Trustee Register Key Person and Officer form (COR2) May 2010

Key Person and Officer form (COR2)
For corporate applications only
Officers: Please provide the names, home addresses and dates of birth of all Officers.
Officer 1
Name:
Home address:
Date of birth: Fit and proper form attached
Officer 2
Name:
Home address:
Date of birth: Fit and proper form attached
Officer 3
Name:
Home address:
Date of birth: Fit and proper form attached
Officer 4
Name:
Home address:
Date of birth: Fit and proper form attached
Officer 5
Name:
Home address:
Date of birth: Fit and proper form attached
Please note: If there are more than five Officers, please provide their details on a separate sheet.
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Key Persons
Please provide the names, home addresses and dates of birth of all Key Persons.
Key person 1
Name:
Home address:
Date of birth: Fit and proper form attached
Key person 2
Name:
Home address:
Date of birth: Fit and proper form attached
Please note: If there are more than two Key Persons, please provide their details on a separate sheet.
2 of 2