1. The Business Name

2. The general nature of the Business

3. The principal place of the Business

4. The present forename (or forenames) and surname of the individual

5. Any former forename or forenames and surname of the individual

6. The nationality of the individual

7. The nationality of origin of the individual, if not same as present nationality

8. The usual residence of the individual

9. The other Business occupation (if any) of the individual

10. The date of the commencement of the Business, if the business was commenced after the 6th March 1919

11. Any other business Name or Names under which the business is carried on

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