New Company Instructions

Company Form Data Details set out below:

1.  Please provide the following information:

Company Name:
2nd Preference:
3rd Preference:

2.  Company Seal: Yes No

3. Which seal type would you prefer? Rubber Seal or Self Adhesive Seal (24 Sicker Seals) An effective company seal alternative.

4. Company Binder Colour: Navy Blue Black

5. Does a business name exist under this company name to which you wish to incorporate? Yes No

6. If a Business Name exists, please provide the Business Registration Number

Business Registration Number:

7. Are all the Proprietors to be members? Yes No

8. Principle Place of Business

Principle Place of Business:
Registered Office:
Occupier's Name:

9. Company Members and Office Holders

Surname:
Given Name:
Former Name:
Address:
Suburb:
State:
Post Code:
Occupation:
Date of Birth:
(Town) of Birth:
(Suburb) of Birth:
(Country of Birth:
Director: Secretary: Chairman: Public Officer:
1st Class Share Type:
Number of Shares:
2nd Class Share Type:
Number of Shares:

10. Company Members and Office Holders

Surname:
Given Name:
Former Name:
Address:
Suburb:
State:
Post Code:
Occupation:
Date of Birth:
(Town) of Birth:
(Suburb) of Birth:
(Country of Birth:
Director: Secretary: Chairman: Public Officer:
1st Class Share Type:
Number of Shares:
2nd Class Share Type:
Number of Shares:

10 Applicant Details

Firm Name:
Street Address:
Postal Address:
Phone:
Fax:
Email Address:

11. Deliver to Applicant's Address Yes No or

Please Deliver to:

12. Contract Person

Contract Person Name:
Phone: