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* 1. Registered company name (include trading name if different):

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* 2. Company legal status (E.g. sole trader, partnership etc.)

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* 3. Contact information

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* 4. Position (E.g. Director)

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* 5. Company Number / Charity Reference Number / Unique Tax Reference Number

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* 6. Number of employees (Full Time Equivalent)

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* 7. Is your turnover (in the last trading year) less than the equivalent of €50 million (approximately £49m)?

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* 8. Is your balance sheet (in the last trading year) less than the equivalent of €43 million (approximately £38m)?

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* 9. Please list the state aid you have received in the last three years (if any):

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* 10. Does any other organisation / individual have shares in your enterprise greater than 25%?

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* 11. Does your enterprise hold more than 25% of shares in any other organisation or enterprise?

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* 12. What date did your enterprise start trading?

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