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LEGALISATION APPLICATION FORM

Form must be printed in the LANDSCAPE format, completed in BLOCK CAPITALS and sent to us with your document(s). You must refer to the Documents We Can Legalise section on the website for guidance before sending your application.

All parts of the form must be completed or your application will be DELAYED or REJECTED.

1. SURNAME:

2.FIRST NAME:

3.BUSINESS NAME (if applicable):

4.RETURN ADDRESS:

Name:

Address:

Post Code:

Country:

Tel (with international access code):

e-mail:

5. TYPE OF CUSTOMER (circle as appropriate):

BUSINESS

PERSONAL

6.PAYMENT TYPE* (please circle appropriate option):

ONLINE**

BUSINESS CHEQUE

POSTAL ORDER

BANKER’S DRAFT

*Please note that we do not accept payment by personal cheque

**For online payment only (all fields below must be completed in full):

Payment Reference/Order ID

p r i _ _ _ _ _ _

Date and Time of Payment

 

(DD/MM/YEAR)

_ _ / _ _ / _ _ _ _

(24hr clock)

_ _ : _ _

Cardholder Name (as it appears on card)

…………………………………………………………………………………………………………………………………………………….....

You must include payment for return postage or a pre-paid, self-addressed envelope otherwise we cannot return your document(s).

7.PAYMENT TOTAL: £

Signature: ……….………………………………………………………………………………………………………………………………

For Office Use Only: Date Rcvd:

Fees Paid: £

No of Docs:

Postal Method:

PAY ID:

Officer’s Initials:

Date Dspd:

Dspd By:

Please state the address where you would like your document(s) returned in the event that we are unable to successfully complete your application.

Address:

Post Code:

Country:

Tel (with international access code):

e-mail:

9.COUNTRY (OVERSEAS) WHERE DOCUMENT IS TO BE USED:

You must list the country (overseas) where the document is to be used.

 

Number of documents

Country: ……………………………………………………………..

…………….

Country: ……………………………………………………………..

…………….

Country: ……………………………………………………………..

…………….

Country: ……………………………………………………………..

…………….

Country: ……………………………………………………………..

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Country: ……………………………………………………………..

…………….

Country: ……………………………………………………………..

…………….

Total number of documents to be legalised:

…………….

Please be aware that by submitting this application the Legalisation Office may need to share information regarding your document with the relevant authority/individual for the purposes of signature verification should we not hold a specimen signature in our records.

SPECIAL INSTRUCTIONS/ADDITIONAL INFORMATION:

We are continually looking at ways to improve our customer service. In order to help us achieve this, we will be asking our customers to complete a short survey which will be sent to the e-mail address supplied with the application. If you do not wish to take part in this survey please tick the box: