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Consent to act as a Director

I hereby consent to act as a director of the Company. My consent will continue until I either revoke my consent or resign as a director.

I certify that I am not disqualified from acting as a Director.

To assist the Company in advising all competent authorities, including Companies House, of my appointment I also provide the following mandatory details:

Consent to Act As A Director
Name
Name
First Name
Last Name
Former Forename
Former Forename
Former Forename
Former surname excluding maiden name before Marriage
Director’s Residential Address
Director’s Residential Address
City
State/Province
Zip/Postal
Country
Director’s Correspondence Address (if different from residential address)
Director’s Correspondence Address (if different from residential address)
City
State/Province
Zip/Postal
Country
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