NLCE – Property Fault Report – Landlord Response Please complete the secure form below to purchase NLCE Ltd shares Title*MrMrsMissMs.Dr.Prof.Rev.LordName* First Last Company Name (If Applicable)Full Address*PLEASE NOTE: If you do not want your personal address displayed on the public register you can enter a 'care of' address or a business address.Postcode*Contact Telephone Number(s)* Email Address* Amount of NLCE Ltd Shares you wish to purchase:*(Share value: £1.00 each - Minimum: £100.00 per transaction)Personal Information Required by Companies House*To take the place of a signature, please provide 3 pieces of personal information relating to the individual named above. Where this is a company these should relate to the individual authorising the subscriber. PLEASE NOTE: You only need to complete 3 of the 7 categories listed below and enter the 3 characters required. So for example: Click 'Town of Birth', 'Eye colour' & 'Fathers First Name' and then enter the 3 characters required for each in the dropdown box. (First 3 letters of) Town of Birth (First 3 letters of) Eye colour (First 3 letters of) Fathers First Name (First 3 letters of) Mothers Maiden Name (Last 3 digits of) Telephone Number (Last 3 Characters of) National Insurance Number (Last 3 digits of) Passport Number Town of BirthPlease enter the first 3 letters.Eye ColourPlease enter the first 3 letters.Fathers First NamePlease enter the first 3 letters.Mothers Maiden NamePlease enter the first 3 letters.Telephone NumberPlease enter the last 3 digits.National Insurance NumberPlease enter the last 3 digits.Passport NumberPlease enter the last 3 digits.How would you like to pay?* Bank Transfer (BACS) Cheque Pay by Bank Transfer Pay By Bank Transfer (BACS) Account Name: National Landlords Code of Excellence Limited Bank: TRIODOS BANK Account number: 20747632 Branch sort code: 165810. We will email you as soon as your payment has cleared to confirm your shares.Pay by Cheque Pay By Cheque Account Name: National Landlords Code of Excellence Limited*Private Company Limited By Shares definition: "Limited by shares" means that the liability of the shareholders to creditors of the company is limited to the capital originally invested, i.e. the nominal value of the shares and any premium paid in return for the issue of the shares by the company. I confirm I understand the terms & conditions of becoming an NLCE shareholder. NameThis field is for validation purposes and should be left unchanged.