| 1. | Trading name, or full name if there is no other trading name of the business for which registration is required. | ...............................
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| 2. | Ordinary trade description of the business carried on. | ...............................
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| 3. | Address of the premises at which the business is carried on and telephone number. | ...............................
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| 4. | Address at which the principal accounts of the business are kept and telephone number. | ...............................
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| 5. | If the business is owned by an incorporated company, give the company's full name and the address of its registered office. | ...............................
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