Apply

Please complete the following form:

Are you:

 The shareholder (including personal representatives e.g. executor, acting under a power of attorney etc.), a director of a company shareholder or a trustee? A professional acting for the shareholder?

Please select the type of shareholder involved (required):

Are there any other holdings where the certificate is lost?

 Yes No

Only if you've answered "Yes" please complete the following:

Are there any other holdings where the certificate is lost?

 Yes No

Are the shares registered to the shareholder at an address in the UK? (required)

 Yes No

Are you, and all other applicants, resident in the UK?

 Yes No