Company Registrations Form

Company Registrations Form

Client Name
Full Name of Company
Represented By
Contact Number

CodePhone Number
Email Address
example@example.com
City / Town
Where are you based?

Private Limited Company Registration (PLC) $ 190Private Business Corporation Registration (PBC) $ 50

Proposed Company Names

Rows	Proposed Names [in order of preference]
Option 1
Option 2
Option 3
Option 4
Option 5

In the event that your company has not established a specific business address, it is acceptable to use the address of one of the directors / members
PHYSICAL ADDRESS OF BUSINESS

Building Details

Street Details

SuburbTown/City

Postal / Zip Code
POSTAL ADDRESS OF BUSINESS [If different from above]

Building Details

Street Details

SuburbTown/City

Postal / Zip Code

Rows	Full Name of Director/Member	Nationality	ID No./Passport No.	Residential Address	%Age Shareholding
Director 1
Director 2
Director 3
Director 4
Director 5

Rows	Name of Shareholder	Nationality	ID No./Reg. No.	Residential /Registered Address	%Age Shareholding
Shareholder 1
Shareholder 2
Shareholder 3

What are the main business activities of this company?*

Should be Empty: