New Business Registration Form

New Business Registration Form
Director 1 - Personal & Contact Information
Name

TitleFirst NameLast Name
Identity Number
Birth Date

MonthDayYear
Marital Status:
E-mail
example@example.com
Cellphone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Director 2 - Personal & Contact Information
Name

TitleFirst NameLast Name
Identity Number
Birth Date

MonthDayYear
Marital Status:
Cellphone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List 5 possible business names in the order of preference.
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email Address
example@example.com
Declaration & Consent.
I/We hereby confirm that all information provided is true and correct to the best of my/our knowledge.I/We understand and acknowledge that once payment and/or funds have been received, processing may take approximately 24–48 hours.I/We further acknowledge and agree that no refunds will be issued for:Incorrect or incomplete information provided by the client; and/orDelays in the delivery of registration documents caused by third-party processing times, government departments, or other external factors beyond the control of RegPro Solutions (Pty) Ltd.By signing this application, I/We hereby grant consent to RegPro Solutions (Pty) Ltd to collect, process, and share the information provided with its affiliates, partners, and third-party service providers where necessary for the purpose of processing and completing the requested company registration and related services.
I/We hereby confirm that the information provided is true, accurate, and complete as at the date of submission of this application.
Date

MonthDayYear
Date
Client's Full name & Surname
Signature
File Upload -Director 1 - Certified copy of Identity Document

Cancelof
File Upload -Director 2 - Certified copy Identity Document

Cancelof
File Upload -Director 1 - Proof of address

Cancelof
File Upload -Director 2 - Proof of address

Cancelof
Should be Empty:

New Business Registration Form

Director 1 - Personal & Contact Information

Director 2 - Personal & Contact Information

Declaration & Consent.