A few details to get a matter opened. Koby reviews every one personally, confirms the firm can act, and comes back to you with an engagement letter and a fee basis in writing.
Everything marked with a • is required. The name, address and occupation fields aren’t bureaucracy — the Law Society requires them for every retainer, so collecting them now saves a round trip later.
Sending this form does not create a solicitor-client relationship and does not make you a client. That begins when an engagement letter is signed by both of us.