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<!DOCTYPE html> <html> <head> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <link href="https://fonts.googleapis.com/css?family=Raleway" rel="stylesheet"> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script> <link href="https://stackpath.bootstrapcdn.com/bootstrap/4.1.3/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-MCw98/SFnGE8fJT3GXwEOngsV7Zt27NXFoaoApmYm81iuXoPkFOJwJ8ERdknLPMO" crossorigin="anonymous"> <link rel="stylesheet" href="style.css"> </head> <body> <form id="regForm" method="POST" action=""> <!-- Welcome Message Tab--> <div class="tab"> <h2>Welcome to Adroit Accountax Ltd</h2> <br> <!-- <label><b>Please select the service from options below (For details please see appendix at the end)</b></label> --> <div class="row"> <div class="col-md-8"> <p style="text-align: justify"> This is our <span style="font-weight: bold"> Client questionnaire</span>, we will use this Data to form limited company for you, perform Money laundry risk Assessment checks and help you with your bank account One person can be the Sole Director and Sole Shareholder of one company. Please supply information in relevant space and <span style="color: red">Red</span> questions are mandatory without this we will not be able to proceed with company formation. </p> </div> <div class="col-md-4"> <p> <!--<span style="color: #52A7BA;">I welcome you as a member of <span style="font-weight: bold">Adroit Family</span>.</span>--> <img src="mahin.jpg" class="mahin-img"><br> <span style="color: #06171b; font-weight: bold;">Mahin Khawaja (FCCA, ACCA)</span> <br> Director <br> For and on behalf of Adroit Accountax Limited.<br> <span style="">Office number: 0207 553 5931 <br> Mobile number: 077 956 15498 <br>Skype Id: mahin-adroit</span> </p> </div> </div> <br> </div> <!-- Welcome Message Tab--> <!-- First Step --> <div class="tab form-group"> <h2>Welcome to Adroit Accountax Ltd</h2> <div class="row"> <div class="col-md-6"> <label><b>Company Name <span style="color: red">*</span>:</b></label> <p><input class="form-group" type="text" id="companyname" name="companyname" required></p> <p><a href="http://adroitaccountax.formnewco.com/search-company-name/" class='check_avail' target="_blank">Check Availability</a></p> </div> <div class="col-md-6"> <label><b>Alternate Name:</b></label> <p><input class="form-group" type="text" id="alternate_name" name="alternate_name"></p> </div> </div> </div> <!-- Next Step --> <div class="tab"> <h2>Company Registered Office:</h2> <p>(Please note our office address will be used initially as the registered office to assist with the set up and registration of your new company with HMRC. Once fully registered we will amend the address to one of your choice. Please confirm below)</p> <div class="row"> <div class="col-md-3"> <input type="radio" class="radioWidth" id="r1" name="registeredAddress" value="1">Home </div> <div class="col-md-3"> <input type="radio" class="radioWidth" id="r2" name="registeredAddress" value="2">Other </div> <div class="col-md-3"> <input type="radio" class="radioWidth" id="r3" name="registeredAddress" value="3">Adroit </div> </div> <p><input placeholder="Home Address..." class="form-control" oninput="this.className = ''" id="t1" style="display: none" name="adressByRadio1"></p> <p><input placeholder="Other Address..." class="form-control" oninput="this.className = ''" id="t2" style="display: none" name="adressByRadio2"></p> <h3> Why do I need a registered office address?</h3> <ul> <li> It is a legal requirement for all limited companies and LLPs.</li> <li> To receive official company mail from Companies House and HMRC.</li> <li> Registered office details must be displayed on all company stationery and websites.</li> <li> To protect your residential address from being displayed on the public register of companies.</li> <li> To prevent unsolicited mail and visitors arriving at your home address.</li> <li> If you are from overseas you may need a UK address for your registered office.</li> </ul> </div> <!-- Next Step --> <div class="tab"> <h2>Principal place of business (Trading address if different from perevious)</h2> <label><b>Address:</b></label> <p><input placeholder="Address..." oninput="this.className = ''" name="Address"></p> <label><b>Town:</b></label> <p><input placeholder="Town..." oninput="this.className = ''" name="Town"></p> <label><b>PostCode:</b></label> <p><input placeholder="PostCode..." oninput="this.className = ''" name="PostCode"></p> </div> <!-- Next Step --> <div class="tab"> <h1>DIRECTORS/sole trader:</h1> <div class="form-main"> <div class="form-block" id="form-block1"> <u><h3 id="D_number1">Director# 1</h3></u> <div class="row"> <div class="col-md-6"> <label><b>Title:</b></label> <p><input placeholder="Title" oninput="this.className = ''" name="title[]"></p> </div> </div> <div class="row"> <div class="col-md-5"> <label><b>First Name:</b> </label><p><input placeholder="First Name" oninput="this.className = ''" name="first_name[]" required></p> </div> <div class="col-md-2"> <label><b>Middle Name:</b></label> <p><input placeholder="Middle Name" oninput="this.className = ''" name="middle_name[]"></p> </div> <div class="col-md-5"> <label><b>Sur Name:</b></label> <p><input placeholder="Sur Name" oninput="this.className = ''" name="sur_name[]" required></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Nationality:</b></label> <p><input placeholder="Nationality" oninput="this.className = ''" name="nationality[]" required></p> </div> <div class="col-md-6"> <label><b>Martial Status:</b></label> <p><input placeholder="Marital Status" oninput="this.className = ''" name="ms[]"></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Date Of Birth:</b></label> <p><input placeholder="Date Of Birth" oninput="this.className = ''" name="dob[]"></p> </div> <div class="col-md-6"> <label><b>Mobile Number:</b></label> <p><input placeholder="Mobile Number" oninput="this.className = ''" name="mobile[]" required></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Landline Number:</b></label> <p><input placeholder="Landline Number" oninput="this.className = ''" name="landline[]"></p> </div> <div class="col-md-6"> <label><b>Address:</b></label> <p><input placeholder="Address" oninput="this.className = ''" name="addressD[]" required></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Town:</b></label> <p><input placeholder="Town" oninput="this.className = ''" name="townD[]"></p> </div> <div class="col-md-6"> <label><b>Country:</b></label> <p><input placeholder="Country" oninput="this.className = ''" name="countryD[]" required></p> </div> </div> <label><b>Post Code:</b></label> <p><input placeholder="Post Code" oninput="this.className = ''" name="postCodeD[]" required></p> <h3><u>Security Questions:</u></h3> <div class="row"> <div class="col-md-6"> <label><b>Town Of Birth:</b></label> <p><input placeholder="Town of Birth" oninput="this.className = ''" name="townOBD[]"></p> </div> <div class="col-md-6"> <label><b>Phone Number:</b></label> <p><input placeholder="Phone Number" oninput="this.className = ''" name="phoneNumberD[]"></p> </div> </div> <label><b>Eye Color:</b></label> <p><input placeholder="Eye Color" oninput="this.className = ''" name="eyeColorD[]"></p> <hr> <hr> </div> </div> <center> <button type="button" class="add-more-btn">Add More Directors</button></center> </div> <!-- Next Step --> <div class="tab"> <h1>Personal Tax Detail</h1> <br> <label><b>Have you got P45 from previous employment?</b></label> <div class="row"> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="P451" name="P45" value="Yes">Yes</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="P452" name="P45" value="No">No</p> </div> </div> <label><b>Have you got P60 from last year employment?</b></label> <div class="row"> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="P601" name="P60" value="Yes"> Yes</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="P602" name="P60" value="No"> No</p> </div> </div> <label><b>Are you registered for self assessment?</b></label> <div class="row"> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="selfAssesment1" name="selfAssesment" value="Yes"> Yes</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="selfAssesment2" name="selfAssesment" value="No"> No</p> </div> </div> <br> <div id="texInfo" style="display: none"> <label><b>Please Provide Your unique Tax Number:</b></label> <p><input placeholder="Unique Tax Number..." oninput="this.className = ''" name="UTX" required></p><!-- unique tax number --> <div class="row"> <div class="col-md-6"> <label><b>NIC:</b></label> <p><input placeholder="NIC..." oninput="this.className = ''" name="NIC" required></p> </div> <div class="col-md-6"> <label><b>Address:</b></label> <p><input placeholder="Address..." oninput="this.className = ''" name="Address3"></p> </div> </div> </div> </div> <!-- Next Step --> <div class="tab"> <h2>Share Holders:</h2> <div class="form-main"> <div id="form-blocA1"> <u><h3 id="S_number1">Shareholder# 1</h3></u> <div class="row"> <div class="col-md-6"> <label><b>Title:</b></label> <p><input placeholder="Title" oninput="this.className = ''" name="titleSH[]"></p> </div> <div class="col-md-6"> <label><b>Name:</b></label> <p><input placeholder="Name" oninput="this.className = ''" name="first_nameSH[]" required></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Address:</b></label> <p><input placeholder="Address" oninput="this.className = ''" name="addressSH[]" required></p> </div> <div class="col-md-6"> <label><b>Town:</b></label> <p><input placeholder="Town" oninput="this.className = ''" name="townSH[]"></p> </div> </div> <div class="row"> <div class="col-md-6"> <label><b>Country:</b></label> <p><input placeholder="Country" oninput="this.className = ''" name="countrySH[]" required></p> </div> <div class="col-md-6"> <label><b>Post Code:</b></label> <p><input placeholder="Post Code" oninput="this.className = ''" name="postCodeSH[]" required></p> </div> </div> <u><h3>Security Questions:</h3></u> <div class="row"> <div class="col-md-6"> <label><b>Town Of Birth:</b></label> <p><input placeholder="Town of Birth" oninput="this.className = ''" name="townOBSH[]"></p> </div> <div class="col-md-6"> <label><b>Phone Number:</b></label> <p><input placeholder="Phone Number" oninput="this.className = ''" name="phoneNumberSH[]"></p> </div> </div> <label><b>Eye Color:</b></label> <p><input placeholder="Eye Color" oninput="this.className = ''" name="eyeColorSH[]"></p> <hr> <hr> </div> </div> <center><button type="button" class="add-more-btn2">Add More</button></center> </div> <!-- Next Step --> <div class="tab"> <h1>Contact Information:</h1> <div class="row"> <div class="col-md-6"> <label><b>Agency Name:</b></label> <p><input placeholder="Agency Name..." oninput="this.className = ''" name="Name_Agency" required></p> </div> <div class="col-md-6"> <label><b>Address:</b></label> <p><input placeholder="Address..." oninput="this.className = ''" name="Address_Agency" required></p> </div> <div class="col-md-6"> <label><b>Daily/Hourly Rate:</b></label> <p><input placeholder="Daily/Hourly Rate..." oninput="this.className = ''" name="Rate_Agency" required></p> </div> <div class="col-md-6"> <label><b>Actual/Expected Start Date:</b></label> <p><input placeholder="Actual/Expected start date..." oninput="this.className = ''" name="startDate_Agency" required></p> </div> </div> </div> <!-- Next Step --> <div class="tab"> <h2>VAT Registration</h2> <p>Questions below will assist us registering your company for VAT.</p> <div class="row"> <div class="col-md-6"> <label><b>Nature Of Bussiness:</b></label> <p><input placeholder="Nature Of Business..." oninput="this.className = ''" name="NOB" required></p> <!-- Nature Of Business --> </div> <div class="col-md-6"> <label><b>Business Turnover:</b></label> <p><input placeholder="Business Turnover..." oninput="this.className = ''" name="BT" required></p> <!-- Business Turnover --> </div> </div> <label><b>Expected Date To Start Working:</b></label> <p><input placeholder="Oct 1,2018" oninput="this.className = ''" name="EDSW" required></p> <!-- Expected date to start working Through the company --> </div> <div class="tab"> <h2>Business Bank Account</h2> <p>Please select where you would prefer to open your business bank account or select No Thanks if you will apply it yourself.</p> <!-- <label><b>Select Business Bank Account:</b></label> --> <div class="row"> <div class="col-md-1"></div> <div class="col-md-2"> <p><input type="radio" class="radioWidth" id="CashPlus" name="SBBA" value="CashPlus">CashPlus</p> </div> <div class="col-md-2"> <p><input type="radio" class="radioWidth" id="metro" name="SBBA" value="Metro">Metro Bank</p> </div> <div class="col-md-2"> <p><input type="radio" class="radioWidth" id="BarClays" name="SBBA" value="BarClays">BarClays</p> </div> <div class="col-md-2"> <p><input type="radio" class="radioWidth" id="Santander" name="SBBA" value="Santander">Santander</p> </div> <div class="col-md-2"> <p><input type="radio" class="radioWidth" id="no_thanks" name="SBBA" value="No">No Thanks</p> </div> </div> <div class="row" style="display: none;" id="bankAccooo"> <div class="col-md-6"> <label><b>Business Bank Account:</b></label> <p><input placeholder="Business Bank Account..." oninput="this.className = ''" name="BBA" required></p> <!-- Business Bank Account --> </div> <div class="col-md-6"> <label><b>Sort Code:</b></label> <p><input placeholder="Sort Code..." oninput="this.className = ''" name="SC" required></p> <!-- Sort Code --> </div> </div> </div> <div class="tab"> <h2>Services</h2> <p>Please confirm that you agree for us to pass on above information to your selected bank for your business bank account application. Check the box to confirm.</p> <div class="row"> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="VAT1" name="VAT" value="£85+VAT">£85+VAT Monthly</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="VAT2" name="VAT" value="£135+VAT">£135+VAT Monthly</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="VAT3" name="VAT" value="£150+VAT">£150+VAT Monthly</p> </div> <div class="col-md-3"> <p><input type="radio" class="radioWidth" id="VAT4" name="VAT" value="£175+VAT">£175+VAT Monthly</p> </div> </div> <br> </div> <div class="tab"> <h2>Thank You</h2> <p>Thank you for providing your information, Soon we will process it and will let you know about it..</p> </div> <div style="overflow:auto;"> <div style="float:right;"> <button type="button" id="prevBtn" onclick="nextPrev(-1)">Previous</button> <button type="button" id="nextBtn" onclick="nextPrev(1)">Next</button> </div> </div> <!-- Circles which indicates the steps of the form: --> <div style="text-align:center;margin-top:40px;"> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> <span class="step"></span> </div> </form> </body> </html> <script type="text/javascript" src="validation.js"></script>
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