='Israeli' >Israeli<\/option><option value='Italian' >Italian<\/option><option value='Ivorian' >Ivorian<\/option><option value='Jamaican' >Jamaican<\/option><option value='Japanese' >Japanese<\/option><option value='Jordanian' >Jordanian<\/option><option value='Kazakhstani' >Kazakhstani<\/option><option value='Kenyan' >Kenyan<\/option><option value='Kittian and Nevisian' >Kittian and Nevisian<\/option><option value='Kuwaiti' >Kuwaiti<\/option><option value='Kyrgyz' >Kyrgyz<\/option><option value='Laotian' >Laotian<\/option><option value='Latvian' >Latvian<\/option><option value='Lebanese' >Lebanese<\/option><option value='Liberian' >Liberian<\/option><option value='Libyan' >Libyan<\/option><option value='Liechtensteiner' >Liechtensteiner<\/option><option value='Lithuanian' >Lithuanian<\/option><option value='Luxembourger' >Luxembourger<\/option><option value='Macedonian' >Macedonian<\/option><option value='Malagasy' >Malagasy<\/option><option value='Malawian' >Malawian<\/option><option value='Malaysian' >Malaysian<\/option><option value='Maldivan' >Maldivan<\/option><option value='Malian' >Malian<\/option><option value='Maltese' >Maltese<\/option><option value='Marshallese' >Marshallese<\/option><option value='Mauritanian' >Mauritanian<\/option><option value='Mauritian' >Mauritian<\/option><option value='Mexican' >Mexican<\/option><option value='Micronesian' >Micronesian<\/option><option value='Moldovan' >Moldovan<\/option><option value='Monacan' >Monacan<\/option><option value='Mongolian' >Mongolian<\/option><option value='Moroccan' >Moroccan<\/option><option value='Mosotho' >Mosotho<\/option><option value='Motswana' >Motswana<\/option><option value='Mozambican' >Mozambican<\/option><option value='Namibian' >Namibian<\/option><option value='Nauruan' >Nauruan<\/option><option value='Nepalese' >Nepalese<\/option><option value='Netherlander' >Netherlander<\/option><option value='New Zealander' >New Zealander<\/option><option value='Ni-Vanuatu' >Ni-Vanuatu<\/option><option value='Nicaraguan' >Nicaraguan<\/option><option value='Nigerian' >Nigerian<\/option><option value='Nigerien' >Nigerien<\/option><option value='North Korean' >North Korean<\/option><option value='Northern Irish' >Northern Irish<\/option><option value='Norwegian' >Norwegian<\/option><option value='Omani' >Omani<\/option><option value='Pakistani' >Pakistani<\/option><option value='Palauan' >Palauan<\/option><option value='Panamanian' >Panamanian<\/option><option value='Papua New Guinean' >Papua New Guinean<\/option><option value='Paraguayan' >Paraguayan<\/option><option value='Peruvian' >Peruvian<\/option><option value='Polish' >Polish<\/option><option value='Portuguese' >Portuguese<\/option><option value='Qatari' >Qatari<\/option><option value='Romanian' >Romanian<\/option><option value='Russian' >Russian<\/option><option value='Rwandan' >Rwandan<\/option><option value='Saint Lucian' >Saint Lucian<\/option><option value='Salvadoran' >Salvadoran<\/option><option value='Samoan' >Samoan<\/option><option value='San Marinese' >San Marinese<\/option><option value='Sao Tomean' >Sao Tomean<\/option><option value='Saudi' >Saudi<\/option><option value='Scottish' >Scottish<\/option><option value='Senegalese' >Senegalese<\/option><option value='Serbian' >Serbian<\/option><option value='Seychellois' >Seychellois<\/option><option value='Sierra Leonean' >Sierra Leonean<\/option><option value='Singaporean' >Singaporean<\/option><option value='Slovakian' >Slovakian<\/option><option value='Slovenian' >Slovenian<\/option><option value='Solomon Islander' >Solomon Islander<\/option><option value='Somali' >Somali<\/option><option value='South African' >South African<\/option><option value='South Korean' >South Korean<\/option><option value='Spanish' >Spanish<\/option><option value='Sri Lankan' >Sri Lankan<\/option><option value='Sudanese' >Sudanese<\/option><option value='Surinamer' >Surinamer<\/option><option value='Swazi' >Swazi<\/option><option value='Swedish' >Swedish<\/option><option value='Swiss' >Swiss<\/option><option value='Syrian' >Syrian<\/option><option value='Taiwanese' >Taiwanese<\/option><option value='Tajik' >Tajik<\/option><option value='Tanzanian' >Tanzanian<\/option><option value='Thai' >Thai<\/option><option value='Togolese' >Togolese<\/option><option value='Tongan' >Tongan<\/option><option value='Trinidadian or Tobagonian' >Trinidadian or Tobagonian<\/option><option value='Tunisian' >Tunisian<\/option><option value='Turkish' >Turkish<\/option><option value='Tuvaluan' >Tuvaluan<\/option><option value='Ugandan' >Ugandan<\/option><option value='Ukrainian' >Ukrainian<\/option><option value='Uruguayan' >Uruguayan<\/option><option value='Uzbekistani' >Uzbekistani<\/option><option value='Venezuelan' >Venezuelan<\/option><option value='Vietnamese' >Vietnamese<\/option><option value='Welsh' >Welsh<\/option><option value='Welsh' >Welsh<\/option><option value='Yemenite' >Yemenite<\/option><option value='Zambian' >Zambian<\/option><option value='Zimbabwean' >Zimbabwean<\/option><\/select><\/div><\/li><li id='field_12_249' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_249' >Company name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_249' id='input_12_249' type='text' value='' class='medium'  tabindex='103'  placeholder='Full name of company to act as secretary' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_248' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_248_1' >Registered Office Address<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_248' >\n                         <span class='ginput_full address_line_1' id='input_12_248_1_container' >\n                                        <input type='text' name='input_248.1' id='input_12_248_1' value='' tabindex='104'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_248_1' id='input_12_248_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_248_2_container' >\n                                        <input type='text' name='input_248.2' id='input_12_248_2' value='' tabindex='105'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_248_2' id='input_12_248_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_248_3_container' >\n                                    <input type='text' name='input_248.3' id='input_12_248_3' value='' tabindex='106'  placeholder='City\/Town'\/>\n                                    <label for='input_12_248_3' id='input_12_248_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_248_4_container' >\n                                        <input type='text' name='input_248.4' id='input_12_248_4' value='' tabindex='108'    placeholder='County'\/>\n                                        <label for='input_12_248_4' id='input_12_248_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_248_5_container' >\n                                    <input type='text' name='input_248.5' id='input_12_248_5' value='' tabindex='109'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_248_5' id='input_12_248_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_248_6_container' >\n                                        <select name='input_248.6' id='input_12_248_6' tabindex='110' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_248_6' id='input_12_248_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_308' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_308' >Company Registration Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_308' id='input_12_308' type='text' value='' class='medium'  tabindex='111'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_375' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_375_3' >Declaration signatory<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Who will be the signatory on the declaration of the incorporation paperwork?<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_375'>\n                            \n                            <span id='input_12_375_3_container' class='name_first' >\n                                                    <input type='text' name='input_375.3' id='input_12_375_3' value='' aria-label='First name' tabindex='113'  aria-required=\"true\" aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_375_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_375_6_container' class='name_last' >\n                                                    <input type='text' name='input_375.6' id='input_12_375_6' value='' aria-label='Last name' tabindex='115'  aria-required=\"true\" aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_375_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_12_260' class='gform_previous_button button' value='Previous' tabindex='117' onclick='jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_260' class='gform_next_button button' value='Next' tabindex='118' onclick='jQuery(\"#gform_target_page_number_12\").val(\"4\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"4\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_12_link' class='gform_save_link' tabindex='119' onclick='if(window[\"gf_submitting_12\"]){return false;}  window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_4' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_297' class='gfield gsection repeatersubtitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Shareholders<\/h2><\/li><li id='field_12_326' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><div class=\"ginput_container ginput_container_repeater\"><h2 class='gf_repeater_title'>Part 4: Members & Shares<\/h2><input name='input_326' id='input_12_326' type='hidden' class='gform_repeater' value='{\"formId\":12,\"start\":\"1\",\"min\":\"1\",\"children\":{\"352\":[],\"380\":{\"required\":true,\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"any\",\"rules\":[{\"fieldId\":\"258\",\"operator\":\"is\",\"value\":\"Individual\"},{\"fieldId\":\"258\",\"operator\":\"is\",\"value\":\"Company\"}]}},\"379\":{\"required\":true},\"378\":{\"required\":true,\"conditionalLogic\":{\"actionType\":\"show\",\"logicType\":\"any\",\"rules\":[{\"fieldId\":\"258\",\"operator\":\"is\",\"value\":\"Company\"},{\"fieldId\":\"258\",\"operator\":\"is\",\"value\":\"Individual\"}]}}}}' tabindex='120' \/><\/div><\/li><li id='field_12_352' class='gfield gsection repeatersubtitle field_sublabel_above field_description_above gfield_visibility_hidden' ><h2 class='gsection_title'>Member Information<\/h2><\/li><li id='field_12_380' class='gfield field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_380_3' >Name<\/label><div class='gfield_description'>Full name, no initials.<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_12_380'>\n                            \n                            <span id='input_12_380_3_container' class='name_first' >\n                                                    <input type='text' name='input_380.3' id='input_12_380_3' value='' aria-label='First name' tabindex='122'   aria-invalid=\"false\" placeholder='First Name'\/>\n                                                    <label for='input_12_380_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_380_6_container' class='name_last' >\n                                                    <input type='text' name='input_380.6' id='input_12_380_6' value='' aria-label='Last name' tabindex='124'   aria-invalid=\"false\" placeholder='Surname'\/>\n                                                    <label for='input_12_380_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_12_379' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_379' >Shares to be issued<\/label><div class='gfield_description'>Unless otherwise specified, each shareholder will have a minimum of 1 Ordinary share of \u20ac1.00.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_379' id='input_12_379' class='textarea medium' tabindex='126'  placeholder='Type and number of shares to be issued.'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_12_378' class='gfield field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_378_1' >Address of Shareholder<\/label><div class='gfield_description'>Including post code<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_378' >\n                         <span class='ginput_full address_line_1' id='input_12_378_1_container' >\n                                        <input type='text' name='input_378.1' id='input_12_378_1' value='' tabindex='127'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_378_1' id='input_12_378_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_378_2_container' >\n                                        <input type='text' name='input_378.2' id='input_12_378_2' value='' tabindex='128'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_378_2' id='input_12_378_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_378_3_container' >\n                                    <input type='text' name='input_378.3' id='input_12_378_3' value='' tabindex='129'  placeholder='City\/Town'\/>\n                                    <label for='input_12_378_3' id='input_12_378_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_378_4_container' >\n                                        <input type='text' name='input_378.4' id='input_12_378_4' value='' tabindex='131'    placeholder='County'\/>\n                                        <label for='input_12_378_4' id='input_12_378_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_378_5_container' >\n                                    <input type='text' name='input_378.5' id='input_12_378_5' value='' tabindex='132'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_378_5' id='input_12_378_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_378_6_container' >\n                                        <select name='input_378.6' id='input_12_378_6' tabindex='133' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_378_6' id='input_12_378_6_label' class='hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_12_327' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><div class=\"ginput_container ginput_container_repeater-end\">\n<span class=\"gf_repeater_remove\" tabindex='134'>Remove Shareholder\/<\/span><span class=\"gf_repeater_add\" tabindex='134'>Add another shareholder<\/span><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_12_296' class='gform_previous_button button' value='Previous' tabindex='135' onclick='jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_12_296' class='gform_next_button button' value='Next' tabindex='136' onclick='jQuery(\"#gform_target_page_number_12\").val(\"5\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_12\").val(\"5\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_12_link' class='gform_save_link' tabindex='137' onclick='if(window[\"gf_submitting_12\"]){return false;}  window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_12\"]){return false;} window[\"gf_submitting_12\"]=true; jQuery(\"#gform_save_12\").val(1); jQuery(\"#gform_12\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_5' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_316' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Client Identification<\/h2><div class='gsection_description'>As a regulated trust or company service provider (\"TCSP\"), we are required to carry out client identification procedures. Please arrange to let us have the following for each person who will be a director of the new company or any person who will be the owner of, or the holder of an option to own, 25% or more of the equity or voting capital of the Company:-\n<br><Br>\n1. <strong>Clear certified<\/strong> copy of a fixed household utility bill (electricity, gas, broadband), bank statement or correspondence from an Irish Government Department or the Revenue Commissioners, <strong><i>dated within the past 3 months<\/i><\/strong>, and addressed to the individual at the home address listed on this order form. <br><br><strong><i><u> A mobile phone, car insurance or health insurance bill will not be accepted.<\/u><\/i><\/strong><br><br>\n\n2. <strong> Clear colour certified<\/strong> copy of their current passport, driving licence, public services card or national identity card. <br><br>\n\nCertification can be provided by a practising accountant or solictor or a member of a national police force.<br><br>\n\n<strong><i>You can upload your files below<\/i><\/strong>.<br><br>\n\n<strong><i>Alternatively you can return certified documentation by email to info@bcos.ie<\/i><\/strong>.<br><br>\n<\/div><\/li><li id='field_12_370' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_370' >Utility Bill<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_370' id='input_12_370' type='file' class='medium' aria-describedby='extensions_message_12_370' onchange='javascript:gformValidateFileSize( this, 52428800 );' tabindex='138' \/><span id='extensions_message_12_370' class='screen-reader-text'>Accepted file types: jpg, png, pdf.<\/span><div class='validation_message'><\/div><\/div><\/li><li id='field_12_371' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_371' >Personal Identification<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_371' id='input_12_371' type='file' class='medium' aria-describedby='extensions_message_12_371' onchange='javascript:gformValidateFileSize( this, 52428800 );' tabindex='139' \/><span id='extensions_message_12_371' class='screen-reader-text'>Accepted file types: jpg, png, pdf.<\/span><div class='validation_message'><\/div><\/div><\/li><li id='field_12_317' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Compliance with the Companies Registration Office<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>The CRO operates a rigorous compliance system, including late filing fees and loss of audit exemption. Do you wish for us to assist with your ongoing compliance obligations?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_317'><li class='gchoice_12_317_0'><input name='input_317' type='radio' value='Yes' checked='checked' id='choice_12_317_0' tabindex='140'    \/><label for='choice_12_317_0' id='label_12_317_0'>Yes<\/label><\/li><li class='gchoice_12_317_1'><input name='input_317' type='radio' value='No'  id='choice_12_317_1' tabindex='141'    \/><label for='choice_12_317_1' id='label_12_317_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_12_374' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Data Protection<\/h2><div class='gsection_description'>Beacon Company Secretaries Limited is committed to your privacy and ensuring that your personal information is processed in accordance with the EU General Data Protection Regulation ((EU) 2016\/679) (GDPR) and the Data Protection Acts 1988 \u2013 2018, the EU ePrivacy Directive 2002\/58\/EC as amended by Directive 2009\/136\/EC, and any other applicable privacy and data protection laws, for the purposes of  carrying out your instructions to us in respect of this incorporation and any other corporate administration you require.  You can access our Privacy Policy at https:\/\/www.bcos.ie \/privacy.<\/div><\/li><li id='field_12_318' class='gfield gsection sectiontitle field_sublabel_above field_description_above gfield_visibility_visible' ><h2 class='gsection_title'>Confirmation of Order<\/h2><div class='gsection_description'>To: Beacon Company Secretaries Limited, please proceed with this incorporation order on the basis of the information provided in this document. I note that your normal fee in this matter may be subject to change to cover any non-standard instructions contained in this order form and that as the provider of instructions, my firm or I, as the case may be, is responsible for the disbursement of your fee.<\/div><\/li><li id='field_12_319' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_12_319' >Name and\/or Company Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_319' id='input_12_319' type='text' value='' class='medium'  tabindex='142'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_12_320' class='gfield gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_12_320_1' >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_12_320' >\n                         <span class='ginput_full address_line_1' id='input_12_320_1_container' >\n                                        <input type='text' name='input_320.1' id='input_12_320_1' value='' tabindex='143'  placeholder='Address Line 1'\/>\n                                        <label for='input_12_320_1' id='input_12_320_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_12_320_2_container' >\n                                        <input type='text' name='input_320.2' id='input_12_320_2' value='' tabindex='144'  placeholder='Address Line 2'\/>\n                                        <label for='input_12_320_2' id='input_12_320_2_label' class='hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_12_320_3_container' >\n                                    <input type='text' name='input_320.3' id='input_12_320_3' value='' tabindex='145'  placeholder='City\/Town'\/>\n                                    <label for='input_12_320_3' id='input_12_320_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_12_320_4_container' >\n                                        <input type='text' name='input_320.4' id='input_12_320_4' value='' tabindex='147'    placeholder='County'\/>\n                                        <label for='input_12_320_4' id='input_12_320_4_label' class='hidden_sub_label screen-reader-text'>County \/ State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_12_320_5_container' >\n                                    <input type='text' name='input_320.5' id='input_12_320_5' value='' tabindex='148'  placeholder='Post or Zip Code'\/>\n                                    <label for='input_12_320_5' id='input_12_320_5_label' class='hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_12_320_6_container' >\n                                        <select name='input_320.6' id='input_12_320_6' tabindex='149' ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' selected='selected'>Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent 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<\/script><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Incorporation Form for an IrishUnlimited Company (&#8220;UC&#8221;). 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Home Incorporations Contact<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-896","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/pages\/896"}],"collection":[{"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/comments?post=896"}],"version-history":[{"count":0,"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/pages\/896\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bcos.ie\/wp-json\/wp\/v2\/media?parent=896"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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