Form 15 - Consent And Certificate Of Director (Existing Company)

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Companies Act 1997
Form 15
Section 130(1)
CONSENT AND CERTIFICATE OF DIRECTOR (EXISTING COMPANY)
Company number.
Note: Information in this form must be either typed or handwritten in block letters. This form is only to be used in
respect of an existing company. It is not to be used in respect of the registration of a company or the
amalgamation of companies. This form must be submitted with a Form 16. Do not submit this form unless a Form
16 is also submitted. Where there is insufficient space on the form to supply the information required, use
additional forms or annexe a separate sheet in the same format containing the information.
1.
Company name.
2.
Details of director(s). (One section per director.)
Given names
Surname
Nationality
Date of birth
Residential
Postal
address
address
Declaration and signature - I consent to act as a director of the above company and certify that I am
not disqualified from being appointed or holding office as a director of a company.
Signature of Director: _______________________________________ Date:.__________________
Given names
Surname
Nationality
Date of birth
Residential
Postal
address
address
Declaration and signature - I consent to act as a director of the above company and certify that I am
not disqualified from being appointed or holding office as a director of a company.
Signature of Director: _______________________________________ Date: __________________
Note: Each new director must sign this form. Initials are not sufficient for the given names of a director. The suburb,
and street name and number, or the allotment and section number or portion number, and the district and
province must be stated for the residential address of a director. The country of residency must be stated if it is not
Papua New Guinea. A director must be a natural person.
Office use only.
Submitted by: ….....................................………….………
Submitted to the Office of the Registrar on:
Address:..........................................……………………………………
…………………………………….....................………………...…
Telephone: ..................................................................………………

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