Representative Questionnaire: Iceland and Switzerland)
Representative Questionnaire: Iceland and Switzerland)
Representative Questionnaire: Iceland and Switzerland)
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Representative Details
Name of organization:
Highest ranking officer (select one): CEO Managing Director (MD) Other(please state):
Name of officer(s):
Countries of Recruitment: (please list all the countries you will be recruiting from)- must be NON EU Countries, Including EEA (Norway,
Iceland and Switzerland)
Representative Address-Head Office
This will be the address the company/organization is registered
Name of key contact/councillor:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Country Code: Telephone Number(s): Fax Number(s):
Email Address(s):
Website Address:
Representative Address-Other Offices
Please complete if you have offices in other territories/regions/countries
Name of key contact/councillor:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Country Code: Telephone Number(s): Fax Number(s):
Email Address(s):
Website Address:
Representative Questionnaire
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Name of key contact/councillor:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Country Code: Telephone Number(s): Fax Number(s):
Email Address(s):
Website Address:
Name of key contact/councillor:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Country Code: Telephone Number(s): Fax Number(s):
Email Address(s):
Website Address:
Representative Address-Address of correspondence
Please complete if your preferred address of correspondence is different to the office address.
Name of key contact/councillor:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Country Code: Telephone Number(s): Fax Number(s):
Representative Questionnaire
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Company Information
Company Registration Number:
Company VAT number (UK registered companies ONLY):
Remuneration Details
Name of Payee:
Account Number:
Bank Sort Code (UK Banks ONLY):
Bank SWIFT Code (Overseas Banks ONLY):
IBAN Number:
Bank Name:
Address line 1:
Address line 2:
City:
Region/State/Territory:
Zip/Postal code: Country:
Signature
Full Name:
Position:
Signature:
Date: